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Health Plans and Employers
Pages 31-34

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From page 31...
... Increasingly, publicly funded health services under Medicaid and similar programs are also delivered through private health plans rather than through health department clinics. HEALTH PLAN PERSPECTIVES Maurine Porto, medical director for Community First Health Plans, a not-for-profit health maintenance organization (HMO)
From page 32...
... Financial incentives have been offered to encourage providers to improve immunization coverage rates, but the availability of funds for incentive payments depends on the overall financial performance of the health plan. Member education materials have targeted compliance with the immunization schedule and immunization against influenza for high-risk groups, such as people with asthma.
From page 33...
... That means that decisions by employers about the benefits included in the health plans offered to employees determine immunization coverage for many children and adults. Lola Chriss, manager for total compensation and benefits for Texas Instruments, Inc., discussed the factors that influence employer decisions.
From page 34...
... The risk for pneumococcal disease and Haemophilus influenzue type b, for example, is high for infants and very young children but not for school-age children. Insurance plans should cover the schedule of vaccines recommended by health care organizations rather than restricting their benefits only to those vaccines that are required for school entry.


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