Antiretroviral Therapy Changes for Medicare Beneficiaries With HIV Transitioning to Long-Term Care

How do the days covered by antiretroviral therapy prescriptions change when Medicare beneficiaries with HIV transition from the community to a long nursing home stay?In this cohort study of 713 long stays for 657 individuals with HIV across 598 facilities, the proportion of days covered by antiretroviral therapy prescriptions increased by a mean intercept (α value) of 13.92 after transitioning to a nursing home. More than one-quarter of nursing home stays were without prescriptions for antiretroviral therapy before and after nursing home admission.These findings suggest that nursing homes can maintain or even improve existing engagement with antiretroviral therapy for people with HIV but still miss opportunities for treatment initiation.

Corresponding Author: Brianne Olivieri-Mui, PhD, Department of Public Health and Health Sciences, Northeastern University, 360 Huntington Ave, 312 C Robinson Hall, Boston, MA 02115 (b.mui@northeastern.edu).

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