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Health Plans and Employers
Pages 36-40

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From page 36...
... HEALTH PLAN PERSPECTIVES Collaboration with the Public Sector Many children enrolled in Medicaid and in State Child Health Insurance (SCHIP) programs, such as California's Healthy Families Program, receive immunization services through managed care health plans.
From page 37...
... This includes the complications related to assessing the eligibility of children for VFC vaccine and to tracking multiple funding streams for purchasing vaccine. Staying informed about frequent changes in the immunization schedule is further complicated in California by inconsistencies between the state's Child Health and Disability Program and Medicaid's Early and Periodic Screening, Diagnostic, and Treatment guideline in the specifications for the timing of immunizations.
From page 38...
... An electronic database on immunization records alerts providers to immunizations that patients require and allows for production of quarterly reports on immunization coverage rates. The database also aids in appropriately allocating supplies of vaccines that are in short supply.
From page 39...
... With indications of an acceptable return on investment, the company would be willing to increase those benefits. Health plan reports using various HEDIS measures help employers monitor whether employees and their families are receiving useful preventive services.
From page 40...
... Ms. Hymel concluded by observing that although employers are unlikely to lead immunization campaigns, they are likely to offer support based on good business reasons, such as improved productivity and lower health care costs.


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