CHRONIC CARE: Healthfirst helps those living with HIV/AIDS improve overall health

The Challenge: Many people living with HIV feel marginalized, stigmatized, and subjected to bias by the community and the healthcare system. Even individuals with health insurance face substantial barriers to care, ranging from poor housing and employment to a lack of patient-centered access and social support. (Source) This has an adverse effect on overall health outcomes.

Our Goal: To improve “whole person” health for Healthfirst members with HIV/AIDS.

The Healthfirst Solution: We used claims data to identify Healthfirst members with HIV but without access to care and invited them to participate in the WholeYou Program. Care Coaches screened members, provided coaching sessions, made referrals to medical and community resources, and monitored member progress through digital platforms. We focused on achieving overall health goals, not on the member’s HIV status.

Population Health Improvements: Members living with HIV engaged (in 1+ coaching session) or formally enrolled in the WholeYou program were more likely to be virally suppressed than members who did not participate.

Takeaway: The WholeYou Program shows that patients who are medically vulnerable and marginalized benefit in measurable ways from high-tech and high-touch solutions.