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Medicaid Could Save $ 2.6 Billion Within a Year if Just 1 Percent of Recipients Quit Smoking



The Median State Would Save and Estimated $ 25 Million in Medicaid Expenditures, Says UCSF Research

  
    Elizabeth Fernandez

Reducing smoking, and its associated health effects, among Medicaid recipients in each state at just 1

percent would result in $ 2.6 billion in total Medicaid savings the following year, according to new research by UC San Francisco.

The The average was $ 25 million, ranging from $ 630.2 million in California (if the rate dropped from 15.5 percent to 14.5 percent) to $ 2.5 million in South Dakota (if dropped from 41.3 to 40.3 percent), the research found. ] The study, by Stanton A. Glantz, PhD, director of the UCSF Center for Tobacco Control Research and Education, is published April 12, 2019 in JAMA Network Open .

"While 14 percent of all adults in the U.S. smoke cigarettes, 24.5 percent of adult medicaid recipients smoke, ”said Glantz. "This suggestion that an investment in reducing smoking in this population could be associated with a reduction in Medicaid costs in the short run." Total Medicaid costs in 2017 were $ 577 billion.

"There is no question that reducing smoking is associated with reduced health costs, but it is commonly assumed that it takes years to see these savings, which has discouraged many states from prioritizing helping smokers," said Glantz. “While this is true for some diseases, such as cancer, other health risks such as heart attacks and lung disease and pregnancy complications respond quickly to changes in smoking behavior. So the prevalence of smoking would be an excellent short-term investment in the physical health of smokers and the fiscal health of the Medicaid system, "said Glantz derived state-by-state percentages of Medicaid recipients who smoke based on data from the 2017 Behavioral Risk Factors Surveillance System, which provides the percentage of smokers among the population of each state, and the 2017 National Health Interview Survey, which identifies Medicaid recipients in four major regions in the United States (Northeast, Midwest, South and West).

He then estimated potential Medicaid savings based on a previous research finding which showed that 1 percent relative reduction in smoking prevalence is associated with a reduction of 0.118 percent in per capita health care spending.

Glantz noted that the study looked only the potential savings from reducing the total number of Medicaid recipients who smoke. But if every smoker just smoked less, there would be additional reductions in health care costs, he said.

Cost reductions from reducing smoking would continue and likely grow over the long term. smoking, such as cancer, can take years to fully manifest, these savings would be likely to grow with each passing year, ”Glantz said.

The paper shows predicted reductions in Medicaid costs by each state.

For more information visit: UCSF Center for Tobacco Control Research and Education

Funding: The study was supported by grant R01DA043950 from the National Institute of Drug Abuse.

Disclosures : None reported

UC San Francisco (UCSF) is a leading university dedicated to promoting health worldwide through advanced biomedical research, graduate-level education in the life sciences and health professions, and excellence in patient care . It includes top-ranked graduate schools of dentistry, medicine, nursing and pharmacy; a graduate division with nationally renowned programs in basic, biomedical, translational and population sciences; and a preeminent biomedical research enterprise. It also includes UCSF Health, which includes three top-ranked hospitals – UCSF Medical Center and UCSF Benioff Children's Hospitals in San Francisco Oakland – as well as Langley Porter Psychiatric Hospital and Clinics, UCSF Benioff Children's Physicians and the UCSF Faculty Practice. UCSF Health has affiliations with hospitals and health organizations throughout the Bay Area. UCSF also provide all the physician care at the public Zuckerberg San Francisco General Hospital and Trauma Center, and the SF VA Medical Center. The UCSF Fresno Medical Education Program is a major branch of the University of California, San Francisco's School of Medicine.


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