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Enhancing Immunization Services

Enhancing Immunization Services. Yavapai County Community Health Services December 2007. Immunization Data Jan-Nov 2007. Total vaccines given = 13,666 Given to under 18 year olds = 9,809 Given to adults = 3,857 Number of vaccines available = 29 Add Influenza – OVER 20,000/shots/year.

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Enhancing Immunization Services

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  1. Enhancing Immunization Services Yavapai County Community Health Services December 2007

  2. Immunization DataJan-Nov 2007 • Total vaccines given = 13,666 • Given to under 18 year olds = 9,809 • Given to adults = 3,857 • Number of vaccines available = 29 • Add Influenza – OVER 20,000/shots/year

  3. The Problem • Travel Immunization Clinic • Currently administered by the Community Health Center • A non-traditional (CHC) service – a logical experiment gone wrong • Only provider in Yavapai County • A money loser – due to health insurance contracts with fixed ceilings for reimbursement • County indirectly subsidizes travelers

  4. The Solution • Public Health Department • Cash up front for travel immunizations • Patients deal directly with insurance companies so no billing woes for department • Patients are supplied with detailed insurance-ready receipts • The Health Department is paid in full up front • Patients don’t need to travel to Phoenix • The program is self-sufficient

  5. The Variables • The (mostly) unknowns • Patients’ reactions to having to deal directly with insurance companies • Market variables • Supply and demand • Outbreaks/Panics • Price swings • New vaccines • Pharmaceutical industry/Patents • Associated effects on revenue projections

  6. Zostarvax (Shingles)

  7. Recommendations • Transfer all non-CHC immunization functions from the Community Health Center to Public Health • Create a stand-alone, cash-only, travel clinic • Round up all vaccine costs to the nearest dollar • Adopt the following fee schedule: • Vaccine cost = purchase price plus $10.00 • Administration fee = $20.00/shot • Consultation Fee = $40.00/planning visit • Effective February 1, 2008

  8. Pros • Prices are set at a reasonable market rate • Price changes – up or down – are automatic without constant approvals by the Board of Supervisors • Travel immunizations will be self-sufficient • Fewer transactions with insurance companies • Clinic patients will still be covered for immunizations • Full indirect costs collected • Continued service and convenience to the community • Very comparably priced

  9. Cons • Numerous variables • Projection assumptions may be flawed • Paying up front for services may not be agreeable to all

  10. Endorsements • Health Resources And Services Administration • Prescott Free Clinic Board of Directors • YCCHS Administration • Yavapai Board of Health

  11. Recommendations • Transfer all non-CHC immunization functions from the Community Health Center to Public Health • Create a stand-alone, cash-only, travel clinic • Round up all vaccine costs to the nearest dollar • Adopt the following fee schedule: • Vaccine cost = purchase price plus $10.00 • Administration fee = $20.00 • Consultation Fee = $40.00 • Effective February 1, 2008

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