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November 14, 2025AIDS Care

Association between enrollment in Medicaid expansion and healthcare utilization and outcomes in people with HIV in Nebraska, U.S.A.

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Authors

ENEmmanuel Nazaire Essam NkodoRFRenae FurlELElizabeth Lyden

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Overview

Observational cohort study shows improved healthcare access and reduced barriers in HIV patients, indicating Medicaid's role.

Key Points

  • This research aims to assess the impact of Medicaid expansion on healthcare utilization and outcomes for people with HIV in Nebraska.
  • Prospective observational cohort study
  • Participants completed healthcare utilization and Adherence Barrier Questionnaires
  • Measured viral suppression at baseline and 12-month post-enrollment
  • Involved 101 participants aged 19 years or older who enrolled in Medicaid
  • Increased ability to afford care, seek care, and find providers post-Medicaid enrollment
  • Rising median number of outpatient visits from baseline (P < .003)
  • Improved adherence metrics: reduced medication cost barriers (P < .037), decreased ART dose skipping (P < .001)
  • Viral suppression rates increased significantly from 58.4% to 77.2% (P = .001)

Cite This Study

Nkodo et al. (2025) studied this question.

synapsesocial.com/papers/692519b4c0ce034ddc3544bbhttps://doi.org/10.1080/09540121.2025.2586245
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