ERIC Number: ED349093
Record Type: Non-Journal
Publication Date: 1992-Jan
Reference Count: N/A
Medicaid and Childhood Immunizations: A National Study.
Liu, Joseph Tiang-Yau; Rosenbaum, Sara
In recent years, falling immunization rates in the United States have resulted in an increased number of cases of preventable diseases. For example, the United States ranks behind 16 other nations in proportion of infants immunized against polio. Reasons for the decline of immunizations include skyrocketing vaccine costs, rising poverty rates, inadequate access to health care, and underfunding of public health programs. This document reports the results of a national survey of Medicaid programs conducted in 1991. Results indicated that states typically reimburse Medicaid providers for 53 percent of the usual fees for diphtheria, tetanus, and pertussis vaccine, 67 percent for polio vaccine, 72 percent for measles, mumps, and rubella vaccine, and 84 percent for meningitis vaccine. Of the 30 states that use a fee-for-service system, only one pays providers more than 85 percent of usual fees for the four vaccinations. Some states reimburse physicians for immunization services at a rate less than the cost of the vaccine, and some do not reimburse physicians for treating children in follow-up visits. It is recommended that states: (1) reduce vaccine costs by purchasing bulk vaccines from the Centers for Disease Control; (2) implement universal vaccine distribution systems; and (3) provide adequate reimbursement to Medicaid providers. (BC)
Publication Type: Reports - Research
Education Level: N/A
Sponsor: Robert Wood Johnson Foundation, New Brunswick, NJ.
Authoring Institution: Children's Defense Fund, Washington, DC.