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Less Medicaid to Smoking Cessation

Published on November 13, 2009 7:34 AM

Smoking is a powerful addiction that is extremely difficult to overcome. A national survey showed that although the majority of state Medicaid programs offer coverage for some form of tobacco-dependence treatment, most fall far short of a stated mandate to provide unrestricted access to approved therapies.

The experts, backed by decades of rigorous research, already know a great distribution about the specific services and supports that will help smokers successfully quit. But most smokers continue to think that quitting is simply a matter of willpower. Only one in five smokers uses an evidence-based cessation method in their quit attempts.

Scientists found that only six states cover all of the effective pharmacotherapy and individual and group counseling and only two states reported access to tobacco-dependence treatments without any limitations or restrictions. They point out that low-income population such as Medicaid enrollees have strongly higher rates of smoking than the general population which removes into 4.7 million smokers in the Medicaid population.

Only because access to complete tobacco-dependence treatments has been shown to increase quit rates, providing coverage for these treatments to all Medicaid enrollees would reduce smoking in the Medicaid population. It is considered that Medicaid consumption attributable to smoking totals almost $22 billion annually and denotes 11% of total Medicaid expenditures.

According to this research, although smoking-cessation therapies are highly cost-effective and cost saving, coverage for tobacco-dependence treatments differ widely from state to state. In addition, there few programs that offer emancipated access to tobacco-dependence treatment and place limitations on therapy through co-payments, stepped-care requirements, and enrollment in counseling to obtain medication, limitations on the number of treatment courses, and not covering combined treatments.

World Health Organization reported that the excess risk of coronary heart disease caused by smoking is reduced by half within one year of smoking cessation and after 15 years of abstinence, the coronary heart disease risk is alike to that for people who have never smoked.

Less Medicaid to Smoking Cessation

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