ACIP 2018 Immunization Schedule

The Advisory Committee on Immunization Practices (ACIP) has released its 2018 adult immunization schedule for patients ages 19 years and older, including changes to herpes zoster and measles, mumps, rubella (MMR) vaccinations.

For herpes zoster, the ACIP recommends that two doses of the recently approved recombinant zoster vaccine (Shingrix) be administered two to six months apart in adults ages 50 years and older regardless of past episodes of herpes zoster or receipt of the zoster vaccine live (Zostavax). In addition, for adults who previously received zoster vaccine live, it recommends that two doses of the recently approved recombinant zoster vaccine be administered two to six months apart at least two months after vaccination with the first vaccine. Finally, for adults ages 60 years or older, the ACIP recommends that either vaccine be administered, although the recombinant zoster vaccine is preferred.

For MMR, the ACIP updated its recommendations to include use of a third dose of a mumps-containing vaccine in adult patients who previously received two doses of a mumps-containing vaccine and are identified as being at increased risk during a mumps outbreak by a public health authority.

Vaccine recommendations in the 2018 schedule, based on age, medical conditions, and other indications, are summarized in two figures and detailed footnotes. A table of contraindications and precautions is also included, as is information on considerations for special populations (for example, pregnant women) and instructions for reporting adverse events and suspected reportable vaccine-preventable diseases, among other topics. The schedule was published by Annals of Internal Medicine on Feb. 6.

A series of videos from ACP explaining the ACIP's 2018 adult immunization schedule is available online.

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CMS Debuts New Voluntary Bundled Payment Model

The Centers for Medicare and Medicaid Services (CMS) has launched a new voluntary bundled payment model called Bundled Payments for Care Improvement Advanced (BPCI Advanced), which is available to organizations in Region II (New York and New Jersey).  

The goal of the model is to better support health care providers who invest in practice innovation, care redesign and enhanced care coordination. In BPCI Advanced, participants will be expected to redesign care delivery to keep Medicare expenditures within a defined budget while maintaining or improving performance on specific quality measures.  Participants bear financial risk, have payments under the model tied to quality performance, and are required to use Certified Electronic Health Record Technology. BPCI Advanced will qualify as an Advanced Alternative Payment Model (Advanced APM), as well as a Merit-Based Incentive Payment System APM (MIPS APM) for select Participants beginning in 2019, under the Quality Payment Program.

You can learn more by attending the BPCI Advanced Open Door Forum on February 15 from 12-1 PM EST (register here) or on the BPCI Advanced website.

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