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Adoption of System Strategies for Tobacco Cessation by State Medicaid Programs

Bibliographic Data

ID9102983
AuthorsNicole M Bellows, Nicole Bellows (0000-0001-7282-3178, Center For Policy Research), Sara B McMenamin (0000-0003-3235-6936, Sirindhorn College of Public Health), Helen Ann Halpin, Helen Halpin (Sirindhorn College of Public Health)
Year2007
Volume45
Issue4
Pages350-356
Publication date2007-04-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueMedical Care (JOURNAL)
Journal identifiersISSN: 0025-7079 • E-ISSN: 1537-1948
PublisherOvid Technologies (Wolters Kluwer Health) (PUBLISHER)
DOI10.1097/01.mlr.0000254610.90363.dc
PMID17496719
OpenAlexW1978330607
LanguageEN
References cited17

BACKGROUND: The Public Health Service's Clinical Practice Guideline for treating tobacco dependence recommends 6 system-wide strategies for health administrators, insurers, and purchasers to support tobacco cessation. METHODS: A 24-question survey was sent to each state Medicaid program office in the fall of 2005, including questions to assess whether each state Medicaid program adopted 4 of the 6 system strategies most relevant to Medicaid contracting. RESULTS: The number of system strategies adopted by state Medicaid programs in 2005 ranged from 0 to 4 of the 4 strategies examined. Oregon, Pennsylvania, and West Virginia adopted all 4 systems strategies for cessation in their Medicaid programs. Seven states adopted 3 strategies, and 14 states adopted 2. Seventeen states adopted only 1 of the system strategies, and 10 state Medicaid programs had not adopted any of the recommended system strategies for tobacco cessation. The most frequently adopted strategy was Medicaid coverage for tobacco dependence treatments, with 75% of the states covering at least 1 recommended treatment under their Medicaid program. CONCLUSIONS: Although most state Medicaid programs have made efforts to adopt at least one of the recommended system strategies to support tobacco cessation, there remains substantial room for improvement. More research is needed regarding the barriers to Medicaid program adoption of comprehensive system strategies to promote cessation among their enrolled populations

Business · Environmental health · Family medicine · Guideline · Health care · Medicaid · Political science · Population · Smoking cessation · Tobacco use · Diabetes Management and Education · Health Policy Implementation Science · Medicine · Smoking Behavior and Cessation

  • Variations in treatment benefits influence smoking cessation

    Helen Halpin Schauffler, Sara B McMenamin et al.•Tobacco Control•2001

  • Support for Smoking Cessation Interventions in Physician Organizations

    Sara B McMenamin, Helen Halpin Schauffler et al.•Medical Care•2003

Citation velocityhistorical
Highly citedNo

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