People with HIV and schizophrenia in the United States who have Medicaid insurance experience lower retention in HIV care, likely driving disparities in HIV-related morbidity and mortality, researchers reported in JAIDS. Christina Mangurian, MD, MAS, and colleagues examined Medicaid claims data to compare retention in HIV care between people with HIV and schizophrenia (n=38,217) and people with HIV and no schizophrenia (n=29,455). Yearly retention in HIV care was 29.9% for patients with HIV and schizophrenia compared with 38.5% for patients with HIV and no schizophrenia, representing 8.5% lower retention in unadjusted and 9.0% lower retention in adjusted estimates for people with HIV and schizophrenia. The researchers noted that this disparity differed between states. Over time, retention improved, and the disparity between people with and without schizophrenia declined. “Structural interventions are merited to improve the health of this population,” Dr. Mangurian and colleagues wrote.