SummaryOn May 7, Avalere policy experts published a piece in the Health Affairs blog about the Advisory Committee on Immunization Practices (ACIP) recommendations, and how they may be leading to provider practice confusion and potential access barriers for patients.
Under the Affordable Care Act, all commercial payers and state Medicaid expansion programs are required to provide coverage of ACIP-recommended vaccines with no cost-sharing. However, the classification of certain recommendations are often nuanced or vaguely worded, causing confusion for clinicians.
In “Vague Vaccine Recommendations May Be Leading To Lack Of Provider Clarity, Confusion Over Coverage,” Avalere experts outline the following:
• The mechanics of ACIP’s individual clinical decision-making vaccine recommendations
• Current provider challenges
• Clarifying coverage requirements for clinical decision-making recommendations
• The need for further guidance
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