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Vaccination Programs: Reducing Client Out-of-Pocket Costs

CDC

An Evidence-Based Practice

Description

Reducing out-of-pocket costs to clients involves program and policy changes that make vaccinations or the administration of vaccinations more affordable. Changes could include paying for vaccinations or administration, providing new or expanded insurance coverage, or lowering or eliminating patient out-of-pocket expenses at the point-of-service (e.g., copayments, coinsurances, and deductibles).

Impact

The Community Preventive Services Task Force (CPSTF) recommends interventions that reduce client out-of-pocket costs used alone or combined with additional interventions to increase vaccination rates among people of all ages in a range of settings and populations. This includes interventions for individual clinical settings, statewide programs, or national efforts.

Results / Accomplishments

The systematic review included 20 studies.

Overall, vaccination rates increased by a median of 22 percentage points (11 studies).
-Reducing client out-of-pocket costs alone increased vaccination rates by 28 percentage points (6 studies).
-Reducing client out-of-pocket costs in combination with additional interventions increased vaccination rates by 20 percentage points (5 studies).

All of the studies that did not provide a common measure of change for vaccination rates reported favorable results (9 studies).

About this Promising Practice

Primary Contact
The Community Guide
1600 Clifton Rd, NE
MS H21-8
Atlanta, GA 30329
(404) 498-1827
communityguide@cdc.gov
https://www.thecommunityguide.org/
Topics
Health / Immunizations & Infectious Diseases
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