Reimbursement for HPV Vaccine Cost in the Private Sector: A Comparison Across Specialties

Ann Fam Med. 2023 Jul-Aug;21(4):344-346. doi: 10.1370/afm.2990.

Abstract

The human papillomavirus (HPV) vaccine is the most expensive of all routinely recommended pediatric vaccines. Adequate cost reimbursement by 3rd-party payers is a critical enabling factor for clinicians to continue offering vaccines. This study found that net returns from HPV vaccine cost reimbursements are lowest for family physicians ($0.34/dose) and highest for pediatricians ($5.08/dose). Furthermore, a $1 increment in return was associated with an increase in HPV vaccine doses administered (highest for family physicians; 0.08% per dollar). Reimbursement for HPV vaccine costs by private payers is adequate; however, return margins are small for non-pediatric specialties.

Keywords: HPV; family medicine; human papillomavirus; primary health care; vaccination; vaccine.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Child
  • Humans
  • Medicine*
  • Papillomavirus Vaccines*
  • Physicians, Family
  • Private Sector
  • Vaccination

Substances

  • Papillomavirus Vaccines