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Inequalities in Health Impact of Alternative Reimbursement Pathways for Nirsevimab in the United States.


ABSTRACT: The target populations and financing mechanisms for a new health technology may affect health inequalities in access and impact. We projected the distributional consequences of introducing nirsevimab for prevention of respiratory syncytial virus in a US birth cohort of infants through alternative reimbursement pathway scenarios. Using the RSV immunization impact model, we estimated that a vaccine-like reimbursement pathway would cover 32% more infants than a pharmaceutical pathway. The vaccine pathway would avert 30% more hospitalizations and 39% more emergency room visits overall, and 44% and 44%, respectively, in publicly insured infants. The vaccine pathway would benefit infants from poorer households.

SUBMITTER: Gomez GB 

PROVIDER: S-EPMC9377036 | biostudies-literature | 2022 Aug

REPOSITORIES: biostudies-literature

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Inequalities in Health Impact of Alternative Reimbursement Pathways for Nirsevimab in the United States.

Gomez Gabriela B GB   Nelson Christopher B CB   Rizzo Christopher C   Shepard Donald S DS   Chaves Sandra S SS  

The Journal of infectious diseases 20220801 Suppl 2


The target populations and financing mechanisms for a new health technology may affect health inequalities in access and impact. We projected the distributional consequences of introducing nirsevimab for prevention of respiratory syncytial virus in a US birth cohort of infants through alternative reimbursement pathway scenarios. Using the RSV immunization impact model, we estimated that a vaccine-like reimbursement pathway would cover 32% more infants than a pharmaceutical pathway. The vaccine p  ...[more]

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