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Keywords:

  • managed care;
  • Medicaid;
  • public health;
  • smoking cessation;
  • Tennessee

Abstract

Objective

To evaluate the smoking cessation coverage available from public and private Tennessee health plans.

Design and Sample

Cross-sectional study. The sampling frame for private plans was a register of licensed plans obtained from the Tennessee Commerce Department. Government websites and reports provided TennCare data.

Measures

Data were abstracted from plan manuals and formularies for benefit year 2012. Classification of coverage included comprehensive—all seven recommended medications plus individual and group counseling; moderate—at least two forms of nicotine replacement therapy (NRT) plus bupropion and varenicline and one form of counseling; inadequate—at least one treatment, or none—no medications or counseling, or coverage only for pregnant women.

Results

Of nine private plans, one provided comprehensive coverage; two, moderate coverage; four, inadequate coverage, as did TennCare; and two plans provided no coverage. Over 362,800 smokers had inadequate access to cessation treatments under TennCare, while 119,094 smokers had inadequate or no cessation coverage under private plans.

Conclusion

In 2012, Tennessee fell short of Healthy People goals for total managed care and comprehensive TennCare coverage of smoking cessation. If Tennessee mandates that all health plans provide full coverage, 481,900 smokers may immediately be in a better position to quit.