Policy implications of first-dollar coverage: a qualitative examination from the payer perspective.
Public Health Rep
; 126(3): 394-9, 2011.
Article
em En
| MEDLINE
| ID: mdl-21553668
ABSTRACT
OBJECTIVES:
Immunization against potentially life-threatening illnesses for children and adults has proved to be one of the great public health successes of the 20th century and is extremely cost-effective. The Patient Protection and Affordable Care Act includes a number of provisions to increase coverage and access to immunizations for the consumer, including a provision for health plans to cover all Advisory Committee on Immunization Practices-recommended vaccines at first dollar, or without cost sharing. In this study, we examined payers' perspectives on first-dollar coverage of vaccines and strategies to improve vaccination rates.METHODS:
This was a qualitative study, using a literature review and semistructured expert interviews with payers.RESULTS:
Four key themes emerged, including (1) the cost implications of the first-dollar change; (2) the importance of examining barriers to children, adolescents, and adults separately to focus interventions more strategically; (3) the importance of provider knowledge and education in increasing immunization; and (4) the effect of first-dollar coverage on those who decline vaccination for personal reasons.CONCLUSIONS:
We determined that, while reducing financial barriers through first-dollar coverage is an important first step to increasing immunization rates, there are structural and cultural barriers that also will require collaborative, strategic work among all vaccine stakeholders.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Política Pública
/
Vacinação
/
Custo Compartilhado de Seguro
/
Programas de Imunização
/
Seguro Saúde
Tipo de estudo:
Qualitative_research
Limite:
Adolescent
/
Adult
/
Child
/
Humans
País/Região como assunto:
America do norte
Idioma:
En
Ano de publicação:
2011
Tipo de documento:
Article