wow-inequalities/02-data/intermediate/wos_sample/8fd604a7ffa7e4f6dfce13826285b63e-land-thomas-and-rig/info.yaml

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2023-09-28 14:46:10 +00:00
abstract: 'Background: Insurance coverage of tobacco cessation medications
increases their use and reduces smoking prevalence in a population.
However, uncertainty about the impact of this coverage on health care
utilization and costs is a barrier to the broader adoption of this
policy, especially by publicly funded state Medicaid insurance programs.
Whether a publicly funded tobacco cessation benefit leads to decreased
medical claims for tobacco-related diseases has not been studied. We
examined the experience of Massachusetts, whose Medicaid program adopted
comprehensive coverage of tobacco cessation medications in July 2006.
Over 75,000 Medicaid subscribers used the benefit in the first 2.5
years. On the basis of earlier secondary survey work, it was estimated
that smoking prevalence declined among subscribers by 10\% during this
period.
Methods and Findings: Using claims data, we compared the probability of
hospitalization prior to use of the tobacco cessation pharmacotherapy
benefit with the probability of hospitalization after benefit use among
Massachusetts Medicaid beneficiaries, adjusting for demographics,
comorbidities, seasonality, influenza cases, and the implementation of
the statewide smoke-free air law using generalized estimating equations.
Statistically significant annualized declines of 46\% (95\% confidence
interval 2\%-70\%) and 49\% (95\% confidence interval 6\%-72\%) were
observed in hospital admissions for acute myocardial infarction and
other acute coronary heart disease diagnoses, respectively. There were
no significant decreases in hospitalizations rates for respiratory
diagnoses or seven other diagnostic groups evaluated.
Conclusions: Among Massachusetts Medicaid subscribers, use of a
comprehensive tobacco cessation pharmacotherapy benefit was associated
with a significant decrease in claims for hospitalizations for acute
myocardial infarction and acute coronary heart disease, but no
significant change in hospital claims for other diagnoses. For
low-income smokers, removing the barriers to the use of smoking
cessation pharmacotherapy has the potential to decrease short-term
utilization of hospital services.'
affiliation: 'Land, T (Corresponding Author), Massachusetts Tobacco Cessat \& Prevent
Program, Boston, MA USA.
Land, Thomas; Paskowsky, Mark; Warner, Donna; Kwass, Jo-Ann; Keithly, Lois, Massachusetts
Tobacco Cessat \& Prevent Program, Boston, MA USA.
Rigotti, Nancy A.; Levy, Douglas E., Massachusetts Gen Hosp, Dept Med, Tobacco Res
\& Treatment Ctr, Div Gen Med, Boston, MA 02114 USA.
Rigotti, Nancy A.; Levy, Douglas E., Harvard Univ, Sch Med, Boston, MA USA.
Rigotti, Nancy A.; Levy, Douglas E., Massachusetts Gen Hosp, Mongan Inst Hlth Policy,
Boston, MA 02114 USA.
Wetherell, LeAnn, Off Medicaid Commonwealth Massachusetts, Boston, MA USA.'
article-number: e1000375
author: Land, Thomas and Rigotti, Nancy A. and Levy, Douglas E. and Paskowsky, Mark
and Warner, Donna and Kwass, Jo-Ann and Wetherell, LeAnn and Keithly, Lois
author-email: Thomas.Land@state.ma.us
author_list:
- family: Land
given: Thomas
- family: Rigotti
given: Nancy A.
- family: Levy
given: Douglas E.
- family: Paskowsky
given: Mark
- family: Warner
given: Donna
- family: Kwass
given: Jo-Ann
- family: Wetherell
given: LeAnn
- family: Keithly
given: Lois
da: '2023-09-28'
doi: 10.1371/journal.pmed.1000375
files: []
issn: 1549-1277
journal: PLOS MEDICINE
keywords-plus: 'ACUTE MYOCARDIAL-INFARCTION; CORONARY-HEART-DISEASE; SMOKING-CESSATION;
UNITED-STATES; QUITTING SMOKING; HEALTH; RISK; MORTALITY; EXPOSURE;
CHARGES'
language: English
month: DEC
number: '12'
number-of-cited-references: '25'
orcid-numbers: Levy, Douglas/0000-0001-9446-7899
papis_id: edd46f9594462421edaa5910efff944a
ref: Land2010longitudinalstudy
researcherid-numbers: Levy, Douglas/W-1516-2019
times-cited: '37'
title: A Longitudinal Study of Medicaid Coverage for Tobacco Dependence Treatments
in Massachusetts and Associated Decreases in Hospitalizations for Cardiovascular
Disease
2023-10-01 08:15:07 +00:00
type: article
2023-09-28 14:46:10 +00:00
unique-id: WOS:000285499600002
usage-count-last-180-days: '0'
usage-count-since-2013: '7'
volume: '7'
web-of-science-categories: Medicine, General \& Internal
year: '2010'