HomeLatest ThreadsGreatest ThreadsForums & GroupsMy SubscriptionsMy Posts
DU Home » Latest Threads » Forums & Groups » Main » Latest Breaking News (Forum) » Medicaid Could Save $2.6 ...

Sat Apr 13, 2019, 03:01 PM

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

Source: University of California San Francisco

Reducing smoking, and its associated health effects, among Medicaid recipients in each state by 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 median state would save $25 million, ranging from $630.2 million in California (if the smoking rate dropped from 15.5 percent to 14.5 percent) to $2.5 million in South Dakota (if the rate 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 suggests that an investment in reducing smoking in this population could be associated with a reduction in Medicaid costs in the short run.”

Read more: https://www.ucsf.edu/news/2019/04/413921/medicaid-could-save-26-billion-within-year-if-just-1-percent-recipients-quit

34 replies, 2385 views

Reply to this thread

Back to top Alert abuse

Always highlight: 10 newest replies | Replies posted after I mark a forum
Replies to this discussion thread
Arrow 34 replies Author Time Post
Reply Medicaid Could Save $2.6 Billion Within a Year if Just 1 Percent of Recipients Quit Smoking (Original post)
MadDAsHell Apr 13 OP
mr_lebowski Apr 13 #1
cstanleytech Apr 13 #2
mucifer Apr 13 #3
Conjurer Apr 13 #8
Faygo Kid Apr 13 #4
PeeJ52 Apr 13 #5
AllaN01Bear Apr 13 #6
cstanleytech Apr 13 #7
area51 Apr 13 #9
Aristus Apr 14 #10
beachbum bob Apr 14 #11
Yeehah Apr 14 #14
beachbum bob Wednesday #28
Yeehah Wednesday #30
TexasBushwhacker Apr 14 #15
Rhiannon12866 Apr 15 #18
TexasBushwhacker Apr 15 #23
Jose Garcia Apr 14 #17
MadDAsHell Apr 15 #21
moriah Apr 16 #24
VarryOn Thursday #33
Maxheader Apr 14 #12
Bozvotros Apr 14 #13
jayfish Apr 15 #20
MyWorldIsBlue Apr 14 #16
karynnj Apr 15 #19
AKing Apr 15 #22
madinmaryland Apr 16 #25
Triloon Apr 16 #26
Ohiogal Apr 16 #27
MadDAsHell Wednesday #32
raccoon Wednesday #29
sandensea Wednesday #31
mpcamb Thursday #34

Response to MadDAsHell (Original post)

Sat Apr 13, 2019, 03:03 PM

1. Sounds great, but I still f***ing hate Stan f***ing Glantz

And I trust basically nothing his 'research' comes up with.

Reply to this post

Back to top Alert abuse Link here Permalink


Response to MadDAsHell (Original post)

Sat Apr 13, 2019, 03:06 PM

2. Want to bet the Repugnants will try to start a no smoking ban followed by a no alcohol ban on

people that use Medicaid?
Edit: Mind you it will not impact on me since I do neither but its simply the type of people that Repugnants are and its something they would do.

Reply to this post

Back to top Alert abuse Link here Permalink


Response to MadDAsHell (Original post)

Sat Apr 13, 2019, 03:13 PM

3. Eating more plant based whole foods helps a lot. But, that is not what the government subsidizes

The government puts the subsidies into meats dairy eggs and crops that feed animals that people eat.

Reply to this post

Back to top Alert abuse Link here Permalink


Response to mucifer (Reply #3)

Sat Apr 13, 2019, 09:10 PM

8. Exactly

The amount we would save if people quit eating meat would be mind boggling. The environment would be so much better off too.

Reply to this post

Back to top Alert abuse Link here Permalink


Response to MadDAsHell (Original post)

Sat Apr 13, 2019, 03:33 PM

4. I have COPD and I quit smoking in 2005

35 years was too much, apparently. It's not a pleasant disease.

Reply to this post

Back to top Alert abuse Link here Permalink


Response to MadDAsHell (Original post)

Sat Apr 13, 2019, 03:48 PM

5. I quit smoking in 2002...

after I got lung cancer.

Reply to this post

Back to top Alert abuse Link here Permalink


Response to MadDAsHell (Original post)

Sat Apr 13, 2019, 04:54 PM

6. medicaid would save lots of monies by going after the drs the pharmas and others ripping off the

system

Reply to this post

Back to top Alert abuse Link here Permalink


Response to AllaN01Bear (Reply #6)

Sat Apr 13, 2019, 05:05 PM

7. The entire country would save more if we had a good comprehensive free healthcare system.

After all if we had that then things like for example auto accidents would be alot easier and cheaper since the only thing you could sue for would be the damage to the vehicle and or lost wages you might incur due to any injury.

Businesses then could also save because they would not have to provide health insurance anymore and people would save their money and their sanity because they would not have to worry about affording dialysis for their family members for example.

Reply to this post

Back to top Alert abuse Link here Permalink


Response to cstanleytech (Reply #7)

Sat Apr 13, 2019, 11:56 PM

9. This.

We desperately need comprehensive Medicare for All.

Reply to this post

Back to top Alert abuse Link here Permalink


Response to MadDAsHell (Original post)

Sun Apr 14, 2019, 12:47 AM

10. I'm trying to get my patients to quit. I really am.

Reply to this post

Back to top Alert abuse Link here Permalink


Response to MadDAsHell (Original post)

Sun Apr 14, 2019, 06:35 AM

11. why not require medicaid reciepients to quit smoking for receiving a taxpayer benefit?

I'm not sure we can not have rules in place like this? Offer to pay for cessation treatment

Reply to this post

Back to top Alert abuse Link here Permalink


Response to beachbum bob (Reply #11)

Sun Apr 14, 2019, 04:38 PM

14. Because to deny care to smokers would be immoral and wrong.

Why not require the cigarette companies, that made billions poisoning Americans, to pay for it?

Reply to this post

Back to top Alert abuse Link here Permalink


Response to Yeehah (Reply #14)

Wed Apr 17, 2019, 06:40 AM

28. why is it immoral in REQUIRING they must quit/ be treated for nictotine addiction?

I think its immoral NOT to have limits placed on those receiving taxpayer support, whether its individuals OR corporations

Reply to this post

Back to top Alert abuse Link here Permalink


Response to beachbum bob (Reply #28)

Wed Apr 17, 2019, 06:59 PM

30. Because health care is a human right

Will you serve on the board that deems who is worthy of receiving health care?

Perhaps obese people could be denied care until they stopped eating too much and started exercising.

Of course, anyone who uses alcohol would have to be cut off from health care too.


FYI: It's = "it is."




Reply to this post

Back to top Alert abuse Link here Permalink


Response to beachbum bob (Reply #11)

Sun Apr 14, 2019, 05:21 PM

15. I imagine they can get a prescription for Chantix

Most cessation assistance like Nicorette is OTC now I believe. Like anything else, people have to want to quit though.

Reply to this post

Back to top Alert abuse Link here Permalink



Response to Rhiannon12866 (Reply #18)

Mon Apr 15, 2019, 06:46 PM

23. There are ways though

The smoking cessation drug Zyban is just a low dose of the antidepressant Wellbutrin (bupropion). While it's ridiculous that Medicaid doesn't pay for smoking cessation aids, I'm pretty sure they cover antidepressants. So instead of 150 mg Zyban, a smart doc could prescribe a 150 mg Bupropion XL.

Reply to this post

Back to top Alert abuse Link here Permalink


Response to beachbum bob (Reply #11)

Sun Apr 14, 2019, 07:40 PM

17. Or they could charge copays for smokers

Reply to this post

Back to top Alert abuse Link here Permalink


Response to Jose Garcia (Reply #17)

Mon Apr 15, 2019, 02:12 PM

21. Haven't seen much DU support over the years for any "skin in the game"...

approaches to these types of programs. Doubt that would fly.

Reply to this post

Back to top Alert abuse Link here Permalink


Response to beachbum bob (Reply #11)

Tue Apr 16, 2019, 07:48 PM

24. Because it's not going to work that way?

Poor people are more likely to smoke cigarettes than rich ones. Maybe it's stress, maybe it's peer pressure, whatever, but they're hooked now.

Many of the poorest try to avoid vice taxes by buying tobacco and tubes, and making their own cigarettes -- which have a filter, but not always the highest quality tobacco. Or they will roll their own without using a tube with a filter -- which is even worse for them.

Chantix is contraindicated in many mental health patients, and psychiatrists have known for years that mental health patients are often heavier smokers. Nicotine binds to the niacin receptor in the brain -- niacin is "nicotinic acid" and it may be that these patients are self-medicating by finding something that binds to that receptor. There have been studies done about the role of B vitamins and their receptors in the brain in mental health, but unfortunately nice little chemicals that stimulate a receptor more are going to "work" better than the thing it's supposed to bind to normally -- as in, open the channel more.

In particular, psychiatrists have *always* had issues getting schizophrenic patients to quit, and apparently there may be some reason they don't. https://www.medicalnewstoday.com/articles/315446.php

The same "fake urine" products on the market to beat work pee tests are marketed towards employers that test for nicotine use, as nicotine is legal to use vs the other things most people are trying to keep from showing on their tox screen.

Then there's vaping, which is an option but my friends experiences have varied widely, the flavorings are untested on what they do to lungs even if the base carriers for the nicotine are safe, etc. Doctors can't in good conscience recommend it because it's untested, and the pharmaceutical alternative for people with the hand-to-mouth issue or who can't manage to absorb the right amount of nicotine to taper through gum or patches -- the Nicotrol inhaler -- is insanely expensive.

Yes, smoking is bad, so is drinking and other substance abuse. But testing and denying benefits to people who use them has not worked in the past, and cost more than it reduced people's eligibility for Food Stamps or unemployment.

Harm reduction and encouraging quitting should be the goal, not threatening denial of public benefits -- or people will lie to their doctors and use fake piss to keep their insurance. Just as women lied for decades about acne or heavy periods to get birth control covered under insurance, people will find a way, and any policy that makes a person not able to be honest with their physician is going to make whatever problems they have worse, not better.

Reply to this post

Back to top Alert abuse Link here Permalink


Response to beachbum bob (Reply #11)

Thu Apr 18, 2019, 02:02 AM

33. Because, what would be the next behavior that would be prohibited or prescribed for getting benefits

No benefits of you drink. No benefits if you skydive. No benefits of you eat McDonald's. Benefits only if you go to the gym at least 3 times per week. Benefits for heart disease only if you take statins.

I certainly can understand wanting to cut off smokers, but not at the risk of a slippery slope with other unhealthy behaviors.

For smokers, I would go the incentives route. Offer economic incentives for quitting, and further incentives by staying off cigs. Maybe there's some unintended consequences I'm not considering, but I think incentives could work and save taxpayers money.

Other ideas: offer incentives for healthy weight. Supplement gym memberships. Others?

I have no doubt the US will eventually become single payer. Theere won't be enough doctors;therefore, we will need to figure out how to reduce dr's visits. Incent good behaviors, and that should reduce the demand.

Reply to this post

Back to top Alert abuse Link here Permalink


Response to MadDAsHell (Original post)

Sun Apr 14, 2019, 08:03 AM

12. My pulmonologist is from the mideast and doesn't mince words to me, an asthmatic...

No smoke...

Reply to this post

Back to top Alert abuse Link here Permalink



Response to Bozvotros (Reply #13)

Mon Apr 15, 2019, 11:41 AM

20. I Appreciate Your Work But;...

getting haters to take a positive view on vaping is equivalent to convincing Trump voters they are marks in a long con. It's incredibly disheartening coming from a group of people (myself included) who consider themselves smarter than the average bears.

Reply to this post

Back to top Alert abuse Link here Permalink


Response to MadDAsHell (Original post)

Sun Apr 14, 2019, 06:37 PM

16. FYI: Medicaid does not cover smoking cessation aids or therapy

I learned that Medicaid does not cover any kind of smoking cessation medication, otc products, or therapy to help its covered patients stop smoking when my daughter and I went to the doctor for help on this.
We had prescriptions written for Chantix but our pharmacy wanted around $300 per prescription before they could fill it for us.

Reply to this post

Back to top Alert abuse Link here Permalink


Response to MadDAsHell (Original post)

Mon Apr 15, 2019, 11:29 AM

19. As they note that 24.5% of Medicaid recipients smoke, that huge savings is just scratching the

surface. It really shows that a big education effort and funding the smoking reduction stuff that someone on this thread said are not included now could have enormous savings .. and more importantly, potentially save the lives or at least improve the quality of life for the those who quit.

Adding: NPR had a report on what the various states pay for for quitting smoking. It differs significantly by state. It would be an interesting idea to use the states to see if there is any pattern that helps in terms of health or cost. https://www.npr.org/sections/health-shots/2016/01/05/462017590/medicaid-programs-fall-short-when-it-comes-to-helping-smokers-quit (Not to mention, this is a 2016 article and it uses 2013 data!)

Reply to this post

Back to top Alert abuse Link here Permalink


Response to MadDAsHell (Original post)

Mon Apr 15, 2019, 02:47 PM

22. I have COPD & Emphysema due to 50+ years of smoking. I quit 3 yrs ago with the help of Chantix...

which my Medicare drug plan covered. It was the best health decision I ever made. As a result,an inhaler that I used to go through monthly at a cost of $429.00 now lasts 2 to 3 months.

Reply to this post

Back to top Alert abuse Link here Permalink


Response to MadDAsHell (Original post)

Tue Apr 16, 2019, 07:55 PM

25. Nice post, Paul Ryan. What the fuck else do you want them to quit.

This is right wing libertarian bullshit.

Are you going to say the same thing about other health insurance plans? Do you think pre-existing conditions should be used to deny coverage?

Stuff like this is idiotic to be seen here on DU.

Reply to this post

Back to top Alert abuse Link here Permalink


Response to MadDAsHell (Original post)

Tue Apr 16, 2019, 08:22 PM

26. Why are we interested in saving billions out of Medicaid?

Medicaid needs more billions, not fewer. And tobacco users have been paying sky high tobacco taxes for decades. Financially, the Sin of being a tobacco user has been covered. Back off on refusing care.
Maybe make an investment in reducing the profiteering of Pharma off human misery and stop dreaming up ways to punish the patients.

Reply to this post

Back to top Alert abuse Link here Permalink


Response to Triloon (Reply #26)

Tue Apr 16, 2019, 08:36 PM

27. Triloon

Well said.

Reply to this post

Back to top Alert abuse Link here Permalink


Response to Triloon (Reply #26)

Wed Apr 17, 2019, 07:21 PM

32. Didn't see anything in the article about refusing care. It's just an article about math? nt

Reply to this post

Back to top Alert abuse Link here Permalink


Response to MadDAsHell (Original post)

Wed Apr 17, 2019, 07:20 AM

29. ITA. and how much could Medicare save if recipients quit smoking? Nt

Reply to this post

Back to top Alert abuse Link here Permalink


Response to MadDAsHell (Original post)

Wed Apr 17, 2019, 07:12 PM

31. But then Rick Scott and Drumpf would steal it in a year or two

To say nothing of Miami exiles.

Reply to this post

Back to top Alert abuse Link here Permalink


Response to MadDAsHell (Original post)

Thu Apr 18, 2019, 08:15 AM

34. Smoking keeps people poor.

You can do the math on what a pack a day smoker spends on his/her habit.
Sadly, many are unable to stop- bipolars, for instance have a terrible time stopping.
It's a powerful drug and the addiction is very strong.
First Amendment is or could be an impediment to banning all advertising.
Still, it'd be worth trying to make companies pay for some of the harm caused.

Reply to this post

Back to top Alert abuse Link here Permalink

Reply to this thread