Variation in Patient Charges for Vaccines and Well-Child Care

Article Abstract:

Doctors who participate in universal purchase vaccine programs may charge more for other preventive services. Universal purchase programs are programs where the state or federal government buys and distributes vaccines free of charge. Most also force doctors to charge less for the vaccination. Researchers compared the cost of vaccination and well-child services in North Carolina, Texas, and Massachusetts. Massachusetts has a universal purchase program. Average charges for vaccination were lower in Massachusetts compared to the other two states, but higher for well-child services. This indicates that Massachusetts doctors are shifting costs.

Economic aspects, Massachusetts, Cost shifting (Medical care)

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Impact of a new universal purchase vaccine program in North Carolina

Article Abstract:

A universal purchase (UP) vaccine program may reduce the costs of vaccination but it does not necessarily ensure that all children will be vaccinated. When a state adopts a UP vaccine program, the state government buys enough vaccine for all children in the state, provides it free to doctors and requires doctors to charge only a small administration fee set by the state. An evaluation of the North Carolina UP program found that it did reduce the costs of vaccination but did not completely eliminate economic barriers to vaccination.

Purchasing, Evaluation, Social policy, Vaccines

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Impact of North Carolina's Universal Vaccine Purchase Program by Children's Insurance Status

Article Abstract:

North Carolina's Universal Vaccine Purchase Program has improved vaccination rate among children, particularly those with limited insurance. In 1994, before the program was in place, 79% of two-year-olds had completed their primary immunization series. The following year, after the benefit was available, 84% of the young children were vaccinated by age 2. The largest increases in vaccination coverage were among children without well-child insurance, uninsured children, and those enrolled in Medicaid.

North Carolina

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