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Utilization of smoking cessation medication benefits among medicaid fee-for-service enrollees 1999–2008

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Listed:
  • Jennifer Kahende
  • Ann Malarcher
  • Lucinda England
  • Lei Zhang
  • Paul Mowery
  • Xin Xu
  • Varadan Sevilimedu
  • Italia Rolle

Abstract

Objective: To assess state coverage and utilization of Medicaid smoking cessation medication benefits among fee-for-service enrollees who smoked cigarettes. Methods: We used the linked National Health Interview Survey (survey years 1995, 1997–2005) and the Medicaid Analytic eXtract files (1999–2008) to assess utilization of smoking cessation medication benefits among 5,982 cigarette smokers aged 18–64 years enrolled in Medicaid fee-for-service whose state Medicaid insurance covered at least one cessation medication. We excluded visits during pregnancy, and those covered by managed care or under dual enrollment (Medicaid and Medicare). Multivariate logistic regression was used to determine correlates of cessation medication benefit utilization among Medicaid fee-for-service enrollees, including measures of drug coverage (comprehensive cessation medication coverage, number of medications in state benefit, varenicline coverage), individual-level demographics at NHIS interview, age at Medicaid enrollment, and state-level cigarette excise taxes, statewide smoke-free laws, and per-capita tobacco control funding. Results: In 1999, the percent of smokers with ≥1 medication claims was 5.7% in the 30 states that covered at least one Food and Drug Administration (FDA)-approved cessation medication; this increased to 9.9% in 2008 in the 44 states that covered at least one FDA-approved medication (p

Suggested Citation

  • Jennifer Kahende & Ann Malarcher & Lucinda England & Lei Zhang & Paul Mowery & Xin Xu & Varadan Sevilimedu & Italia Rolle, 2017. "Utilization of smoking cessation medication benefits among medicaid fee-for-service enrollees 1999–2008," PLOS ONE, Public Library of Science, vol. 12(2), pages 1-15, February.
  • Handle: RePEc:plo:pone00:0170381
    DOI: 10.1371/journal.pone.0170381
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    References listed on IDEAS

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    1. Chaloupka, Frank J. & Warner, Kenneth E., 2000. "The economics of smoking," Handbook of Health Economics, in: A. J. Culyer & J. P. Newhouse (ed.), Handbook of Health Economics, edition 1, volume 1, chapter 29, pages 1539-1627, Elsevier.
    2. Metzger, K.B. & Mostashari, F. & Kerker, B.D., 2005. "Use of pharmacy data to evaluate smoking regulations' impact on sales of nicotine replacement therapies in New York City," American Journal of Public Health, American Public Health Association, vol. 95(6), pages 1050-1055.
    3. Thomas Land & Donna Warner & Mark Paskowsky & Ayesha Cammaerts & LeAnn Wetherell & Rachel Kaufmann & Lei Zhang & Ann Malarcher & Terry Pechacek & Lois Keithly, 2010. "Medicaid Coverage for Tobacco Dependence Treatments in Massachusetts and Associated Decreases in Smoking Prevalence," PLOS ONE, Public Library of Science, vol. 5(3), pages 1-6, March.
    4. Curry, S.J. & Sporer, A.K. & Pugach, O. & Campbell, R.T. & Emery, S., 2007. "Use of tobacco cessation treatments among young adult smokers: 2005 National Health Interview Survey," American Journal of Public Health, American Public Health Association, vol. 97(8), pages 1464-1469.
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    Cited by:

    1. Lei, Lianlian & Liu, Feng, 2021. "Medicaid coverage and use of nicotine replacement treatment," Economics & Human Biology, Elsevier, vol. 40(C).

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