Details:

Alternative Title:
Prev Chronic Dis
Personal Author:
Armour, Brian S. ; Finkelstein, Eric A. ; Fiebelkorn, Ian C. ;
Armour, Brian S. ; Finkelstein, Eric A. ; Fiebelkorn, Ian C. ; Less -
Description:
Introduction Medicaid recipients are disproportionately affected by tobacco-related disease because their smoking prevalence is approximately 53% greater than that of the overall US adult population. This study estimates state-level smoking-attributable Medicaid expenditures. Methods We used state-level and national data and a 4-part econometric model to estimate the fraction of each state's Medicaid expenditures attributable to smoking. These fractions were multiplied by state-level Medicaid expenditure estimates obtained from the Centers for Medicare and Medicaid Services to estimate smoking-attributable expenditures. Results The smoking-attributable fraction for all states was 11.0% (95% confidence interval, 0.4%-17.0%). Medicaid smoking-attributable expenditures ranged from $40 million (Wyoming) to $3.3 billion (New York) in 2004 and totaled $22 billion nationwide. Conclusion Cigarette smoking accounts for a sizeable share of annual state Medicaid expenditures. To reduce smoking prevalence among recipients and the growth rate in smoking-attributable Medicaid expenditures, state health departments and state health plans such as Medicaid are encouraged to provide free or low-cost access to smoking cessation counseling and medication.
Subject:
[+]
Adult
Female
Health Surveys
Humans
Male
Medicaid
Middle Aged
Models, Econometric
Original Research
Prevalence
Smoking
Young Adult

Source:
Prev Chronic Dis. 6(3).
Document Type:
Journal Article ;
Place as Subject:
United States ;
Collection(s):
Preventing Chronic Disease
Main Document Checksum:
[+]
urn:sha256:cbe7f3494a546ce22dac9b4b83383e59d01c8c9d8dd5c7877e8bb77945c2694d
File Type:

Supporting Files

• 	license.txt	txt
  	PCD63A84.nxml	txt
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