Transcript Enhancing Tobacco Cessation Treatment for the Medicaid Population

Enhancing
Tobacco Cessation Treatment
for the Medicaid Population
Linda Bailey, Center for Tobacco Cessation
Helen Halpin, University of California at Berkeley
Matt Barry, Campaign for Tobacco Free Kids
Dianne Barker, National Partnership to Help Pregnant Smokers Quit
Thursday, December 11, 2003
10:30 a.m. to Noon
Sheraton Boston – Fairfax A
Purpose of the Session
1.
Overview of tobacco cessation
2.
Update on cessation services
offered by state Medicaid
programs
3.
Legislative activity to enhance
Medicaid coverage
4.
Toolkits and resources for
education and advocacy
5.
Discussion with audience
Importance of Focusing on
Cessation and Medicaid
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Toll of premature mortality and
costs of tobacco related disease
Availability of effective tobacco
cessation treatments and
activities
Extremely high prevalence of
tobacco among Medicaid
population
Opportunity to enhance coverage
and reimbursement for Medicaid
Importance of reaching Healthy
People 2010 objective of 12%
prevalence
Cessation Facts (2001 data)
46.2 Million current adult smokers (22.8 percent)
44.7 Million former smokers
70% of smokers report “wanting to quit”
41% percent attempt to quit
Less than 20% use “cessation aid” in their quit attempt
Less than 5% permanently succeed in quitting each year
Factors Associated with
Tobacco Use Prevalence
Race/Ethnicity
Socio Economic Status
American Indian
32.7%
Below Poverty Level
31.4%
Hispanics
16.7%
At or Above Poverty Level
23.0%
Asians
12.4%
GED
47.8%
9-11 Grades
34.3%
Professional Degree
Medicaid Population
9.5%
33% (est)
Effective Interventions for Tobacco Cessation
1.
Increasing the unit price of tobacco products
2. Smoking bans and restrictions
3.
Mass media campaigns
4.
Physician intervention – 5A’s
5. Counseling (individual, group, quitlines)
6.
Pharmacotherapy (6 FDA approved medications)
7.
Reducing patient out-of-pocket costs
8.
Reminder systems (for clinical settings)
Sources: PHS Clinical Guideline on Treating Tobacco Use and Dependence (2000); Hopkins, et al. Reviews of
evidence regarding interventions to reduce tobacco use and exposure to environmental tobacco smoke. AJPM
(2001). For status in the states, see www.ctcinfo.org
Resources
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CTC’s website www.ctcinfo.org
-E newsletter
-Medicaid Toolkit
-Roundtable Report
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CTFK’s Website www.tobaccofreekids.org
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Partnership to Help Pregnant Smokers Quit
www.helppregnantsmokersquit.org