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3 results on '"Young‐Wolff, Kelly C."'

1. Evaluating the Impact of Eliminating Copayments for Tobacco Cessation Pharmacotherapy

Author

Young-Wolff, Kelly C, Adams, Sara R, Klebaner, Daniella, Adams, Alyce S, Campbell, Cynthia I, Satre, Derek D, and Prochaska, Judith J

Subjects
Public Health, Health Sciences, Tobacco Smoke and Health, Clinical Research, Prevention, Tobacco, Cancer, Good Health and Well Being, Adolescent, Adult, Aged, California, Deductibles and Coinsurance, Female, Humans, Income, Male, Middle Aged, Patient Protection and Affordable Care Act, Smoking Cessation, Socioeconomic Factors, Tobacco Use Cessation, Tobacco Use Cessation Devices, Young Adult, Affordable Care Act, tobacco cessation pharmacotherapy, smoking, tobacco treatment, integrated healthcare, copayment, cost-sharing, disparities, income, Public Health and Health Services, Applied Economics, Health Policy & Services, Applied economics, Health services and systems, Policy and administration
Abstract

ObjectivesWe examined the impact of the Affordable Care Act-mandated elimination of tobacco cessation pharmacotherapy (TCP) copayments on patient use of TCP, overall and by income.MethodsElectronic health record data captured any and combination (eg, nicotine gum plus patch) TCP use among adult smokers newly enrolled in Kaiser Permanente Northern California (KPNC). KPNC eliminated TCP copayments in 2015. We included current smokers newly enrolled in the first 6 months of 2014 (before copayment elimination, N=16,199) or 2015 (after elimination, N=16,469). Multivariable models estimated 1-year changes in rates of any TCP fill, and of combination TCP fill, and tested for differences by income (

Published
2018

2. Association of the Affordable Care Act With Smoking and Tobacco Treatment Utilization Among Adults Newly Enrolled in Health Care

Author

Young-Wolff, Kelly C, Klebaner, Daniella, Campbell, Cynthia I, Weisner, Constance, Satre, Derek D, and Adams, Alyce S

Subjects
Health Services and Systems, Health Sciences, Health Services, Prevention, Tobacco Smoke and Health, Clinical Research, Tobacco, Cancer, Respiratory, Stroke, Good Health and Well Being, Adult, Female, Health Services Accessibility, Health Services Needs and Demand, Humans, Insurance Coverage, Male, Medicaid, Middle Aged, Patient Protection and Affordable Care Act, Smoking Prevention, Tobacco Use Cessation, Tobacco Use Disorder, United States, smoking, tobacco treatment, health care reform, Affordable Care Act, integrated health care, Public Health and Health Services, Applied Economics, Health Policy & Services, Applied economics, Health services and systems, Policy and administration
Abstract

ObjectivesTo examine rates of smoking and tobacco treatment utilization by insurance coverage status (Medicaid, commercial, exchange) among newly enrolled patients in the post Affordable Care Act (ACA) era.MethodsWe examined new members who enrolled in Kaiser Permanente Northern California through Medicaid, the California exchange, or nonexchange commercial plans (N=122,298) in the first 6 months of 2014 following ACA implementation. We compared these groups on smoking prevalence and tested whether smokers in each group differed on sociodemographic characteristics and in their utilization of tobacco treatment (pharmacotherapy and counseling) in 2014.ResultsSmoking prevalence was higher among Medicaid (22%) than exchange (13%) or commercial (12%) patients (P

Published
2017

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