Billing Practices of Local Health Departments Providing 2009 Pandemic Influenza A (H1N1) Vaccine
Identifieur interne : 000893 ( Pmc/Corpus ); précédent : 000892; suivant : 000894Billing Practices of Local Health Departments Providing 2009 Pandemic Influenza A (H1N1) Vaccine
Auteurs : Megan C. LindleySource :
- Journal of public health management and practice : JPHMP [ 1078-4659 ] ; 2013.
Abstract
In June 2009, the World Health Organization officially declared an influenza pandemic. In the United States, the federal government supplied 2009 H1N1 vaccine at no cost and provided funding for states to implement vaccination programs. Vaccine providers including health departments were permitted to bill insurance plans for administering 2009 H1N1 vaccine.
To determine the extent to which local health departments (LHDs) billed for administering 2009 H1N1 vaccine, specific billing practices of LHDs, and factors associated with LHD billing.
Cross-sectional study using an Internet-based survey, and semistructured interviews.
Nationally representative stratified random sample of 527 LHDs in the United States. Interviews were conducted among a convenience sample of LHDs.
Proportion of LHDs reporting billing for administering 2009 H1N1 vaccine.
A total of 308 health departments (58%) provided responses complete enough for analysis. Most LHDs (82%) had previous experience billing for seasonal influenza vaccination, but only 20% (n = 57) billed for administration of 2009 H1N1 vaccine. Medicare (74%) and Medicaid (80%) were the most commonly billed health care payers; more than half (55%) of LHDs billing for 2009 H1N1 vaccine administration sought reimbursement from one or more private insurance plans. Billing for 2009 H1N1 vaccine administration was more common among LHDs that previously offered seasonal influenza vaccination (
Most LHDs elected not to bill for 2009 H1N1 vaccine administration despite prior experience billing for influenza vaccination. It is important to understand barriers to billing and resources needed by LHDs to facilitate billing for vaccination. Developing public health billing capacity will allow LHDs to recoup the costs of providing vaccines to insured persons and may also prepare them to conduct billing activities for other services or during future public health emergencies.
Url:
DOI: 10.1097/PHH.0b013e31825874c3
PubMed: 23360957
PubMed Central: 4632845
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Billing Practices of Local Health Departments Providing 2009 Pandemic Influenza A (H1N1) Vaccine</title><author><name sortKey="Lindley, Megan C" sort="Lindley, Megan C" uniqKey="Lindley M" first="Megan C." last="Lindley">Megan C. Lindley</name></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">23360957</idno><idno type="pmc">4632845</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4632845</idno><idno type="RBID">PMC:4632845</idno><idno type="doi">10.1097/PHH.0b013e31825874c3</idno><date when="2013">2013</date><idno type="wicri:Area/Pmc/Corpus">000893</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000893</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Billing Practices of Local Health Departments Providing 2009 Pandemic Influenza A (H1N1) Vaccine</title><author><name sortKey="Lindley, Megan C" sort="Lindley, Megan C" uniqKey="Lindley M" first="Megan C." last="Lindley">Megan C. Lindley</name></author></analytic><series><title level="j">Journal of public health management and practice : JPHMP</title><idno type="ISSN">1078-4659</idno><idno type="eISSN">1550-5022</idno><imprint><date when="2013">2013</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="S1"><title>Context</title><p id="P1">In June 2009, the World Health Organization officially declared an influenza pandemic. In the United States, the federal government supplied 2009 H1N1 vaccine at no cost and provided funding for states to implement vaccination programs. Vaccine providers including health departments were permitted to bill insurance plans for administering 2009 H1N1 vaccine.</p></sec><sec id="S2"><title>Objective</title><p id="P2">To determine the extent to which local health departments (LHDs) billed for administering 2009 H1N1 vaccine, specific billing practices of LHDs, and factors associated with LHD billing.</p></sec><sec id="S3"><title>Design</title><p id="P3">Cross-sectional study using an Internet-based survey, and semistructured interviews.</p></sec><sec id="S4"><title>Participants and Setting</title><p id="P4">Nationally representative stratified random sample of 527 LHDs in the United States. Interviews were conducted among a convenience sample of LHDs.</p></sec><sec id="S5"><title>Main Outcome Measure</title><p id="P5">Proportion of LHDs reporting billing for administering 2009 H1N1 vaccine.</p></sec><sec id="S6"><title>Results</title><p id="P6">A total of 308 health departments (58%) provided responses complete enough for analysis. Most LHDs (82%) had previous experience billing for seasonal influenza vaccination, but only 20% (n = 57) billed for administration of 2009 H1N1 vaccine. Medicare (74%) and Medicaid (80%) were the most commonly billed health care payers; more than half (55%) of LHDs billing for 2009 H1N1 vaccine administration sought reimbursement from one or more private insurance plans. Billing for 2009 H1N1 vaccine administration was more common among LHDs that previously offered seasonal influenza vaccination (<italic>P</italic> = .003), previously billed for seasonal influenza vaccination (<italic>P</italic> = .04), and conducted school-located influenza vaccination clinics prior to the 2009–2010 influenza season (<italic>P</italic> = .002).</p></sec><sec id="S7"><title>Conclusions</title><p id="P7">Most LHDs elected not to bill for 2009 H1N1 vaccine administration despite prior experience billing for influenza vaccination. It is important to understand barriers to billing and resources needed by LHDs to facilitate billing for vaccination. Developing public health billing capacity will allow LHDs to recoup the costs of providing vaccines to insured persons and may also prepare them to conduct billing activities for other services or during future public health emergencies.</p></sec></div></front></TEI><pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<pmc-dir>properties manuscript</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-journal-id">9505213</journal-id><journal-id journal-id-type="pubmed-jr-id">21279</journal-id><journal-id journal-id-type="nlm-ta">J Public Health Manag Pract</journal-id><journal-id journal-id-type="iso-abbrev">J Public Health Manag Pract</journal-id><journal-title-group><journal-title>Journal of public health management and practice : JPHMP</journal-title></journal-title-group><issn pub-type="ppub">1078-4659</issn><issn pub-type="epub">1550-5022</issn></journal-meta><article-meta><article-id pub-id-type="pmid">23360957</article-id><article-id pub-id-type="pmc">4632845</article-id><article-id pub-id-type="doi">10.1097/PHH.0b013e31825874c3</article-id><article-id pub-id-type="manuscript">HHSPA729822</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group></article-categories><title-group><article-title>Billing Practices of Local Health Departments Providing 2009 Pandemic Influenza A (H1N1) Vaccine</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Lindley</surname><given-names>Megan C.</given-names></name><degrees>MPH</degrees><aff id="A1">National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia</aff></contrib></contrib-group><author-notes><corresp id="FN1"><bold>Correspondence:</bold> Megan C. Lindley, MPH, Centers for Disease Control and Prevention, 1600 Clifton Rd NE, Mailstop A-19, Atlanta, GA 30333 (<email>MLindley@cdc.gov</email>)</corresp><fn id="FN2" fn-type="conflict"><p>No conflicts of interest to declare. No outside funding received.</p></fn></author-notes><pub-date pub-type="nihms-submitted"><day>15</day><month>10</month><year>2015</year></pub-date><pub-date pub-type="ppub"><season>May-Jun</season><year>2013</year></pub-date><pub-date pub-type="pmc-release"><day>04</day><month>11</month><year>2015</year></pub-date><volume>19</volume><issue>3</issue><fpage>220</fpage><lpage>223</lpage><pmc-comment>elocation-id from pubmed: 10.1097/PHH.0b013e31825874c3</pmc-comment>
<abstract><sec id="S1"><title>Context</title><p id="P1">In June 2009, the World Health Organization officially declared an influenza pandemic. In the United States, the federal government supplied 2009 H1N1 vaccine at no cost and provided funding for states to implement vaccination programs. Vaccine providers including health departments were permitted to bill insurance plans for administering 2009 H1N1 vaccine.</p></sec><sec id="S2"><title>Objective</title><p id="P2">To determine the extent to which local health departments (LHDs) billed for administering 2009 H1N1 vaccine, specific billing practices of LHDs, and factors associated with LHD billing.</p></sec><sec id="S3"><title>Design</title><p id="P3">Cross-sectional study using an Internet-based survey, and semistructured interviews.</p></sec><sec id="S4"><title>Participants and Setting</title><p id="P4">Nationally representative stratified random sample of 527 LHDs in the United States. Interviews were conducted among a convenience sample of LHDs.</p></sec><sec id="S5"><title>Main Outcome Measure</title><p id="P5">Proportion of LHDs reporting billing for administering 2009 H1N1 vaccine.</p></sec><sec id="S6"><title>Results</title><p id="P6">A total of 308 health departments (58%) provided responses complete enough for analysis. Most LHDs (82%) had previous experience billing for seasonal influenza vaccination, but only 20% (n = 57) billed for administration of 2009 H1N1 vaccine. Medicare (74%) and Medicaid (80%) were the most commonly billed health care payers; more than half (55%) of LHDs billing for 2009 H1N1 vaccine administration sought reimbursement from one or more private insurance plans. Billing for 2009 H1N1 vaccine administration was more common among LHDs that previously offered seasonal influenza vaccination (<italic>P</italic> = .003), previously billed for seasonal influenza vaccination (<italic>P</italic> = .04), and conducted school-located influenza vaccination clinics prior to the 2009–2010 influenza season (<italic>P</italic> = .002).</p></sec><sec id="S7"><title>Conclusions</title><p id="P7">Most LHDs elected not to bill for 2009 H1N1 vaccine administration despite prior experience billing for influenza vaccination. It is important to understand barriers to billing and resources needed by LHDs to facilitate billing for vaccination. Developing public health billing capacity will allow LHDs to recoup the costs of providing vaccines to insured persons and may also prepare them to conduct billing activities for other services or during future public health emergencies.</p></sec></abstract><kwd-group><kwd>human influenza</kwd><kwd>pandemic</kwd><kwd>public health practice</kwd><kwd>vaccination</kwd></kwd-group></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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