Billing and Volunteers Substantially Reduced School-Located Influenza Vaccination Costs, 2 Oregon Counties, 2010-2011
| Autor: | Suchita A. Patel, Kelly Martin, Bo-Hyun Cho, Robert Moore, Holly C Groom |
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| Rok vydání: | 2018 |
| Předmět: |
Male
Volunteers medicine.medical_specialty Adolescent Total cost media_common.quotation_subject Pilot Projects Influenza vaccinations Oregon 03 medical and health sciences 0302 clinical medicine 030225 pediatrics Influenza Human Humans Medicine 030212 general & internal medicine health care economics and organizations Reimbursement School Health Services media_common Schools business.industry Health Policy Vaccination Public Health Environmental and Occupational Health Outcome measures Pandemic influenza Payment Family medicine Financial sustainability Female Health Expenditures business |
| Zdroj: | Journal of Public Health Management and Practice. 24:558-566 |
| ISSN: | 1078-4659 2010-2011 |
| DOI: | 10.1097/phh.0000000000000710 |
| Popis: | Background and objectives After the 2009 pandemic influenza seasons, the financial sustainability of school-located vaccination (SLV) clinics drew much attention. This study estimated and compared the labor costs of SLV clinics and reimbursements for influenza vaccinations for students attending 5 schools in 2 Oregon counties during 2010-2011. Design/setting Using a biweekly, Web-based survey, staff and volunteers prospectively tracked the time they spent on SLV clinic planning, implementation, and billing. They also tracked claims submitted and reimbursements by payment source. Main outcome measure We report labor hours and associated costs for implementing school-based vaccination clinics; number of claims submitted and the reimbursement rate; and total and net costs. Results In county A, 260 doses were administered at a total cost of $5009 and received $3620 in payment. For county B, 165 doses were administered at a cost of $5598 and received $3807 in payments. With billing, the net cost per dose decreased from $19.74 to $8.57 and $38.08 to $16.17, for county A and county B, respectively. Conclusions Reimbursements reduced cost per dose by 48% across SLV clinics across both Oregon counties. Local health departments can bill local health insurers to offset costs for implementing school-based vaccination clinics. Efforts to set up billing processes require dedicated billing staff who can effectively manage claims submission processes with multiple health insurers. |
| Databáze: | OpenAIRE |
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