Making the case for medicaid funding of smoking cessation treatment programs: an application to state-level health care savings.

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  • Author(s): McCallum DM; Fosson GH; Pisu M
  • Source:
    Journal of health care for the poor and underserved [J Health Care Poor Underserved] 2014 Nov; Vol. 25 (4), pp. 1922-40.
  • Publication Type:
    Journal Article; Research Support, U.S. Gov't, P.H.S.
  • Language:
    English
  • Additional Information
    • Source:
      Publisher: Johns Hopkins University Press Country of Publication: United States NLM ID: 9103800 Publication Model: Print Cited Medium: Internet ISSN: 1548-6869 (Electronic) Linking ISSN: 10492089 NLM ISO Abbreviation: J Health Care Poor Underserved Subsets: MEDLINE
    • Publication Information:
      Publication: 2004- : Baltimore, MD : Johns Hopkins University Press
      Original Publication: Nashville, TN : Institute on Health Care for the Poor and Underserved, Meharry Medical College, c1990-
    • Subject Terms:
      Cost Savings/*statistics & numerical data ; Medicaid/*organization & administration ; Smoking Cessation/*economics; Adult ; Alabama/epidemiology ; Child ; Female ; Health Care Costs/statistics & numerical data ; Healthcare Financing ; Humans ; Insurance Coverage/economics ; Insurance Coverage/statistics & numerical data ; Medicaid/economics ; Pregnancy ; Smoking/adverse effects ; Smoking/economics ; Tobacco Smoke Pollution/economics ; Tobacco Smoke Pollution/statistics & numerical data ; Tobacco Use Cessation Devices/economics ; United States
    • Abstract:
      Background: In spite of cost-saving tobacco-dependence treatments, many state Medicaid programs offer only limited coverage for these treatments. This report builds a case for state-level financial benefits from funding smoking cessation treatment for Medicaid-eligible populations.
      Methods: Applying published cost estimates to state-specific data, we assessed potential health care savings from tobacco-dependence treatments for pregnant women, mothers exposing young children to secondhand smoke, and other adult Medicaid beneficiaries.
      Results: Across all three populations there was evidence for short-term positive returns on investment. Including counseling and nicotine replacement therapy, estimated net savings were $157,000 annually for pregnant women and their newborns, $33,000 annually within four years for children exposed to smoke at home, and $5 million annually within two years for the general adult Medicaid population in Alabama.
      Conclusions: Findings suggest that making tobacco-dependence treatment freely available to low-income smokers can produce net savings for state governments within a short period of time.
    • Grant Information:
      1U58DP001954 United States DP NCCDPHP CDC HHS
    • Accession Number:
      0 (Tobacco Smoke Pollution)
    • Publication Date:
      Date Created: 20141125 Date Completed: 20160927 Latest Revision: 20220331
    • Publication Date:
      20231215
    • Accession Number:
      10.1353/hpu.2014.0171
    • Accession Number:
      25418250