Vaccination benefits and cost-sharing policy for non-institutionalized adult Medicaid enrollees in the United States
Section snippets
Methods
Between October 2011 and September 2012, we conducted a document review and developed and administered a survey assessing coverage and cost-sharing policy for Medicaid fee-for-service programs. The results were compared to our 2003 study entitled The Epidemiology of US Immunization Law: Medicaid Coverage of Immunizations for Non-Institutionalized Adults (2003 study) [12].
Survey response and characteristics of respondents
By October 1, 2012, 42/51 programs (82%) responded to the survey. Of the 9 programs that did not complete the survey, 2 programs (WV, WI) declined to participate and 7 (IL, KS, NH, NC, OH, PA, and RI) did not respond.
The 42 responding programs cover approximately 16 million of the more than 19 million Medicaid enrollees ages 19 through 64 [4]. Respondents included 6 of the 10 largest programs and covered 41% of all enrollees ages 19 through 64. The median respondent program has approximately
Discussion
Medicaid enrollees have few assets and generally cannot afford medical insurance in the private market [5], [19]. Medicaid policy related to vaccinations for adult enrollees directly impacts both the enrollee's personal health status and the public's health. Programs that cover all ACIP recommended vaccines and prohibit any form of cost-sharing support the Healthy People 2020 goals related to seasonal flu, pneumococcal, hepatitis B, and zoster vaccinations for adults [20], [21].
Federal rules
Acknowledgements
The findings and conclusions in this report are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention. The CDC provided funding for the study. CDC scientists collaborated with GW researchers to design the survey, review project findings, and develop this manuscript. The authors thank the Medicaid program administrators who, despite limited resources and busy schedules, completed the survey and provided their expertise.
References (27)
- Social Security Amendments of 1965 (Title XIX of the Social Security Act), Pub. L. No. 89-97, 79 Stat. 286.(Jul. 30,...
- HHS.gov/Recovery [Internet], Department of health and human services: state and territories Medicaid program awards-...
National conference of state legislatures: Medicaid
(2013)Income, poverty, and health insurance coverage in the United States: 2011. Final report
(2012 Sep)Medicaid, a primer. Final report
(2010 Jun)The faces of Medicaid: the complexities of caring for people with chronic illnesses and disabilities
(2011)- et al.
The health status of new Medicaid enrollees under health reform. Final report
(2010 Aug) - et al.
Medicaid benefits
Kaiser Family Foundation
(2003) Health care for the poor: for whom, what care, and whose responsibility
(2009)- The Patient Protection and Affordable Care Act, Pub. L. No. 111-148, 124 Stat. 119-1025 (Mar. 23, 2010) and The Health...
The epidemiology of US immunization law: Medicaid coverage of immunizations for non-institutionalized adults. Final report
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