Rates of immunization for 5,598 children who were moved from fee-for-service care to a newly implemented primary care case management managed care program were reviewed in 1995 as part of the Quality Assessment and Improvement Project for Medicaid Managed Care in Virginia. Managed care was implemented for Virginia’s Medicaid population through a staged geographic approach. [...]

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INTRODUCTION Although childhood immunization is a primary disease prevention strategy, children, especially low-income children, often do not receive their vaccinations on time. Up to 40% of two-year-olds do not receive their immunizations at age-appropriate intervals. During the last two decades, sporadic outbreaks of measles in the U.S. affected thousands of children and the number of [...]

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