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Public Insurance Expansions And Smoking Cessation Medications

Author

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  • Johanna Catherine Maclean
  • Michael F. Pesko
  • Steven C. Hill

Abstract

We study the effect of public insurance on smoking cessation medication prescriptions and financing. We leverage variation in insurance coverage generated by recent Affordable Care Act expansions to Medicaid. We estimate differences‐in‐differences models using administrative data on the universe of Medicaid‐financed prescriptions sold in retail and online pharmacies 2011–2017. Our findings suggest that these expansions increased Medicaid‐financed smoking cessation prescriptions by 34%. This increase reflects new medication use and a shift in payment from private insurers and self‐paying patients to Medicaid. Adjusting our estimate for changes in financing implies that Medicaid expansion led to a 24% increase in new medication use. (JEL I1, I13, I18)

Suggested Citation

  • Johanna Catherine Maclean & Michael F. Pesko & Steven C. Hill, 2019. "Public Insurance Expansions And Smoking Cessation Medications," Economic Inquiry, Western Economic Association International, vol. 57(4), pages 1798-1820, October.
    • Handle: RePEc:bla:ecinqu:v:57:y:2019:i:4:p:1798-1820
    DOI: 10.1111/ecin.12794
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    Citations

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    Cited by:

    1. Laetitia Lebihan, 2023. "The impact of a mandatory universal drug insurance program on health behaviors and outcomes," Health Economics, John Wiley & Sons, Ltd., vol. 32(9), pages 2006-2046, September.
    2. Aparna Soni, 2020. "The effects of public health insurance on health behaviors: Evidence from the fifth year of Medicaid expansion," Health Economics, John Wiley & Sons, Ltd., vol. 29(12), pages 1586-1605, December.
    3. Nargis, Nigar & Xue, Zheng & Asare, Samuel & Bandi, Priti & Jemal, Ahmedin, 2023. "Declining trend in cigarette smoking among U.S. adults over 2008–2018: A decomposition analysis," Social Science & Medicine, Elsevier, vol. 328(C).
    4. Michael F. Pesko & Charles J. Courtemanche & Johanna Catherine Maclean, 2019. "The Effects of Traditional Cigarette and E-Cigarette Taxes on Adult Tobacco Product Use," NBER Working Papers 26017, National Bureau of Economic Research, Inc.
    5. Lauren Hoehn-Velasco & Michael F. Pesko & Serena Phillips, 2023. "The Long-Term Impact of in Utero Cigarette Taxes on Adult Prenatal Smoking," American Journal of Health Economics, University of Chicago Press, vol. 9(4), pages 605-648.
    6. Chen Huang & Feng Liu & Shijun You, 2021. "The impact of minimum wage increases on cigarette smoking," Health Economics, John Wiley & Sons, Ltd., vol. 30(9), pages 2063-2091, September.
    7. Rahi Abouk & Scott Adams & Bo Feng & Johanna Catherine Maclean & Michael F. Pesko, 2023. "The effect of e‐cigarette taxes on pre‐pregnancy and prenatal smoking," Journal of Policy Analysis and Management, John Wiley & Sons, Ltd., vol. 42(4), pages 908-940, September.
    8. Lingxiao Wang & Yuqing Zheng & Steven C. Buck, 2021. "How does the affordable care act Medicaid expansion affect cigarette consumption?—The mechanism and heterogeneity," Journal of Consumer Affairs, Wiley Blackwell, vol. 55(3), pages 763-791, September.
    9. Michael F. Pesko & Charles J. Courtemanche & Johanna Catherine Maclean, 2020. "The effects of traditional cigarette and e-cigarette tax rates on adult tobacco product use," Journal of Risk and Uncertainty, Springer, vol. 60(3), pages 229-258, June.
    10. Benjamin W. Cowan & Zhuang Hao, 2021. "Medicaid expansion and the mental health of college students," Health Economics, John Wiley & Sons, Ltd., vol. 30(6), pages 1306-1327, June.
    11. Lei, Lianlian & Liu, Feng, 2021. "Medicaid coverage and use of nicotine replacement treatment," Economics & Human Biology, Elsevier, vol. 40(C).

    More about this item

    JEL classification:

    • I1 - Health, Education, and Welfare - - Health
    • I13 - Health, Education, and Welfare - - Health - - - Health Insurance, Public and Private
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health

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