HEALTH-BASED PAYMENT FOR HIV AIDS IN MEDICAID MANAGED CARE PROGRAMS/

In recent years, State Medicaid programs have begun adopting health-ba sed Payment systems to help ensure quality care for people living with human immunodeficiency virus (HIV) and acquired immunodeficiency synd rome (AIDS), and to ensure equity for the managed ca re organizations (MCOs) in which these people are enrolled. In this article, the author s discuss reasons why such Payment systems are needed and describe AID S-specific capitation rates that have been adopted in several State Me dicaid waiver programs. The authors also examine comprehensive risk-ad justment systems both within Medicaid and outside the program. Several research questions needing further work are discussed.