Improvements to Medicare Vaccine Access Recent federal policy changes are expected to greatly improve access to and utilization of adult vaccines. Starting January 2023, adults with Medicare Part D coverage have access to Advisory Committee on Immunization Practices (ACIP)‑recommended vaccines at no cost, including Shingles, Tetanus-Diphtheria-Whooping Cough and future vaccines. This makes vaccine coverage consistent ..read more

Previously, Texas Medicaid did not cover the Pneumococcal, Shingles, Tdap, or Hepatitis B vaccines without cost sharing for eligible adults. By improving vaccination coverage, the state of Texas has the opportunity to realize millions of dollars in cost savings resulting from increased vaccination uptake and reduced incidence of vaccine-preventable diseases and associated treatment costs. Download ..read more

Improving adult vaccination rates is critical to our nation’s health and economic prosperity: Every year, our country spends $26.5 billion treating adults for diseases that could have easily been prevented through vaccination. Vaccines don’t just reduce the overall incidence of preventable diseases: In some cases, they all but eradicate them. In the U.S., smallpox, diphtheria ..read more

Previously, South Carolina Medicaid did not cover the Shingles vaccine for eligible adults, nor did it cover the Pneumococcal, Tdap, or Hepatitis B vaccines without cost sharing. By improving vaccination coverage, the state of South Carolina has the opportunity to realize millions of dollars in cost savings resulting from reduced vaccination uptake and lowered incidence ..read more

Previously, Georgia Medicaid did not cover the Pneumococcal vaccine for eligible adults, nor did it cover the Shingles, Tdap, or Hepatitis B vaccines without cost sharing. By improving vaccination coverage, the state of Georgia has the opportunity to realize millions of dollars in cost savings resulting from increased vaccination uptake and reduced incidence of vaccine-preventable ..read more

Previously, Florida Medicaid did not cover the Shingles, Tdap, Hepatitis B, or Pneumococcal vaccines for eligible adults. By improving vaccination coverage, the state of Florida has the opportunity to realize millions of dollars in cost savings resulting from increased vaccination uptake and reduced incidence of vaccine-preventable diseases and associated treatment costs. Download the factsheet here ..read more

Arkansas serves as an example of the potential cost savings states could realize through effective implementation and promotion of the new requirements. Arkansas has provided adults with comprehensive vaccine coverage since it authorized Medicaid expansion in 2014. As a result, the state eliminated coverage and cost barriers to adult vaccination, including the Shingles, Tdap, Hep ..read more

Immunization is an important component of public health and preventive care; however, for adults, uptake of Advisory Committee on Immunization Practices (ACIP)-recommended vaccines is below national targets. This white paper from Avalere, funded by AVAC, details providers’ efforts to stock, administer, and receive payment for vaccines, and highlights considerations for patient access and potential future ..read more

Staying up to date on all vaccinations is important to reduce the risk of infectious diseases. As we age, vaccines protect us and preserve our health, especially if we have chronic conditions like heart or lung disease and diabetes. Download the factsheet ..read more

In 2021, 3.4 million older adults paid $234 million in out-of-pocket costs for vaccines. Thanks to Congressional action, Medicare Part D enrollees can now get those vaccines for free. Download the infographic ..read more