Tier I
Disease State	%	# of People	Cost PPPY	Total Cost (in millions)
Advanced	60	540,000	$34,000	$18,360
Between	30	270,000	$20,000	$5,400
Well	10	90,000	$14,000	$1,260
*Total*	*100*	*900,000*	*N/A*	*$25,020*


Tier II
Disease State	%	# of People	Cost PPPY	Total Cost (in millions)
Advanced	20	180,000	$34,000	$6,120
Between	60	540,000	$20,000	$10,800
Well	20	180,000	$14,000	$2,520
*Total*	*100*	*900,000*	*N/A*	*$19,440*


Tier III
Disease State	%	# of People	Cost PPPY	Total Cost (in millions)
Advanced	10	90,000	$34,000	$3,060
Between	30	270,000	$20,000	$5,400
Well	60	540,000	$14,000	$7,560
*Total*	*100*	*900,000*	*N/A*	*$16,020*

*Assumes treatment for 900,000 individuals.

*Calculations based on costs reported by (Kaiser Family Foundation, 2000 and Saag, 2002)

While this model was created for purely illustrative methods and remains simplistic, it encompasses a "blue sky" theory in assumptions. The one very striking calculation, however, is the obvious difference in cost for a "healthier" population, as opposed to a "weaker" or at a more advanced disease state population. These calculations argue for more early intervention and early treatment. By providing that more individuals are kept healthy, almost 36% or $9,000,000,000 can be saved in expenditures.

Florida’s costs could be projected in a similar manner to the national figures, but would be based on a smaller subset of 95,000 infected individuals estimated by the Florida Department of Health. Other costs not included in the calculations for both include the indirect costs discussed previously.

HIV/AIDS: Florida

Tier I
Disease State	%	# of People	Cost PPPY	Total Cost (in millions)
Advanced	60	57,000	$34,000	$1,938
Between	30	28,500	$20,000	$570
Well	10	9,500	$14,000	$133
*Total*	*100*	*95,000*	*N/A*	*$2,641*


Tier II
Disease State	%	# of People	Cost PPPY	Total Cost (in millions)
Advanced	20	19,000	$34,000	$646
Between	60	57,000	$20,000	$1,140
Well	20	19,000	$14,000	$266
*Total*	*100*	*95,000*	*N/A*	*$2,052*


Tier III
Disease State	%	# of People	Cost PPPY	Total Cost (in millions)
Advanced	10	9,500	$34,000	$323
Between	30	28,500	$20,000	$570
Well	60	57,000	$14,000	$798
*Total*	*100*	*95,000*	*N/A*	*$1,691*

**Assumes treatment for 95,000 individuals.

*Calculations based on costs reported by (Kaiser Family Foundation, 2000 and Saag, 2002)

Based on the previous calculations related to HIV/AIDS mono-infection, the following tables represent the additional cost of treatment for HCV. The CDC estimates a 25% co-infection rate between HIV/AIDS and HCV (CDC, 2002). However, the model used previously can be repeated, adding the HCV treatment cost estimate of $15,000 into the cost per patient per year (PPPY) for HIV/AIDS along the disease state estimates to calculate the impact of HCV treatment costs on HIV/AIDS costs. Again, this model is merely illustrative and must be considered a snapshot, especially when taking into consideration the inherent differences between the ongoing and eventually finite (until death) HIV/AIDS treatment and the HCV treatment (6 months to 12 months for one course). It is for this reason that HCV treatments cannot be annualized.

HIV/HCV Co-infection: The United States

Tier I
Disease State	%	# of People	Cost PPPY	Total Cost (in millions)
Advanced	60	135,000	$49,000	$6,615
Between	30	67,500	$35,000	$2,362.5
Well	10	22,500	$29,000	$652.5
*Total*	*100*	*225,000*	*N/A*	*$9,630*


Tier II
Disease State	%	# of People

The Co-infection of

HIV/AIDS and Hepatitis B and C:

The Socio-Economic Impact on the

State of Florida

The AIDS Institute Administrative Center · P.O. Box 16705 · Tampa, Florida 33687-6705 Phone (813) 232-5886 · Toll Free In Florida (800) 779-4898 · Fax (813) 232-0857 theaidsinstitute.org

The AIDS Institute Administrative Center · P.O. Box 16705 · Tampa, Florida 33687-6705 Phone (813) 232-5886 · Toll Free In Florida (800) 779-4898 · Fax (813) 232-0857
theaidsinstitute.org