Evaluating the Impact of Eliminating Copayments for Tobacco Cessation Pharmacotherapy

Medical Care
Kelly C Young-WolffJudith J Prochaska

Abstract

We examined the impact of the Affordable Care Act-mandated elimination of tobacco cessation pharmacotherapy (TCP) copayments on patient use of TCP, overall and by income. Electronic health record data captured any and combination (eg, nicotine gum plus patch) TCP use among adult smokers newly enrolled in Kaiser Permanente Northern California (KPNC). KPNC eliminated TCP copayments in 2015. We included current smokers newly enrolled in the first 6 months of 2014 (before copayment elimination, N=16,199) or 2015 (after elimination, N=16,469). Multivariable models estimated 1-year changes in rates of any TCP fill, and of combination TCP fill, and tested for differences by income (<$50k, $50≥75k, ≥$75k). Through telephone surveys in 2016 with a subset of smokers newly enrolled in 2014 (n=306), we assessed barriers to TCP use, with results stratified by income. Smokers enrolled in KPNC in 2015 versus 2014 were more likely to have a TCP fill (9.1% vs. 8.2%; relative risk, 1.19; 95% confidence interval, 1.11-1.27), and combination TCP fill, among those with any fill (42.3% vs. 37.9%; relative risk, 1.12; 95% confidence interval, 1.02-1.23); findings were stronger for low-income smokers. Low-income patients (<$50k) were less likely to re...Continue Reading

References

Jun 6, 2002·Journal of General Internal Medicine·Sharon E ConnorJennifer T Williams
Nov 22, 2002·Health Affairs·Raymond G BoyleNina L Alesci
Mar 23, 2004·American Journal of Epidemiology·Guangyong Zou
Apr 1, 2005·Nicotine & Tobacco Research : Official Journal of the Society for Research on Nicotine and Tobacco·Maansi A BansalGary A Giovino
Jun 17, 2005·Journal of Public Health Management and Practice : JPHMP·Jill M MurphyK Michael Cummings
Jul 12, 2008·American Journal of Preventive Medicine·UNKNOWN Clinical Practice Guideline Treating Tobacco Use and Dependence 2008 Update Panel, Liaisons, and Staff
Dec 14, 2011·CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne·Mirjam J KnolRolf H H Groenwold
Nov 20, 2014·The New England Journal of Medicine·Tim McAfeeMichael C Fiore
Dec 18, 2014·Nicotine & Tobacco Research : Official Journal of the Society for Research on Nicotine and Tobacco·Bridgette E GarrettTim McAfee
Feb 3, 2016·JAMA : the Journal of the American Medical Association·Mary C PolitiTessa Madden
Mar 5, 2016·JAMA : the Journal of the American Medical Association·Risa Lavizzo-Mourey
Jun 23, 2016·Journal of General Internal Medicine·Steffani R BaileyJennifer E DeVoe
Dec 13, 2016·American Journal of Preventive Medicine·Kelli Stidham HallCarol R Hogue
Jan 6, 2017·MMWR. Morbidity and Mortality Weekly Report·Stephen BabbAhmed Jamal
Jan 22, 2017·NPJ Primary Care Respiratory Medicine·Marjolein VerbiestNiels Chavannes

❮ Previous
Next ❯

Citations

Mar 3, 2020·The Annals of Pharmacotherapy·Natalia Shcherbakova, Shane Desselle
Feb 6, 2020·Journal of Women's Health·Kelly C Young-WolffJudith J Prochaska
Jan 14, 2021·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Joshua W OhdeDavid O Warner

❮ Previous
Next ❯

Methods Mentioned

BETA
pharmacotherapy

Software Mentioned

SAS

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

The American Journal of Managed Care
Julie A SchmittdielSusan M Shetterly
Occupational Health; a Journal for Occupational Health Nurses
J Barrett, P Connor
Nicotine & Tobacco Research : Official Journal of the Society for Research on Nicotine and Tobacco
Beth C BockRaymond Niaura
© 2022 Meta ULC. All rights reserved