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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
Third Wave of Medicare Drug Price Negotiation Adds More Potential Peril
Medicare drug negotiation's third wave includes Biktarvy, raising HIV treatment access concerns.
Ranier Simons
Feb 155 min read
The Great American Recovery Needs More Than a Slogan
Administration expands OUD medication access while defunding SAMHSA and restricting harm reduction.
Travis Roppolo
Feb 86 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
Florida's ADAP Cuts Put 16,000 People Living with HIV at Risk
Florida ADAP cuts eligibility from 400% to 130% FPL, threatening 16,000 PLWHA.
Travis Roppolo
Jan 256 min read
The HIV Care System Is Breaking Before Congress Even Cuts It
HIV care system deterioration from administrative obstruction and funding delays presages catastrophic effects of potential budget cuts.
Travis Roppolo
Nov 16, 20257 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
The Coming HIV Care Crisis
Impending HIV care crisis results from Medicaid work requirements, federal funding cuts, and healthcare system fragmentation.
Travis Roppolo
Jul 13, 20256 min read
War-Torn Ukraine Beats U.S. on Integrated Addiction Care
Ukraine's integrated addiction care model outperforms U.S. fragmented approach despite war devastation and resource constraints.
Travis Roppolo
Jul 6, 20257 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
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
DoxyPEP's Impact - New Evidence Shows Promise and Challenges in STI Prevention
DoxyPEP post-exposure prophylaxis demonstrates effectiveness for STI prevention with implementation challenges and equity concerns.
Travis Roppolo
Jan 19, 20255 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
HCV Prevalence Burden Higher Among HIV-Positive MSM
Elevated HCV prevalence among HIV-positive MSM and co-infection management implications.
Travis Roppolo
Aug 25, 20243 min read
Innovation as a Change Agent for Patients Leaving Incarceration
Innovative approaches to improve HIV care transitions for people exiting incarceration.
Travis Roppolo
Aug 11, 20246 min read
The Promise of a Cure - Why Are We Still Failing People with HCV
Systemic barriers preventing HCV-infected people from accessing available cure.
Travis Roppolo
Aug 4, 20247 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
Addressing the High Burden of HCV in HIV-Positive MSM
HCV co-infection in HIV-positive MSM: treatment barriers through ADAPs and policy recommendations.
Travis Roppolo
Jul 14, 20248 min read
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