Ten-Year Cost Projections for Medicare Beneficiaries 65 Years or Older With HIV

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The population of Medicare recipients aged 65 and older living with HIV is projected to grow significantly over the next decade.
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Antiretroviral therapy (ART) costs are rising, contributing to increased Medicare expenses for people with HIV.
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The CHARMED model simulates clinical care and costs for Medicare beneficiaries aged 65 and older taking ART.
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Approximately 74% of PWH aged 65 and older receiving care are enrolled in traditional Medicare or Medicare Advantage.
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In January 2026, an estimated 111,600 Medicare beneficiaries aged 65 and older will be living with HIV in the US.

Jama Network Open

by Emily P. Hyle, Luke Ang, Grace Luu, Parastu Kasaie, Dannie Dai, Florence Ebem, Jessica Phelan, Satoshi Koiso, Ciara Duggan, Elizabeth Humes, Dori Molozanov, Paul E. Sax, Lucas Gerace, John Giardina, E. John Orav, Tim Horn, Anne M. Neilan, Ankur Pandya, Jose F. Figueroa, Keri N. Althoff, Kenneth A. Freedberg
July 7, 2026

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