Regional Disparities in Qualified Health Plans’ Prior Authorization Requirements for HIV Pre-exposure Prophylaxis in the United States June 2020 By Sebastian Tello-TrilloKathleen A. McManus Samuel PowersAmy KilleleaElizabeth Rogawski McQuade Regional Disparities in Qualified Health Plans’ Prior Authorization Requirements for HIV Pre-exposure Prophylaxis in the United States With the goal of ending the HIV epidemic in the United States, access to HIV pre-exposure prophylaxis (PrEP) is essential to help curb new HIV infections. There has been differential uptake of PrEP by region, with the South lagging behind other regions. Discriminatory benefit design (benefit design that prevents or delays people with complex or expensive conditions from obtaining appropriate treatment) through prior authorization requirements could be a systemic barrier that contributes to the decreased PrEP uptake in the South. Read article Sebastian Tello-Trillo Sebastian Tello-Trillo is an assistant professor of public policy and economics at the Frank Batten School of Leadership and Public Policy. He studies health policy in the U.S and Latin America, with a particular focus on understanding how policies affect individuals’ health behaviors and economic outcomes. Read full bio Kathleen A. McManus Samuel Powers Amy Killelea Elizabeth Rogawski McQuade Related Content Sebastian Tello-Trillo Losing public health insurance: TennCare reform and personal financial distress Research Batten Professor Sebastian Tello-Trillo and his co-authors write about how the primary goal of health insurance is smoothing the financial risk associated with health shocks. They estimate the effect of exposure to health-insurance reform on individual-level financial well-being. Key justices seem inclined to uphold the Affordable Care Act. But uncertainty remains. News In the latest edition of Batten Expert Chats, Batten professor and health economist Sebastian Tello-Trillo discussed the Supreme Court’s upcoming decision on the healthcare law, as well as its policy implications. New Research Finds 'Systemic Barrier' to HIV Prevention in Southern States News Professor Sebastian Tello-Trillo, along with a team of researchers from UVA, have discovered that the South, the U.S. region with the most HIV infections each year, also has the greatest barriers to obtaining drugs that can prevent the disease for people who rely on Affordable Care Act insurance plans.