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Investigation of Obstacles to Accessing Information Regarding Private Medical Insurance Coverage and Physician Reimbursement for Adolescent Vaccination
Authors:Julie A. Boom  Cynthia S. Nelson  Amy B. Middleman  Anne Frugé  Claudia A. Kozinetz
Affiliation:1. Adult and Child Consortium for Health Outcomes Research and Delivery Science, University of Colorado Anschutz Medical Campus and Children''s Hospital Colorado, Aurora, Colorado;2. Department of Pediatrics, University of Colorado Anschutz Medical Campus, Aurora, Colorado;3. The American College of Obstetricians and Gynecologists, Washington, District of Columbia;4. National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia;5. Department of Community and Behavioral Health, University of Colorado Anschutz Medical Campus, Aurora, Colorado;6. Division of General Internal Medicine, Denver Health, Denver, Colorado;1. Department of Preventive and Social Medicine, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand;2. Department of Internal Medicine, Texas Tech University Health Sciences Center, Lubbock, Texas;3. Division of Nephrology, Johns Hopkins University School of Medicine, Baltimore, Maryland
Abstract:PurposeTo investigate accessing insurance company vaccine reimbursement and coverage information.MethodA telephone survey was conducted from June 2006 to August 2006. Participating organizations were insurance companies in the states of New York, Oregon, and Texas. The main outcome measure was the obstacles encountered while trying to obtain information on vaccine costs and reimbursement.ResultsObstacles identified included the predominance of automated answering systems and the necessity of leaving voicemail messages, company nonresponse, and refusal to participate.ConclusionsObstacles result in difficulty obtaining vaccine reimbursement and coverage information by phone. Greater transparency is necessary to enable stakeholders to make informed decisions about immunizations.
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