title: Estimating medical practice expenses from administering adult influenza vaccinations.
abstract: Potential business losses incurred vaccinating adults against influenza have not been defined because of a lack of estimates for medical practice costs incurred delivering vaccines. We collected data on vaccination labor time and other associated expenses. We modeled estimates of per-vaccination medical practice business costs associated with delivering adult influenza vaccine in different sized practices. Per-shot costs ranged from USD 13.87 to USD 46.27 (2001 dollars). When compared with average Medicare payments of USD 11.71, per-shot losses ranged from US$ 2.16 to USD 34.56. More research is needed to determine less expensive delivery settings and/or whether third-party payers need to make higher payments for adult vaccinations.
authors.affiliation: Health Services Research and Evaluation Branch, National Immunization Program, Centers for Disease Control and Prevention, 1600 Clifton Road NE, MS-E52, Atlanta, GA 30333, USA. zby5@cdc.gov
authors.forename: Margaret S
authors.initials: MS
authors.lastname: Coleman
authors.forename: John
authors.initials: J
authors.lastname: Fontanesi
authors.forename: Martin I
authors.initials: MI
authors.lastname: Meltzer
authors.forename: Abigail
authors.initials: A
authors.lastname: Shefer
authors.forename: Daniel B
authors.initials: DB
authors.lastname: Fishbein
authors.forename: Nancy M
authors.initials: NM
authors.lastname: Bennett
authors.forename: David
authors.initials: D
authors.lastname: Stryker
mesh_terms: D000066:Accounting / Q000379:methods*; D000328:Adult; D003365:Costs and Cost Analysis; D004470:Economics, Medical / Q000639:trends; D005249:Fees and Charges; D006801:Humans; D007252:Influenza Vaccines / Q000008:administration & dosage* / Q000191:economics*; D011216:Practice Management, Medical / Q000191:economics*; D012680:Sensitivity and Specificity; D014611:Vaccination / Q000191:economics*
chemical_list: D007252:Influenza Vaccines