Abstract
The Maricopa County Department of Public Health (MCDPH) is vigorously pursuing reimbursement for services via billing of health insurance. Many local health departments (LHDs) have begun on this course of action in response to changes in governmental funding. Yet, paradoxically, our very success to date, especially in billing for immunizations, gives cause for concern. This commentary summarizes current efforts and successes with billing, cites a historical analogy that raises concerns regarding the growth of billing for services, and suggests a parallel course of action.
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