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Many studies have suggested that giving small cash incentives to patients for taking medications or adopting other healthy behaviors will improve clinical outcomes. Now, a large randomized trial from the Bronx, NY, and Washington, DC, has confirmed this premise for some points on the HIV care continuum.
During 20 months, 18 HIV testing sites offered coupons redeemable for cash-equivalent gift cards to patients with newly diagnosed HIV once they enrolled in care: US$25 after initial HIV-related labs were drawn and $100 after keeping a first clinical appointment. During 24 months, 17 HIV clinical care sites offered HIV-positive patients already engaged in care $70 gift cards for every quarterly viral load measurement that was <400 copies/mL. S…