Document Detail


Increasing consumer demand among Medicaid enrollees for tobacco dependence treatment: the Wisconsin "Medicaid covers it" campaign.
MedLine Citation:
PMID:  21721965     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: Smoking prevalence among Medicaid enrollees is higher than among the general population, but use of evidence-based cessation treatment is low. We evaluated whether a communications campaign improved cessation treatment utilization.
DESIGN: Quasi-experimental.
SETTING: Wisconsin.
SUBJECTS: Enrollees in the Wisconsin Family Medicaid program. The average monthly enrollment during the study period was approximately 170,000 individuals.
INTERVENTION: Print materials for clinicians and consumers distributed to 13 health maintenance organizations (HMOs) serving Wisconsin Medicaid HMO enrollees.
MEASURES: Wisconsin Medicaid pharmacy claims data for smoking cessation medications were analyzed before and after a targeted communications campaign. HMO enrollees were the intervention group. Fee-for-service enrollees were a quasi-experimental comparison group. Quit Line utilization data were also analyzed.
ANALYSIS: Pharmacotherapy claims and number of registered Quit Line callers were compared precampaign and postcampaign.
RESULTS: Precampaign, cessation pharmacotherapy claims declined for the intervention group and increased slightly for the comparison group (t  =  2.29, p  =  .03). Postcampaign, claims increased in both groups. However, the rate of increase in the intervention group was significantly greater than in the comparison group (t  =  -2.2, p  =  .04). A statistically significant increase was also seen in the average monthly number of Medicaid enrollees that registered for Quit Line services postcampaign compared to precampaign (F [1,22]  =  7.19, p  =  .01).
CONCLUSION: This natural experiment demonstrated statistically significant improvements in both pharmacotherapy claims and Quit Line registrations among Medicaid enrollees. These findings may help inform other states' efforts to improve cessation treatment utilization.
Authors:
Paula A Keller; Bruce Christiansen; Su-Young Kim; Megan E Piper; Lezli Redmond; Robert Adsit; Michael C Fiore
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Publication Detail:
Type:  Evaluation Studies; Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  American journal of health promotion : AJHP     Volume:  25     ISSN:  0890-1171     ISO Abbreviation:  Am J Health Promot     Publication Date:    2011 Jul-Aug
Date Detail:
Created Date:  2011-07-04     Completed Date:  2011-09-01     Revised Date:  2014-09-08    
Medline Journal Info:
Nlm Unique ID:  8701680     Medline TA:  Am J Health Promot     Country:  United States    
Other Details:
Languages:  eng     Pagination:  392-5     Citation Subset:  T    
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MeSH Terms
Descriptor/Qualifier:
Adult
Drug Prescriptions / economics
Fee-for-Service Plans / economics*,  statistics & numerical data
Female
Health Maintenance Organizations / economics,  utilization
Health Promotion / methods*
Health Services Accessibility
Hotlines / statistics & numerical data,  utilization
Humans
Insurance Claim Review / statistics & numerical data
Insurance Coverage / statistics & numerical data*
Male
Medicaid / economics*
Tobacco Use Disorder / drug therapy,  economics*
United States
Wisconsin
Grant Support
ID/Acronym/Agency:
1KL2RR025012-01/RR/NCRR NIH HHS; KL2 RR025012/RR/NCRR NIH HHS; KL2 RR025012-01/RR/NCRR NIH HHS
Comments/Corrections

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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