advocacy at the state level: improving tobacco treatment coverage under medicaid
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Advocacy at the State Level: Improving Tobacco Treatment Coverage under Medicaid. Partnering to Bring You Tools and Strategies. Center for Tobacco Cessation Mission: - PowerPoint PPT PresentationTRANSCRIPT
Advocacy at the State Level: Improving Tobacco Treatment
Coverage under Medicaid
Partnering to Bring You Tools and Strategies
• Center for Tobacco CessationMission:
Serves as the source of the best available science on tobacco cessation and works with national partners (business, health care and community leaders) to expand the use of effective tobacco dependence treatments
• The National Partnership to Help Pregnant Smokers QuitVision:
To provide all pregnant smokers (and new mothers) with the help they want and the support they need to quit smoking and stay tobacco-free by translating science-based interventions into effective programs and policies.
Membership: Over 50 Organizations, including Smoke-Free Families, Campaign for Tobacco-Free Kids,
CTC, CDC, AMCH, ASTHO, March of Dimes, Porter Novelli, ACS,and others
How We Can Help You
Raise the awareness of this issue
Provide educational materials
Offer referrals to data and other information
Link you with other states and organizations working on this issue
Raising the Awareness: Scientific Consensus
Raising the Awareness:Compelling Messages
• Tobacco Treatment Saves Lives and Money
• Tobacco Treatment is Evidence-Based and It Works
• Tobacco Treatment is More Effective than other Preventive Services
Raising the Awareness:
Media
Providing Educational MaterialsFact Sheets:
• Benefit coverage options under Medicaid
• Status of Medicaid coverage for tobacco treatment
• State Medicaid expenditures and costs attributed to smoking
• Health benefits of smoking cessation
• Treatment approaches, including availability of quit lines
• Lessons learned from other states
Help People Quit Smoking: Providing Tobacco Treatment
under Medicaid
Offering referrals to data
• Information available at the following web sites:
www. ctcinfo.org
www. cdc.gov.org/nccdphp
www. gwhealthpolicy.org/newsps/tobacco
www. partnershiptohelppregnantsmokersquit.org
www. marchofdimes.com/Peristats
www. smokefreefamilies.org
Obtaining referrals to data: Calculating Net State
Savings • Calculate smoking attributable expenditures per
person (birth) receiving Medicaid, using SAMMEC or MCH SAMMEC
http://apps.need.cdc.gov/sammec
• Apply specific assumptions to generate net cost savings for a specific state
Estimate program reach Calculate program costs Estimate quit rate Calculate program savings Subtract program costs from program savings
Hypothetical Net State Savings for a Tobacco Treatment Program
for Pregnant Smokers
Step 1: Apply MCH SAMMEC
Step 2: Estimate program reach: 25% of the 3,932 pregnant smokers on Medicaid
Step 3: Calculate program costs: $30 per participant for one counseling session
Step 4: Estimate quit rate: 18%
Step 5: Calculate program savings
Step 6: Estimate net savings by subtracting program costs from program savings
• $615 SAE per Medicaid birth
• 983 pregnant smokers on Medicaid participate in treatment
• 983 participants x $30 = $29,490 program costs
• 983 participants x 0.18 = 177 quit smoking
• $615 SAE x 177 quitters = $108,855 program savings
• $108,855 - $29,490 = $79,365 in net savings
Linking you with other states and organizations
• Provide case studies of successful partnerships between Medicaid, MCH, and Tobacco Programs
• Offer bimonthly telephone calls with states working on this issue
• Discuss strategy and tactics with CTC, SFF, CTFK, and others
Recommended Next Steps for Advocates
Join our conference calls
Educate yourself about how Medicaid benefits are regulated in your state
Organize and coordinate with others in your state interested in this issue
Gather state-specific facts on existing treatment programs, quit lines, smoking prevalence and costs, Medicaid data
Talk with other states about how they have succeeded!
7 States with comprehensive tobacco treatment coverage under
Medicaid, 2002
Our Collective Vision for the Future:
All States, All Smokers