Association of the Affordable Care Act With Smoking and Tobacco Treatment Utilization Among Adults Newly Enrolled in Health Care

OBJECTIVES:To examine rates of smoking and tobacco treatment utilization by insurance coverage status (Medicaid, commercial, exchange) among newly enrolled patients in the post Affordable Care Act (ACA) era. METHODS:We examined new members who enrolled in Kaiser Permanente Northern California throug...

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Bibliographic Details
Published in:Medical care 2017-05, Vol.55 (5), p.535-541
Main Authors: Young-Wolff, Kelly C., Klebaner, Daniella, Campbell, Cynthia I., Weisner, Constance, Satre, Derek D., Adams, Alyce S.
Format: Article
Language:English
Subjects:
Adult
Confidence intervals
Exchanging
Female
Health Services Accessibility
Health Services Needs and Demand - economics
Humans
Insurance coverage
Insurance Coverage - statistics & numerical data
Male
Medicaid - economics
Middle Aged
Original Article
Patient Protection & Affordable Care Act 2010-US
Patient Protection and Affordable Care Act
Public health
Risk assessment
Smoking
Smoking Prevention
Sociodemographics
Tobacco
Tobacco Use Cessation - economics
Tobacco Use Disorder - economics
Tobacco Use Disorder - therapy
United States
Utilization
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Summary:OBJECTIVES:To examine rates of smoking and tobacco treatment utilization by insurance coverage status (Medicaid, commercial, exchange) among newly enrolled patients in the post Affordable Care Act (ACA) era. METHODS:We examined new members who enrolled in Kaiser Permanente Northern California through Medicaid, the California exchange, or nonexchange commercial plans (N=122,298) in the first 6 months of 2014 following ACA implementation. We compared these groups on smoking prevalence and tested whether smokers in each group differed on sociodemographic characteristics and in their utilization of tobacco treatment (pharmacotherapy and counseling) in 2014. RESULTS:Smoking prevalence was higher among Medicaid (22%) than exchange (13%) or commercial (12%) patients (P
ISSN:0025-7079
1537-1948
DOI:10.1097/MLR.0000000000000712