Going for the Win: Public Private Partnership

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Going for the Win Public Private Partnership

• CDC Business Grantee Meeting
• March 18, 2009
• Achal Bhatt
• Immunization Services Division
• National Center for Immunization and Respiratory
  Diseases, CDC

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U.S. Average and Nevada Vaccination Coverage
Levels Among Children 19-35 Months of Age NIS
2006/07
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Challenges

• Increasing cost of vaccines
• Growing population
• Increasing uninsured and underinsured
• Low reimbursement rates
• Adjusting to changes in NVs policy
• Insurance companies
• Pediatricians

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National Infant Immunization Week

April 19-26, 2008
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Southern Nevada Immunization Coalition (SNIC)

• Diverse partnership of
• individuals,
• businesses
• organizations

SNIC, NIC 2009
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Health Insurance Coverage in NV 2007
Total 2.5 million
NOTE SCHIP and individuals eligible for both
Medicare and Medicaid (dual eligibles) are
included in Medicaid.Other Public (Federal)
includes individuals covered through the military
or Veterans Administration in federally-funded
programs such as TRICARE (formerly CHAMPUS) as
well as some non-elderly Medicare enrollees


SOURCE Kaiser
Commission on Medicaid and the Uninsured/Urban
Institute analysis of March 2008 CPS
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Business Coalitions in NV

• Health Services Coalition, Las Vegas
• comprised of 23 organizations
• provide health benefits for approximately 350,000
  lives in Southern Nevada
• Members are both union trust funds (building
  trades, firefighters, police officers, Teamsters,
  hospitality workers fund) and large
  self-insured employers (MGM-MIRAGE, Harrahs,
  Boyd)
• Nevada Health Care Coalition, Reno
• comprised of 23 organizations
• provide health benefits for approximately 43,000
  lives in Northern Nevada

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Southern Nevada Immunization Coalition Catalyst
Convener
Business Health Coalitions
Insurers
Providers AAP NV Chapter
Nevada Immunization Program
SNIC
Employers
Local Health Departments
Vaccine Manufacturers
SNIC, NIC 2009
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SNIC, NIC 2009
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Success for those that partner with Business
Coalitions
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Success Southern Nevada Immunization Coalition

• Increase membership and involvement
• Increase access to potential funding
• Obtain results of Immunization Surveys
• Provide access to Business Health Coalitions
  members as technical speakers

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Success Private Providers

• Understand health plans in Nevada, particularly
  Self-Insured Plans
• Present formally and informally to employers and
  Business Health Coalitions
• Understand who is actually paying claims on
  immunizations
• Understand contract negotiations and
  re-negotiations

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Success State and Local Public Health
Departments

• Obtain buy-in from key stakeholders
• Provide technical assistance and formal
  presentation
• Increase opportunities for collaboration and
  partnerships
• Increase communication with key stakeholders
• Understand employer issues

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Success Business Health Coalitions

• Invest more in prevention
• Understand costs associated with purchasing and
  administering vaccines
• Examine ACIP recommended immunization coverage
  for infants, children, adolescents and adults
• Formed an Immunization sub-committee

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Success Employers / Insurers

• Understand costs associated with vaccines
• Examine provider payments
• Understand Nevadas Immunization Program
• Understand Costs/Benefits of immunization to
  society and individuals

SNIC, NIC 2009
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Next Steps

• Nevada Immunization Forum! April 15, 2009
• Purpose To bring together key immunization
  stakeholders across Nevada to discuss the impact
  of recent changes to the funding of Nevada's
  Immunization Program and how to improve the
  states immunization
• Key stakeholders must continue to communicate and
  educate

SNIC, NIC 2009
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Acknowledgments

• Southern Nevada Immunization Coalition
• American Academy of Pediatricians Nevada Chapter
• Health Services Coalition, Las Vegas

• Nevada Health Care Coalition (NHCC)
• Health Strategies, Inc
• Nevada Immunization Program

SNIC, NIC 2009
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Today

• 12,000 babies will be born in US
• 17 diseases are now vaccine-preventable