State-level Medicaid expenditures attributable to smoking.

Published

Journal Article

Medicaid recipients are disproportionately affected by tobacco-related disease because their smoking prevalence is approximately 53% greater than that of the overall US adult population. This study estimates state-level smoking-attributable Medicaid expenditures.We used state-level and national data and a 4-part econometric model to estimate the fraction of each state's Medicaid expenditures attributable to smoking. These fractions were multiplied by state-level Medicaid expenditure estimates obtained from the Centers for Medicare and Medicaid Services to estimate smoking-attributable expenditures.The smoking-attributable fraction for all states was 11.0% (95% confidence interval, 0.4%-17.0%). Medicaid smoking-attributable expenditures ranged from $40 million (Wyoming) to $3.3 billion (New York) in 2004 and totaled $22 billion nationwide.Cigarette smoking accounts for a sizeable share of annual state Medicaid expenditures. To reduce smoking prevalence among recipients and the growth rate in smoking-attributable Medicaid expenditures, state health departments and state health plans such as Medicaid are encouraged to provide free or low-cost access to smoking cessation counseling and medication.

Full Text

Duke Authors

Cited Authors

  • Armour, BS; Finkelstein, EA; Fiebelkorn, IC

Published Date

  • July 2009

Published In

Volume / Issue

  • 6 / 3

Start / End Page

  • A84 -

PubMed ID

  • 19527585

Pubmed Central ID

  • 19527585

Electronic International Standard Serial Number (EISSN)

  • 1545-1151

International Standard Serial Number (ISSN)

  • 1545-1151

Language

  • eng