Public Health Vaccinations Revolving

FundBoard of Health, Sudbury, Massachusetts

2015Article 12

Why Revolving Fund?

• Able to use reimbursements from Medicare and private insurers for vaccine purchase• Revolving funds are used as a mechanism to purchase vaccines in

Burlington, Natick, Wayland, Newton, Weston, and Wellesley • Goal is to expand vaccine program beyond flu and offer new clinics for

shingles, pneumococcal, TDAP, and for pandemic response to disease• Ease of response to pandemic disease• Reimbursements will be used to offset the health department’s

budget allocation for annual vaccine purchase

Why have Vaccine Program?

• Vaccinate public to prevent disease• Outbreak vaccination for the Town of Sudbury (i.e.H1N1, Measles)• Decreased amount of vaccine supplied by the Department of Public

Health. Current State allocation for flu vaccine is 50 doses limited to uninsured adults • Offer vaccines that are not available from private physicians• Accessibility

Reimbursement 2014-2015 Flu SeasonInsuranceCompany

Vaccine AdministrationReimbursement

VaccineReimbursement

Total for Admin/vaccine

Vaccine Cost

Net gain excluding supplies

Medicare High doseInfluenzaVaccine

$27.97/shot $31.82/shot $59.79/shot $28.55/shot

$31.24/ shot

Tufts QuadInfluenzaVaccine

$18.23/shot $15.98/shot $34.21/shot $16.18/shot

$18.03/shot

Flu Season Report

• Health Department vaccinated 462 residents in the 2014-2015 Flu season• From this vaccination cycle we could have generated approximately

$7,000 in revenue• Our approximate purchase cost for vaccine for the 2015-2016

influenza season is also around $7,000• Funds from the revolving account will subsidize rising vaccine costs