![]() Among interviewees who provided estimates, between 23% and 55% of patient populations were people of color. ![]() Clients served were mostly cisgender men who have sex with men, and in their 20s and 30s.While the private companies stood to earn a profit from their PrEP programs, the predominant reason given for offering this services across all respondents was to provide wider access to PrEP and some tied this objective to reaching the national goal of “ending the HIV epidemic.” For some, tele-PrEP was viewed as a way to address specific access barriers, including stigma associated with PrEP and structural challenges, such as getting time off work or transportation to appointments. Respondents offered a range of reasons for providing tele-PrEP.All programs have a process for connecting people who are diagnosed with HIV to care and either can treat other sexually transmitted infections (STIs) or have linkages to STI care. Some programs are primarily focused on PrEP provision, while others offer additional select services, and some provide PrEP as part of a comprehensive clinical program.Likewise, some providers primarily offer generic PrEP while others tend to favor prescribing branded drugs, a choice that was typically tied to program design. In some cases, this was based on client preference, and in others, in response to legal barriers. For example, some respondents primarily used home lab collection kits while others referred patients to in-person labs. Laboratory services, a central component to PrEP initiation and related on going care, and prescribing patterns also varied.using synchronous methods), one primarily uses asynchronous methods (e.g., via text, email, or delayed chat instead of phone or video), and about half use a hybrid approach. About half of respondents reported conducting visits primarily or exclusively via live video (i.e.Programs and companies generated revenue through fees charged to clients or organizations who contract with the private companies, by operating as both the pharmacy as well as the provider, and also through the 340B drug pricing program. ![]() Some, but not all, work to enroll uninsured and underinsured patients in assistance programs or insurance coverage. In some cases, services are offered for free to clients but more than half of private companies interviewed charge a fee.
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