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ASO/CBO survey

More ASOs/CBOs should be providing insurance navigation services. While threats to the Ryan White HIV/AIDS Program and ACA repeal efforts persist, it is more important than ever to connect individuals to public and private insurance to ensure access to HIV and primary care services. Only half (52%) of ASOs/CBOs provide insurance navigation. The number of people living with HIV who are eligible for insurance has increased, largely due to Medicaid expansion, and in many cases the ASOs/CBOs are the primary service provider for uninsured individuals.

ASOs/CBOs may need more education on clinical guidelines and standards of care. Despite 44% of ASOs/CBOs indicating they offer PrEP in-house, more than half (60%) do not provide extragenital STI screening/ testing. Responses also indicate that ASOs/CBOs are not adhering to the Centers for Disease Control and Prevention HIV testing recommendations. While most (78%) ASOs/CBOs provide HIV testing, only half reported that HIV testing is routine for all clients between the ages of 13 and 62.

ASOs/CBOs need more fiscal training and technical assistance to improve fiscal health and sustainability of their organization. Repeatedly, ASOs/CBOs report limited access to fiscal topics such as revenue diversification, performance-based payment models, establishing indirect rates, implementing client payment models, and unit cost calculation for services. Additionally, approximately 18-20% of ASO/ CBOs providing a billable service are not billing third-party payers. This indicates a significant opportunity for ASOs/CBOs to engage in TA to diversify resources through third-party billing.​

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HEALTHHIV'S INAUGURAL STATE OF ASO/CBO NATIONAL SURVEY  

HealthHIV conducted a first-of-its-kind national survey of nearly 500 AIDS Service Organizations and Community-Based Organizations (ASOs/CBO...

HEALTHHIV'S INAUGURAL STATE OF ASO/CBO NATIONAL SURVEY  

HealthHIV conducted a first-of-its-kind national survey of nearly 500 AIDS Service Organizations and Community-Based Organizations (ASOs/CBO...

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