Table 5.

Medicare Influenza Immunization Rates, West Virginia, 1993–2004

YearClaims* %BRFSS %Lagged Prediction %Estimated Nonbilling§ %
Note: BRFSS = Behavioral Risk Factor Surveillance System.
* Claims represent proportion of Medicare beneficiaries =65 years who had claims for influenza vaccine between September 1 of the indicated year and January 31 of the subsequent year.
† BRFSS is the proportion of the West Virginia population =65 years who indicated having an influenza immunization in the previous 12 months during the indicated year.
‡ Lagged prediction is the predicted true proportion of the West Virginia population =65 years who received influenza immunization, based on the following year’s BRFSS results, with a sensitivity of 0.98 and specificity of 0.71, after MacDonald et al.27
§ Estimated nonbilling is the difference between the lagged prediction and the claims rates of influenza immunization.
199349.8
199435.735.1−0.6
199537.153.2
199637.042.35.3
199739.158.249.110.0
199839.462.949.19.7
199942.562.9
200036.547.410.9
200138.961.753.314.4
200241.865.858.116.3
200341.269.156.415.2
200427.167.950.123.1
200563.6