Financing the Delivery of Vaccines to Children and Adolescents: Challenges to the Current System

Megan C. Lindley · Angela K. Shen · Walter Albert Orenstein · Lance Everett Rodewald · Guthrie S. Birkhead

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Vaccine Coverage and Hesitancy Healthcare Policy and Management Pharmaceutical Economics and Policy

Abstract

Recent increases in the number and costs of vaccines routinely recommended for children and adolescents have raised concerns about the ability of the current vaccine financing and delivery systems to maintain access to recommended vaccines without financial barriers. Here we review the current state of US financing for vaccine delivery to children and adolescents and identify challenges that should be addressed to ensure future access to routinely recommended vaccines without financial barriers. Challenges were considered from the perspectives of vaccine providers; state and local governments; insurers, employers, and other health care purchasers; vaccine manufacturers; and consumers.

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References

2006ADVISORY COMMITTEE ON IMMUNIZATION PRACTICES 1991From the Health Care Financing Administration 2007Historical Comparisons of Morbidity and Mortality for Vaccine-Preventable Diseases in the United States 1991The Measles Epidemic 2009National, state, and local area vaccination coverage among children aged 19-35 months - United States, 2008.2005The Association Between Having a Medical Home and Vaccination Coverage Among Children Eligible for the Vaccines for Children Program 2007Gaps in Vaccine Financing for Underinsured Children in the United States 2009Vaccination Coverage Among Adolescents Aged 13-17 Years—United States, 2007

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2013Best Care at Lower Cost 2010Vaccines Provided by Family Physicians 2016Primary care physicians’ perspective on financial issues and adult immunization in the Era of the Affordable Care Act 2011Vaccination Coverage among U.S. Adolescents Aged 13–17 Years Eligible for the Vaccines for Children Program, 2009 2018Vaccine Hesitancy in Pediatric Primary Care Practices

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