Without knowledge and information specific to black men who sleep with men, doctors and other interview skills do’s and don’ts medical professionals are unlikely to offer appropriate treatmentincluding methods of HIV prevention. That’s why NASTAD unveiled His Health , a new training platform that engages medical caregivers in accredited courses that help them learn about the needs of the black MSM population. On the His Health website, medical professionals can take courses in PrEP, transgender men’s health care, holistic health assessments, and cultural competency and engagement. RELATED: Switching Course, Gilead Markets HIV Drug for Prevention The website also introduces doctors and other caregivers to some of the nation’s most innovative models for black LGBTQ healthcare, including Pittsburgh’s Project Silk; Oakland’s Crush Project; Indianapolis’ Brothers United and the Damien Center; and Memphis’ Connect to Protect and SMILE projects. The four model health care projects all adhere to an ethos of community-based programmingHis Health encourages healthcare providers to “go rogue” and offer PrEP and HIV counseling in non-clinical spaces like youth recreation centers in order to meet at-risk populations where they already are. Dr. Theo Hodge, an HIV specialist based in Washington, D.C., helped create the PrEP curriculum for His Health. Hodgewho is himself a gay, black doctor told NBC Out that his black patients frequently encounter bias in medical offices. “The typical story among those recently diagnosed with HIV is that they’ve had to return to the clinic on several occasions before the discussion of treatment comes upup to three to four visits,” Hodge said. Typically, a patient with a new HIV diagnosis is asked to come back once for viral identification, and then put on a medication regime immediately.
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Rather, patients whose physicians charged lower prices for office visits also paid less for almost every other outpatient service they received. In the past decade, patients have had to pay more for health care, due to higher deductibles. Many states and private insurers now offer price transparency tools in the hope that access to such information could help people make better-informed decisions on how much they will pay per visit or for a given procedure. Would picking a provider based on low-priced office visits translate into overall savings including procedures and other follow-up care? The study suggests so. “Because of the tremendous growth in high-deductible health plans, Americans are being forced to think about prices when they choose where to get care,” said study lead author Ateev Mehrotra, associate professor of health care policy at Harvard Medical School and a hospitalist at Beth Israel Deaconess Medical Center. “Our data suggest that looking at the price of your doctor’s office visit is a good place to start. Choosing a lower-priced primary care doctor could save someone a lot of money.” Using the 2010 Ingenix insurance database, which contains data from 27 national employers, the researchers grouped primary care doctors into high, average and low price tiers based on the cost of an office visit. From there, they examined the spending of those doctors’ patients, looking at how many services such as drugs and emergency care visits patients used and how much the services cost.
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