A Sustainable Path Forward for Providers and At-Risk Communities
Federal budget cuts are threatening the very foundation of HIV prevention and care services across the United States. A proposed 25% reduction to the Department of Health and Human Services (HHS) budget places over $1.5 billion in HIV-related program funding at risk. Prevention initiatives, surveillance programs, and treatment services that countless individuals rely on face deep and potentially irreversible cuts.
In Los Angeles County alone, nearly $20 million in HIV prevention funding is being eliminated. As a result, 39 providers are being forced to end services, with projections indicating 650 additional new HIV cases annually. The human cost of these reductions is profound, disproportionately impacting already marginalized groups—Black, Latino, LGBTQ+, immigrant, and low-income populations—who depend on these critical services for their health and well-being.
Providers are now confronted with the urgent challenge of filling the funding gap. However, without a sustainable financial strategy in place, many are left scrambling for solutions.
From Crisis to Continuity: The American Exchange Solution
At American Exchange, we believe crisis can be the catalyst for positive, lasting change. Our answer to the current healthcare funding uncertainty is clear: a patient conversion strategy that shifts the financial model from grant dependency to sustainable, payer-backed revenue.
Our approach focuses on transitioning uninsured patients—who often generate uncompensated costs for clinics—into insured individuals who produce recurring revenue streams. By doing so, clinics can safeguard the future of their HIV prevention and treatment programs, ensuring continuity of care regardless of political or economic shifts.
Our Patient Conversion Strategy Includes:
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Proactive eligibility screening: Identifying patients who qualify for Affordable Care Act (ACA) subsidies.
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White-labeled enrollment services: Operating under your brand to maintain your organization’s trusted identity.
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Subsidy and premium management: Using 340B savings or designated clinic funds to manage patient premium and cost-sharing responsibilities.
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Ongoing coverage maintenance: Policy tracking, redetermination support, and churn prevention strategies to keep patients continuously insured.
This model helps transform vulnerable programs into financially viable, long-term care solutions, protecting both patients and providers from the volatility of public funding streams.
Create a Future That’s Not Grant-Dependent
We support clinics and public health partners nationwide by offering comprehensive services including ACA plan enrollment, premium assistance administration, and insurance lifecycle management. Our approach reduces patient churn, sustains access to life-saving PrEP and HIV treatment services, and builds resilient care programs that thrive—regardless of budget cuts or policy changes.
Let’s Talk
Is your organization preparing for funding cuts or service disruptions? Don’t wait until programs are at risk. Visit our site to schedule a demo.
Together, we can build resilient, patient-centered HIV care systems that endure the challenges ahead.
Source:
“Trump cuts will cause spike in HIV cases in L.A. and across the country” – Los Angeles Times via Congressman Jared Friedman’s Office
URL: https://friedman.house.gov/media/in-the-news/los-angeles-times-trump-cuts-will-cause-spike-hiv-cases-la-and-across-country
