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In 2006, the CDC recommended universal opt-out HIV testing for all persons aged 13 to 64 in populations with a >0.1% prevalence of undiagnosed HIV infection. During the next 3 years, the CDC invested more than $102 million in health departments as part of the Expanded HIV Testing Initiative, which aimed to increase HIV testing, early diagnosis, and linkage to care in populations disproportionately affected by HIV/AIDS, particularly blacks. Now, CDC investigators have evaluated the return on investment (ROI) for this program.
The program expenditures used for this analysis included both the costs of testing and the medical costs of treating newly diagnosed HIV infection. The researchers assumed that infections were detected through the progra…