Enhancing Tobacco Treatment for Medicaid Recipients

Audrey Darville; Lovoria Williams; Jean Edward; Karen Butler; Kathy Rademacher; Brittney Gray; Clair M. Tischner; Hannah Keeler; Ellen J. Hahn

doi:10.14423/SMJ.0000000000001431

Enhancing Tobacco Treatment for Medicaid Recipients

Audrey Darville, Lovoria Williams, Jean Edward, Karen Butler, Kathy Rademacher, Brittney Gray, Clair M. Tischner, Hannah Keeler, Ellen J. Hahn

Research output: Contribution to journal › Article › peer-review

Abstract

Objective Medicaid recipients are vulnerable to increased morbidity and mortality secondary to high tobacco use prevalence and barriers to accessing tobacco treatment. The purpose of the pilot study was to explore managed care administrators' perceptions of the facilitators and barriers to tobacco treatment for Medicaid recipients. Methods Focus groups with key informants (n = 14) from managed care organizations were conducted in fall 2018. Participants included case, integrated care, quality and field care managers, and individuals working in provider and network relations. Results Facilitators to tobacco treatment were universal quality reporting requirements, access to medications, and the role of case management in identifying and engaging tobacco users in treatment. Barriers included bias regarding smokers' ability to quit, communication challenges, and competing priorities. Conclusions The analysis provided data to support the development of a policy brief and recommendations to the Department for Medicaid Services for enhancing tobacco dependence treatment.

Original language	English
Pages (from-to)	603-610
Number of pages	8
Journal	Southern Medical Journal
Volume	115
Issue number	8
DOIs	https://doi.org/10.14423/SMJ.0000000000001431
State	Published - Aug 1 2022

Bibliographical note

Publisher Copyright:
© Lippincott Williams & Wilkins.

Funding

Research reported in this publication was supported in part by the Cabinet for Health and Family Services, Department for Medicaid Services under an agreement entitled “Enhancing Tobacco Dependence Treatment.” The content is solely the responsibility of the authors and does not necessarily represent the official views of the Cabinet for Health and Family Services, Department for Medicaid Services. A.D. is course director of the University of KY BREATHE Tobacco Treatment Specialist Training Program, and along with E.H., receives partial salary support from the Medicaid contract. H.K. lists ongoing institutional funding from Kentucky State University. The authors have no additional financial disclosures to declare and no conflicts of interest to report.

Funders	Funder number
Department for Public Health, Cabinet for Health and Family Services
Kentucky State University

Keywords

Medicaid
policy
smoking cessation
tobacco use

ASJC Scopus subject areas

General Medicine

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

Access to Document

10.14423/SMJ.0000000000001431

Cite this

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title = "Enhancing Tobacco Treatment for Medicaid Recipients",

abstract = "Objective Medicaid recipients are vulnerable to increased morbidity and mortality secondary to high tobacco use prevalence and barriers to accessing tobacco treatment. The purpose of the pilot study was to explore managed care administrators' perceptions of the facilitators and barriers to tobacco treatment for Medicaid recipients. Methods Focus groups with key informants (n = 14) from managed care organizations were conducted in fall 2018. Participants included case, integrated care, quality and field care managers, and individuals working in provider and network relations. Results Facilitators to tobacco treatment were universal quality reporting requirements, access to medications, and the role of case management in identifying and engaging tobacco users in treatment. Barriers included bias regarding smokers' ability to quit, communication challenges, and competing priorities. Conclusions The analysis provided data to support the development of a policy brief and recommendations to the Department for Medicaid Services for enhancing tobacco dependence treatment.",

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AU - Darville, Audrey

AU - Williams, Lovoria

AU - Edward, Jean

AU - Butler, Karen

AU - Rademacher, Kathy

AU - Gray, Brittney

AU - Tischner, Clair M.

AU - Keeler, Hannah

AU - Hahn, Ellen J.

N1 - Publisher Copyright: © Lippincott Williams & Wilkins.

PY - 2022/8/1

Y1 - 2022/8/1

N2 - Objective Medicaid recipients are vulnerable to increased morbidity and mortality secondary to high tobacco use prevalence and barriers to accessing tobacco treatment. The purpose of the pilot study was to explore managed care administrators' perceptions of the facilitators and barriers to tobacco treatment for Medicaid recipients. Methods Focus groups with key informants (n = 14) from managed care organizations were conducted in fall 2018. Participants included case, integrated care, quality and field care managers, and individuals working in provider and network relations. Results Facilitators to tobacco treatment were universal quality reporting requirements, access to medications, and the role of case management in identifying and engaging tobacco users in treatment. Barriers included bias regarding smokers' ability to quit, communication challenges, and competing priorities. Conclusions The analysis provided data to support the development of a policy brief and recommendations to the Department for Medicaid Services for enhancing tobacco dependence treatment.

AB - Objective Medicaid recipients are vulnerable to increased morbidity and mortality secondary to high tobacco use prevalence and barriers to accessing tobacco treatment. The purpose of the pilot study was to explore managed care administrators' perceptions of the facilitators and barriers to tobacco treatment for Medicaid recipients. Methods Focus groups with key informants (n = 14) from managed care organizations were conducted in fall 2018. Participants included case, integrated care, quality and field care managers, and individuals working in provider and network relations. Results Facilitators to tobacco treatment were universal quality reporting requirements, access to medications, and the role of case management in identifying and engaging tobacco users in treatment. Barriers included bias regarding smokers' ability to quit, communication challenges, and competing priorities. Conclusions The analysis provided data to support the development of a policy brief and recommendations to the Department for Medicaid Services for enhancing tobacco dependence treatment.

KW - Medicaid

KW - policy

KW - smoking cessation

KW - tobacco use

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Enhancing Tobacco Treatment for Medicaid Recipients

Abstract

Bibliographical note

Funding

Keywords

ASJC Scopus subject areas

UN SDGs

Access to Document

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