“…Our results demonstrate that practice finances can be negatively impacted when primary care providers spend extra time per visit with vaccine-hesitant families, when practices are not reimbursed for nurse-only follow-up immunization visits, and when quality measures for immunizations are not met for maximum reimbursements. While previous studies have focused on the finances of purchasing, storing, and administering vaccines in primary care (Allison et al, 2017; Freed, Cowan, & Clark, 2008; Lindley, Shen, Orenstein, Rodewald, & Birkhead, 2009; O’Leary et al, 2014), no studies have explored the financial cost to practices of vaccine hesitancy in primary care. Understanding the financial cost of vaccine hesitancy related to physician and clinical staff time, vaccine storage, and vaccine wastage will allow for a deeper understanding of how practices are impacted financially by vaccine hesitancy.…”