State-Level Medicaid Expenditures Attributable to Smoking

Details

• Journal Article:
  Preventing Chronic Disease (PCD)
• Personal Author:
  Armour, Brian S. ; Finkelstein, Eric A. ; Fiebelkorn, Ian C.
• 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.
  
  
• Subjects:
  Adult Female Health Surveys Humans Male Medicaid Middle Aged Models, Econometric Original Research Prevalence Smoking Young Adult

  More +
• Source:
  Prev Chronic Dis. 6(3).
• ISSN:
  1545-1151
• Document Type:
  Journal Article
• Place as Subject:
  United States
• Location:
  North America
• Volume:
  6
• Issue:
  3
• Collection(s):
  Preventing Chronic Disease
• Main Document Checksum:
  urn:sha-512:63c4735cd99533245c9758dc39ee67584c498c7c82092ac69583f7647a87e29b268706d6f1f6f12b2790bf3139147a2c758177eaee46fe8894f64bba72089966
• Download URL:
  https://stacks.cdc.gov/view/cdc/4162/cdc_4162_DS1.pdf
• File Type:
  [PDF - 563.07 KB ]