The health-care system needs to eliminate barriers to adult RSV vaccination.
that can protect older people against the respiratory syncytial virus. Yet administrative barriers are making it difficult for millions of vulnerable seniors to access them.This is unacceptable. Those who wish to be vaccinated against RSV should be able to do so, free of charge. Policymakers should fix these access issues before RSV season hits this fall and winter.
There is a common misconception that RSV primarily affects children. While it’s true that RSV is one of the leading causes of hospitalization among infants and young children, older adults, especially those who have underlying medical conditions, are also at risk. Every year,just published new data illustrating how severe RSV can be for seniors. Researchers examined older adults hospitalized in 20 states for RSV, covid-19 and influenza.
Thankfully, federal health officials have approved two highly effective vaccines. One is 85 percent effective against RSV-associated lung disease that’s severe enough to require medical attention; the other is 88 percent.found that the flu vaccine reduced hospitalization among older adults by an average of 40 percent. The bivalent coronavirus vaccine decreases the risk of hospitalization byin the seven to 59 days following the shot, though that protection tapers off quickly.
But the roughly 16 million seniors who do not have Part D will have to pay out-of-pocket. The RSV vaccine carries a price tag betweenSecond, while doctors’ offices are routinely reimbursed for services under Part B, most are not equipped to bill claims to Part D. That means they can offer the flu and coronavirus vaccines in their clinics, but they must refer patients to pharmacies for the RSV shots.
Patients without Medicare between ages 60 and 64 also face barriers. Those without insurance will have to bear the cost themselves or try to find discounted shots from health departments and subsidized clinics. Those with insurance might have to do the same. Private insurers are supposed to cover vaccines recommended by the CDC, but in this case, the CDC’s guidance was nuanced.
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