Cost Analysis of Ryan White Part A Services in New York

The New York City Department of Health and Mental Hygiene (DOHMH) administers funding for a federal grant program, Ryan White Part A. The program provides medical and support services to people living with HIV, functioning as a “payer of last resort” that fills gaps in care not covered by other sources. DOHMH is engaged in a multi-year economic evaluation of Ryan White Part A services in order to better understand the linkages between Part A spending and short-term health outcomes. Results will be used to better inform the HIV Health and Human Services Planning Council of New York in guiding Ryan White Part A spending priorities. The Capstone team analyzed how Part A services are administered in New York City, developed a methodology to define and analyze costs, and prepared a cost analysis tool, documenting findings in a written report presented to stakeholders. The team’s findings will be used to inform Ryan White Part A prioritization decisions.