Introducing NASTAD’s Health Systems Integration Team

By Xavior Robinson October 14, 2015

Today, NASTAD announced the formation of its Health Systems Integration (HSI) team. The team is comprised of Amy Killelea, Xavior Robinson and Edwin Corbin-Gutiérrez. This new program expands upon NASTAD’s work to help state and territorial HIV and viral hepatitis programs maximize financing and coverage opportunities amidst our rapidly evolving public health landscape. The HSI program has evolved out of NASTAD’s Affordable Care Act (ACA) work, and in addition to continued ACA implementation, includes a range of sustainability and payment and delivery reform activities and focus areas. The HSI team will support the efforts of health departments on four priority fronts:

  1. Insurance Coverage and Access. As health departments continue to maximize opportunities provided by health reform, the HSI team leads NASTAD’s work on ACA education, outreach, and enrollment. The team works to support AIDS Drug Assistance Program (ADAP) and other HIV and viral hepatitis program efforts to optimize insurance access. These efforts include supporting plan designs that are inclusive of HIV and viral hepatitis medications, services, and providers and identifying payment and delivery system reform models that include community-based public health services.
  2. Provider Sustainability. A vibrant provider community is integral to ensuring access to HIV, hepatitis C (HCV) and drug user health services. The HSI team works with state health departments to build the capacity of providers to remain relevant in a changing health care landscape, pursue contracts and other partnerships with public and private payers, and pursue new streams of revenue to sustain services.
  3. Insurance Claims Data. The universe of health information is vast and expansive. Utilizing private insurance and Medicaid claims data can significantly improve the ability of states to measure HIV and viral hepatitis outcomes and progress. The HSI team works with state HIV programs to leverage insurance claims data to revolutionize HIV and viral hepatitis services delivery.
  4. PrEP Financing. While pre-exposure prophylaxis (PrEP) is a promising tool in the fight to end the HIV epidemic, its uptake by the most vulnerable communities is tied to the extent to which health departments can build sustainable financing mechanisms to provide access to this treatment and its related ancillary services. Our expertise in prescription drug pricing, insurance navigation, and access to care and treatment uniquely qualifies NASTAD for this body of work.

These new delivery approaches, partnerships and revenue streams are needed to sustain services and improve client outcomes. Alignment with the Triple Aim may serve as a pathway for HIV and viral hepatitis programs to engage broader health care systems. The Triple Aim is a trifecta of priorities that aspires to enhance the delivery of health services nationally. Its goals include:

  • Improving the patient experience of care (including quality and satisfaction)
  • Improving the health of populations
  • Reducing the per capita cost of health care

Under this framework, health departments can offer significant value to other health systems regarding the effective management of populations living with HIV and/or HCV. Similarly, HIV and viral hepatitis programs can learn from other health systems regarding payment and service delivery reforms. As America continues to tackle a massive renovation of its health care and public health systems, NASTAD’s HSI team will work to ensure that state HIV and viral hepatitis programs are maximizing new partnerships and remain well-positioned to deliver the best possible services.

For technical assistance, please contact a member of our HSI Team. For more information on HSI initiatives take a look at our program summary and webpage.