{"id":31682,"date":"2024-03-25T10:38:32","date_gmt":"2024-03-25T14:38:32","guid":{"rendered":"https:\/\/avalere.com\/?p=31682"},"modified":"2024-05-09T11:00:53","modified_gmt":"2024-05-09T15:00:53","slug":"payment-barriers-persist-for-vaccinating-providers","status":"publish","type":"post","link":"https:\/\/advisory.avalerehealth.com\/insights\/payment-barriers-persist-for-vaccinating-providers","title":{"rendered":"Payment Barriers Persist for Vaccinating Providers"},"content":{"rendered":"<p><span class=\"TextRun SCXW239703249 BCX8\" lang=\"EN-US\" xml:lang=\"EN-US\" data-contrast=\"none\"><span class=\"NormalTextRun SCXW239703249 BCX8\" data-ccp-parastyle=\"Body Text\">Vaccinating providers\u2019 ability to offer vaccines to patients <\/span><span class=\"NormalTextRun SCXW239703249 BCX8\" data-ccp-parastyle=\"Body Text\">is<\/span><span class=\"NormalTextRun SCXW239703249 BCX8\" data-ccp-parastyle=\"Body Text\"> impeded by several financial and <\/span><span class=\"NormalTextRun SCXW239703249 BCX8\" data-ccp-parastyle=\"Body Text\">administrative<\/span><span class=\"NormalTextRun SCXW239703249 BCX8\" data-ccp-parastyle=\"Body Text\"> barriers,<\/span><span class=\"NormalTextRun SCXW239703249 BCX8\" data-ccp-parastyle=\"Body Text\"> including <\/span><span class=\"NormalTextRun SCXW239703249 BCX8\" data-ccp-parastyle=\"Body Text\">ongoing concerns with payment rates across payer types and sites of care.<\/span><span class=\"NormalTextRun SCXW239703249 BCX8\" data-ccp-parastyle=\"Body Text\"> These providers often invest resources up-front to <\/span><span class=\"NormalTextRun SCXW239703249 BCX8\" data-ccp-parastyle=\"Body Text\">stock and <\/span><span class=\"NormalTextRun SCXW239703249 BCX8\" data-ccp-parastyle=\"Body Text\">administer vaccines<\/span> <span class=\"NormalTextRun SCXW239703249 BCX8\" data-ccp-parastyle=\"Body Text\">to patients <\/span><span class=\"NormalTextRun SCXW239703249 BCX8\" data-ccp-parastyle=\"Body Text\">with the intent of recouping these costs through reimbursement<\/span><span class=\"NormalTextRun SCXW239703249 BCX8\" data-ccp-parastyle=\"Body Text\"> (Figure 1).<\/span><\/span><span class=\"EOP SCXW239703249 BCX8\" data-ccp-props=\"{&quot;134245417&quot;:false,&quot;201341983&quot;:0,&quot;335559685&quot;:0,&quot;335559739&quot;:120,&quot;335559740&quot;:276}\">\u00a0<\/span><\/p>\n<h2><span class=\"NormalTextRun SCXW189480547 BCX8\" data-ccp-parastyle=\"heading 3\">Figure 1. <\/span><span class=\"NormalTextRun SCXW189480547 BCX8\" data-ccp-parastyle=\"heading 3\">Example of a Provider Journey to Vaccinate an Adult Patient<\/span><\/h2>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-31683 size-full\" src=\"https:\/\/advisory.avalerehealth.com\/wp-content\/uploads\/2024\/03\/vaccine-journey.png\" alt=\"\" width=\"961\" height=\"462\" srcset=\"https:\/\/advisory.avalerehealth.com\/wp-content\/uploads\/2024\/03\/vaccine-journey.png 961w, https:\/\/advisory.avalerehealth.com\/wp-content\/uploads\/2024\/03\/vaccine-journey-300x144.png 300w, https:\/\/advisory.avalerehealth.com\/wp-content\/uploads\/2024\/03\/vaccine-journey-768x369.png 768w\" sizes=\"auto, (max-width: 961px) 100vw, 961px\" \/><\/p>\n<p><em><span class=\"TextRun SCXW248914208 BCX8\" lang=\"EN-US\" xml:lang=\"EN-US\" data-contrast=\"none\"><span class=\"NormalTextRun SCXW248914208 BCX8\">ACIP: Advisory Committee on Immunization Practices; IIS: Immunization Information Systems<\/span><\/span><span class=\"EOP SCXW248914208 BCX8\" data-ccp-props=\"{}\">\u00a0<\/span><\/em><\/p>\n<p><span data-contrast=\"none\">Concerns about varied payment rates may contribute to provider uncertainty about timely reimbursement and could further factor into decisions about whether to continue stocking and administering vaccines over the long term.<\/span><span data-ccp-props=\"{&quot;134245417&quot;:false,&quot;201341983&quot;:0,&quot;335559685&quot;:0,&quot;335559738&quot;:120,&quot;335559739&quot;:120,&quot;335559740&quot;:276}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\">Policymakers and stakeholder advocates are considering potential reforms that aim to alleviate these challenges. The goal of these proposed reforms is to improve vaccine access across care settings and provider types and, ultimately, increase adult vaccination rates. As payment reform potentially becomes increasingly relevant with the launch of new vaccine delivery methods, advancing certain reforms may require coordinating alignment across partner advocates and additional evidence generation to garner policymaker support.<\/span><span data-ccp-props=\"{&quot;134245417&quot;:false,&quot;201341983&quot;:0,&quot;335559685&quot;:0,&quot;335559738&quot;:120,&quot;335559739&quot;:120,&quot;335559740&quot;:276}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\">Download the white paper, <a href=\"https:\/\/advisory.avalerehealth.com\/wp-content\/uploads\/2024\/03\/20240325_AVAC_Provider-Reforms-White-Paper.pdf\">Examining Provider-Focused Vaccine Policy Reforms: Considerations for Patient Access<\/a>.<\/span><span data-ccp-props=\"{&quot;134245417&quot;:false,&quot;201341983&quot;:0,&quot;335559685&quot;:0,&quot;335559738&quot;:120,&quot;335559739&quot;:120,&quot;335559740&quot;:276}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\">To learn more about Avalere\u2019s vaccine work and efforts to expand vaccine access in adult populations, <\/span><a href=\"https:\/\/pages.avalere.com\/Insights.html\"><span data-contrast=\"auto\">connect with us<\/span><\/a><span data-contrast=\"none\">.\u00a0\u00a0<\/span><span data-ccp-props=\"{&quot;134245417&quot;:false,&quot;201341983&quot;:0,&quot;335559685&quot;:0,&quot;335559738&quot;:120,&quot;335559739&quot;:120,&quot;335559740&quot;:276}\">\u00a0<\/span><\/p>\n<p><i><span data-contrast=\"none\">Funding for this research was provided by the Adult Vaccine Access Coalition. Avalere retained full editorial control.<\/span><\/i><span data-ccp-props=\"{&quot;134245417&quot;:false,&quot;201341983&quot;:0,&quot;335559685&quot;:0,&quot;335559739&quot;:120,&quot;335559740&quot;:276}\">\u00a0<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Vaccinating providers\u2019 ability to offer vaccines to patients is impeded by several financial and administrative barriers, including ongoing concerns with payment rates across payer types and sites of care. These providers often invest resources up-front to stock and administer vaccines to patients with the intent of recouping these costs through reimbursement (Figure 1).\u00a0 Figure 1.&hellip;<\/p>\n","protected":false},"author":28,"featured_media":31685,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[3],"tags":[],"content-categories":[131],"class_list":["post-31682","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-insights","content-categories-vaccines","entry","has-media"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v24.0 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Payment Barriers Persist for Vaccinating Providers | Avalere Health Advisory<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/advisory.avalerehealth.com\/insights\/payment-barriers-persist-for-vaccinating-providers\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Payment Barriers Persist for Vaccinating Providers | Avalere Health Advisory\" \/>\n<meta property=\"og:description\" content=\"Vaccinating providers\u2019 ability to offer vaccines to patients is impeded by several financial and administrative barriers, including ongoing concerns with payment rates across payer types and sites of care. 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Prior to joining Avalere, Leah conducted policy research and analysis on federal healthcare issues such as Medicaid coverage and payment, commercial insurance coverage and access, healthcare reform, and ACA implementation at the Guttmacher Institute, a thinktank focused on advancing reproductive health and rights. Prior, Leah coordinated data collection, analysis, and publications for George Washington University\u2019s Center for Social Well-Being and Development. Leah holds an MPH in maternal and child health from George Washington University and a BA in anthropology from St. Mary\u2019s College of Maryland.","url":"https:\/\/advisory.avalerehealth.com\/author\/lkelleravalere-com"}]}},"_links":{"self":[{"href":"https:\/\/advisory.avalerehealth.com\/wp-json\/wp\/v2\/posts\/31682","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/advisory.avalerehealth.com\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/advisory.avalerehealth.com\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/advisory.avalerehealth.com\/wp-json\/wp\/v2\/users\/28"}],"replies":[{"embeddable":true,"href":"https:\/\/advisory.avalerehealth.com\/wp-json\/wp\/v2\/comments?post=31682"}],"version-history":[{"count":3,"href":"https:\/\/advisory.avalerehealth.com\/wp-json\/wp\/v2\/posts\/31682\/revisions"}],"predecessor-version":[{"id":32054,"href":"https:\/\/advisory.avalerehealth.com\/wp-json\/wp\/v2\/posts\/31682\/revisions\/32054"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/advisory.avalerehealth.com\/wp-json\/wp\/v2\/media\/31685"}],"wp:attachment":[{"href":"https:\/\/advisory.avalerehealth.com\/wp-json\/wp\/v2\/media?parent=31682"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/advisory.avalerehealth.com\/wp-json\/wp\/v2\/categories?post=31682"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/advisory.avalerehealth.com\/wp-json\/wp\/v2\/tags?post=31682"},{"taxonomy":"content-categories","embeddable":true,"href":"https:\/\/advisory.avalerehealth.com\/wp-json\/wp\/v2\/content-categories?post=31682"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}