1 / 14

States With High Rates: How Do They Do It?

States With High Rates: How Do They Do It?. Sheldon Weisgrau Sunee Mickle Laura Harrington Kansas Health Institute October 12, 2006. Outline. Current Kansas financing “system” Experience of other states Finance & supply policies State specific programs Ongoing research.

judd
Download Presentation

States With High Rates: How Do They Do It?

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. States With High Rates: How Do They Do It? Sheldon Weisgrau Sunee Mickle Laura Harrington Kansas Health Institute October 12, 2006

  2. Outline • Current Kansas financing “system” • Experience of other states • Finance & supply policies • State specific programs • Ongoing research

  3. Immunization Financing in Kansas • Mix of public and private funding • Federal, state, and local government • Private insurance • Out-of-pocket • Almost all children are at least partially covered for the costs of immunization

  4. Kansas Immunization Spending

  5. State Immunization Finance & Supply Policy • The financing “system” is more or less the same in every state • Size of the pie may vary • Size of the slices may vary • But the ingredients are the same • States “mix” the ingredients differently in supplying vaccines to providers

  6. Vaccine Supply Policies • Universal (MA, NH, NM) • Universal Select (CT, NC, SD) • VFC & Uninsured (FL, MN, UT) • VFC & Uninsured Select (KS, IL, TX) • VFC Only (CO, IA, MO, NE, OK)

  7. Universal Purchase:Financing Methods • Idaho: VFC, 317, & SGF • New Mexico: VFC, 317, SGF, & voluntary contributions from insurers • New Hampshire: VFC, 317, SGF, & mandatory insurer contributions • South Dakota: VFC, 317, & SGF (but doesn’t cover newer vaccines)

  8. Universal Purchase: Controversy • Can new Universal Purchase states buy vaccines at the CDC contract rate?

  9. State Interventions • Provider Assessment & Feedback • Education & Outreach • Community Collaboration • Other

  10. State Programs to Boost/Sustain Rates • Provider Assessment & Feedback • Mandatory reporting to registry (CT) • Regular assessment, updates, and comparisons of provider performance (MA, CT, MT) • Monthly tracking and targeting of kids who are late (CT)

  11. State Programs to Boost/ Sustain Rates (continued) • Education & Outreach • State epidemiologists assigned to regions to answer questions and provide support (MA) • Immunization coordinators placed at LHDs (CT) • Intensive education and “selling” of VFC program (AL) • Peer in-service education program (MI) • Targeted information to day care providers and school nurses (RI) • Regional training programs for providers (IA)

  12. State Programs to Boost/ Sustain Rates (continued) • Community Collaboration • Local bilingual parents serve as liaisons between health departments and parents (RI) • LHDs responsible for distributing VFC vaccines to local providers (WA) • Other • Walk-in immunization sites assign patients to medical homes (RI) • Physician Advisory Committee (RI)

  13. Ongoing Research • Additional information on programs in states with consistently high immunization rates and states that have improved their rates • Steps to develop and implement initiatives • Cost • Pros and cons for Kansas • Cost of universal purchase in Kansas

More Related