Health Affairs December 5, 2023
We are writing in response to “The Task Force’s Latest PrEP Recommendation For HIV Is Just More Of The Same” by Richard Hughes IV, published in Forefront on November 1, 2023. We share the author’s enthusiasm about the revised US Preventive Services Task Force (USPSTF) recommendation for pre-exposure prophylaxis (PrEP) for the prevention of HIV. However, we take exception to the author’s arguments for mandated coverage with no utilization management of every PrEP formulation. Neither the economics nor the clinical evidence mandates such an approach.
The author takes issue with how the USPSTF—the body charged with reviewing evidence for prevention interventions and making recommendations that are then incorporated into Affordable Care Act (ACA) preventive services mandates—structured its recommendation for PrEP....
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