By 2040, nearly half of people with HIV will be older than 65, and their Medicare costs could reach $200 billion, models project.
The median age of people with HIV in the United States is rising, meaning healthcare systems will need to adapt to their evolving needs and cost of care, according to a pair of modeling studies published in JAMA Network Open. One model suggests that reducing the cost of antiretroviral treatment could lead to more than $19 billion in Medicare savings over the next 10 years.
“Aging people with diagnosed HIV have complex and multifaceted health care needs that extend beyond viral suppression,” the authors of one study wrote. “As the population living with HIV ages, local health care systems — as well as the Medicare, Medicaid and Ryan White programs — will need to manage the increasing burden of age-related comorbidities among this population.”
Thanks to improvements in antiretroviral therapy, people with HIV are living longer than ever. Those who start treatment promptly and maintain viral suppression can expect to have a near-normal lifespan. But HIV-positive people are more prone to comorbidities — and at younger ages — so managing other chronic conditions is an increasingly important part of comprehensive HIV care.
Source : POZ
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