Meeting the tobacco cessation coverage requirement of the patient protection and affordable care act: State smoking cessation quitlines and cost sharing

Robin H. Lemaire, Linda Bailey, Scott Leischow

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

Objectives: We explored whether various key stakeholders considered cost sharing with state telephone-based tobacco cessation quitlines, because including tobacco cessation services as part of the required essential health benefits is a new requirement of the Patient Protection and Affordable Care Act (ACA). Methods: We analyzed qualitative data collected from interviews conducted in April and May of 2014 with representatives of state health departments, quitline service providers, health plans, and insurance brokers in 4 US states. Results: State health departments varied in the strategies they considered the role their state quitline would play in meeting the ACA requirements. Health plans and insurance brokers referred to state quitlines because they were perceived as effective and free, but in 3 of the 4 states, the private stakeholder groups did not consider cost sharing. Conclusions: If state health departments are going to initiate cost-sharing agreements with private insurance providers, then they will need to engage a broad array of stakeholders and will need to overcome the perception that state quitline services are free.

Original languageEnglish (US)
Pages (from-to)S699-S705
JournalAmerican Journal of Public Health
Volume105
DOIs
StatePublished - Jan 1 2015
Externally publishedYes

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Cost Sharing
Patient Protection and Affordable Care Act
Tobacco Use Cessation
Smoking Cessation
Health Insurance
Health
Insurance Benefits
Insurance
Telephone
Interviews

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

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