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Gardner LI, Marks G, Wilson TE, Giordano TP, Sullivan M, Raper JL, Rodriguez AE, Keruly J, Malitz F. Clinic-wide intervention lowers financial risk and improves revenue to HIV clinics through fewer missed primary care visits. Journal of acquired immune deficiency syndromes (1999). 2015 Apr 1; 68(4):472-6.
: We calculated the financial impact in 6 HIV clinics of a low-effort retention in care intervention involving brief motivational messages from providers, patient brochures, and posters. We used a linear regression model to calculate absolute changes in kept primary care visits from the preintervention year (2008-2009) to the intervention year (2009-2010). Revenue from patients' insurance was also assessed by clinic. Kept visits improved significantly in the intervention year versus the preintervention year (P < 0.0001). We found a net-positive effect on clinic revenue of +$24,000/year for an average-size clinic (7400 scheduled visits/year). We encourage HIV clinic administrators to consider implementing this low-effort intervention.