2014
DOI: 10.2105/ajph.2014.10412e42.2
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The Effects of the Changes in Section 317 Rules for Administration of Federally Purchased Vaccines

Abstract: Local health departments (LHDs) are under increasing pressure to improve performance with limited resources. While research has found that financial resources may be associated with better health outcomes, there are some LHDs that maintain exceptional performance, even with limited budgets. Our interest was identifying LHDs that positively deviate in MCH outcomes compared with their peers while taking into account local context including geography and finances. We found that our method for identifying positive… Show more

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“…Some early results suggest success on both counts. In Tennessee, one local health department put in place a process to bill insurance companies for the vaccination of insured patients (36). A different health department in Tennessee chose instead to direct insured patients to other providers, presumably allowing the department to increase services in another area (36).…”
Section: Lessons Learnedmentioning
confidence: 99%
See 1 more Smart Citation
“…Some early results suggest success on both counts. In Tennessee, one local health department put in place a process to bill insurance companies for the vaccination of insured patients (36). A different health department in Tennessee chose instead to direct insured patients to other providers, presumably allowing the department to increase services in another area (36).…”
Section: Lessons Learnedmentioning
confidence: 99%
“…In Tennessee, one local health department put in place a process to bill insurance companies for the vaccination of insured patients (36). A different health department in Tennessee chose instead to direct insured patients to other providers, presumably allowing the department to increase services in another area (36). A survey of patients at a health clinic suggests that billing capabilities will be critical for health departments, as a significant percent of patients (42%) were insured at the time of their visit but chose the health clinic owing to confidentiality and convenience (46).…”
Section: Lessons Learnedmentioning
confidence: 99%