| State medicaid coverage for tobacco-dependence treatments --- United States, 2009. | |
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MedLine Citation:
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PMID: 20966897 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Medicaid enrollees have nearly twice the smoking rates (37%) of the general adult population (21%), and smoking-related medical costs are responsible for 11% of Medicaid expenditures. In 2008, the Public Health Service released clinical practice guidelines recommending comprehensive coverage of effective tobacco-dependence medications and counseling by health insurers. Healthy People 2010 established a clear objective for Medicaid programs to cover all Food and Drug Administration--approved medications and counseling for tobacco cessation. To monitor progress toward that objective, the Center for Health and Public Policy Studies at the University of California, Berkeley, in collaboration with CDC, surveyed Medicaid programs in the 50 states and the District of Columbia (DC) to document their 2009 tobacco-dependence treatment coverage and found that 47 programs offered coverage. Only eight state programs offered coverage of all recommended pharmacotherapy and counseling for all Medicaid enrollees, and 16 programs reported coverage for fee-for-service enrollees that differed from that provided for Medicaid managed-care enrollees. Among the 33 programs that covered at least one combination therapy, the nicotine patch plus bupropion slow release (SR) was the one combination covered by all. The Affordable Care Act mandates Medicaid coverage of tobacco-dependence treatments for pregnant women, beginning October 1, 2010. Coverage of pharmacotherapy for all Medicaid enrollees will be enhanced by January 2014, when states no longer may exclude tobacco-dependence cessation drugs from covered benefits. Monitoring the extent to which Medicaid programs place limitations on these treatments can help in evaluating accessibility of tobacco-dependence treatments to Medicaid enrollees. |
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Authors:
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: MMWR. Morbidity and mortality weekly report Volume: 59 ISSN: 1545-861X ISO Abbreviation: MMWR Morb. Mortal. Wkly. Rep. Publication Date: 2010 Oct |
Date Detail:
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Created Date: 2010-10-22 Completed Date: 2010-10-27 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 7802429 Medline TA: MMWR Morb Mortal Wkly Rep Country: United States |
Other Details:
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Languages: eng Pagination: 1340-3 Citation Subset: IM |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Bupropion
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administration & dosage,
economics Dopamine Uptake Inhibitors / administration & dosage, economics Eligibility Determination Fee-for-Service Plans Female Ganglionic Stimulants / administration & dosage, economics Health Care Surveys Health Policy Health Services Accessibility Healthy People Programs Humans Insurance Coverage / statistics & numerical data* Medicaid / statistics & numerical data* Nicotine / administration & dosage, economics Pregnancy Smoking Cessation / economics* Tobacco Use Disorder / drug therapy* United States |
| Chemical | |
Reg. No./Substance:
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0/Dopamine Uptake Inhibitors; 0/Ganglionic Stimulants; 34841-39-9/Bupropion; 54-11-5/Nicotine |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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