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Next Steps
Pages 9-10

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From page 9...
... The complexity of the state COP plans; the intersection of COP programs, Medicaid, and the VFC program; and the emergence of managed care services within Medicaid increase the need for performance monitoring measures and information management resources at the state and national levels. As an insurance program, COP does not have the capacity to provide important immunization data collection, education, or program linkage services that offer population-w~de benefits.
From page 10...
... The task of immunizing the population of the United States is the responsibility of individual medical practitioners, state and local governments, and private organizations that constitute the decentralized health care system within this country. Reliance upon a patchwork health care system to provide immunization, and uneven and inconsistent investments in public health infrastructure foster circumstances in which ample opportunity exists for confusion and uncertainty in sustaining high levels of immunization coverage.


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