Reimbursement backlash affecting vaccines

Specifically Gardasil, where physicians are passing on the costs to patients:

“This is a national issue that is affecting lots of people,” said Benjamin Gitterman, president of the D.C. chapter of the American Academy of Pediatrics. “It’s a matter of cash flow,” Gitterman added. Some insurance companies are paying doctors $122 per shot — just $2 more than the price doctors pay for a dose of Gardasil — an amount not sufficient to cover the cost of stocking and administering the vaccine, doctors say. The problem is disproportionately affecting pediatricians, experts say, because they administer the majority of immunizations and are among the lowest-paid specialists.

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