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The False Economy of Rationing Life
States are rationing HIV medications through prior auth and formulary cuts to solve ADAP budget crises — a strategy that costs more, drives resistance, and concentrates harm on the most vulnerable.
Travis Roppolo
Mar 235 min read
HIV/HCV Co-Infection Watch Q1: January 2026
Q1 2026 Watch: HCV/HIV co-infection treatment access under evolving federal and state policies.
Ranier Simons
Jan 2830 min read
ACA Subsidies in Limbo: What the Senate Framework Means for Patients
Enhanced ACA subsidies expired Jan 1; Senate framework proposes two-year extension with restrictions.
Travis Roppolo
Jan 116 min read
Policy Failures, Not Fate: Inside 2025's Health-Care Unraveling
2025 healthcare crises result from policy choices as ACA subsidies expire, HIV care deteriorates, and state pricing experiments proliferate.
Travis Roppolo
Dec 7, 20259 min read
Federal Policy Changes Threaten to Overwhelm ADAPs
Federal policy changes including Medicaid work requirements and ADAP eligibility restrictions threaten access to HIV medications.
Travis Roppolo
Nov 9, 20256 min read
HIV/HCV Co-Infection Watch Q4: October 2025
Q4 2025 Watch monitoring HCV treatment access and federal initiatives including Cure Hepatitis C Act.
Ranier Simons
Oct 29, 202530 min read
HIV/HCV Co-Infection Watch Q3: July 2025
Q3 2025 Watch: critical analysis including Cure Hepatitis C Act proposing subscription treatment models.
Travis Roppolo
Jul 29, 202532 min read
Medicaid loses billions as 340B program expansion collides with state budgets
340B program expansion drains billions from state Medicaid budgets while failing to deliver promised drug cost savings.
Travis Roppolo
Jul 20, 20256 min read
HIV/HCV Co-Infection Watch Q2: April 2025
Q2 2025 Watch monitoring HCV and HIV treatment access through ADAPs, Medicaid, and federal assistance.
Travis Roppolo
Apr 23, 202528 min read
Massive Medicaid Cuts Could Threaten Healthcare Access for Millions
Proposed Medicaid cuts and work requirements threaten coverage for millions including people living with HIV.
Travis Roppolo
Feb 2, 20256 min read
HIV/HCV Co-Infection Watch Q1: January 2025
Q1 2025 Watch: comprehensive update on HIV/HCV co-infection treatment access across federal and state programs.
Travis Roppolo
Jan 27, 202525 min read
Bipartisan Hepatitis C Elimination Plan Presents Critical Lame Duck Opportunity
Bipartisan HCV elimination legislation analysis and critical legislative window.
Travis Roppolo
Nov 17, 20246 min read
HIV/HCV Co-Infection Watch Q4: October 2024
Q4 2024 Watch: HCV treatment access assessment with guidance for disaster-displaced individuals.
Ranier Simons
Oct 27, 202424 min read
The Great Disenrollment - Examining Medicaid's Post-Pandemic Shift
Medicaid disenrollment during pandemic unwinding and impacts on vulnerable populations.
Travis Roppolo
Sep 29, 20248 min read
HIV/HCV Co-Infection Watch Q3: July 2024
Q3 2024 Watch monitoring HCV treatment access across ADAPs, Medicaid, Veterans programs, and assistance initiatives.
Ranier Simons
Jul 29, 202424 min read
Equitable and Data-Driven Viral Hepatitis Quality Measures
HHS proposed viral hepatitis quality measures for Medicaid and health equity implications.
Travis Roppolo
May 19, 20245 min read
HIV/HCV Co-Infection Watch Q2: April 2024
Q2 2024 Watch: Prior authorization rollbacks in Medicaid HCV programs; ADAP and assistance program coverage.
Ranier Simons
Apr 28, 202424 min read
HCV Cases Down, But Not Out
Declining HCV infections but persistent treatment barriers and disparities remain.
Travis Roppolo
Apr 21, 20246 min read
Beyond Medicine - Medicaid's Role in Bridging Healthcare and Housing
Medicaid's expanding role in addressing housing instability through Section 1115 waivers.
Travis Roppolo
Feb 11, 20248 min read
HIV/HCV Co-Infection Watch Q1: January 2024
Q1 2024 Watch: Pandemic Medicaid protections ended; millions lost coverage; ADAP and veterans updates.
Ranier Simons
Jan 29, 202422 min read
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