Skip to main content

Setting the Course A Strategic Vision for Immunization: Part 3: Summary of the Los Angeles Workshop (2003) / Chapter Skim
Currently Skimming:

Practical Challenges for Private Providers
Pages 29-35

The Chapter Skim interface presents what we've algorithmically identified as the most significant single chunk of text within every page in the chapter.
Select key terms on the right to highlight them within pages of the chapter.


From page 29...
... to the recommended immunization schedule drew attention to the problem. As a recommended vaccine, providers were required to offer it to some children, such as those covered by Medicaid and some managed care plans, and were being asked to administer it to other children.
Read the entire page →
From page 30...
... Reimbursements may not cover the full cost of vaccine, and some private insurance plans may have limited or no coverage for immunizations. Furthermore, business failures among managed care plans and provider organizations can leave the individual provider with unrecoverable claims for vaccine that already has been administered.
Read the entire page →
From page 31...
... Public purchase of vaccine for all publicly insured children or the establishment of reimbursements or billing ceilings that are adequate to cover vaccine costs would also aid providers. The California AAP chapter has proposed the creation of a VFC-like system for ordering and distributing vaccine for children enrolled in the state's Healthy Families Program.
Read the entire page →
From page 32...
... The analyses of Dr. Fontanesi and his colleagues suggest that operational factors in clinics
Read the entire page →
From page 33...
... Since the mid-1960s, the length of the average well-child visit has increased from 12 minutes to 20 minutes. Among the factors contributing to the longer visits are providers' efforts to comply with an increasing
Read the entire page →
From page 34...
... Although the time required for a single immunization is not great, the total number of required immunizations creates a more substantial demand on national health resources. For example, the national birth cohort included 3,959,417 live births in 1999.
Read the entire page →
From page 35...
... Improving the delivery of immunizations and other well-child care will require an adequate investment in the assessment of current office procedures and in tools and training to achieve greater efficiency and effectiveness.
Read the entire page →

Key Terms

  • private providers
  • care plans
  • vaccine costs
  • patient records
  • health plan

  • office procedures
  • health plans
  • data entry
  • immunization schedule
  • private insurance

  • staff time
  • kieu noted
  • single immunization
  • pneumococcal conjugate
  • birth cohort

  • national birth
  • families program
  • immunization status
  • children enrolled
  • person hours

  • private insurers
  • work flow
  • conjugate vaccine
  • healthy families
  • capitation payments

  • unscheduled visits
  • immunization coverage
  • reimbursement rates
  • medicaid rates
  • code scanning


    • This material may be derived from roughly machine-read images, and so is provided only to facilitate research.
    More information on Chapter Skim is available.