Evidence Suggests That The ACAs Tobacco Surcharges Reduced Insurance Take-Up And Did Not Increase Smoking Cessation.
To account for tobacco users' excess health care costs and encourage cessation, the Affordable Care Act (ACA) allowed insurers to impose a surcharge on tobacco users' premiums for plans offered on the health insurance exchanges, or Marketplaces. Low-income tax credits for Marketplace coverage were b...
| Publicado en: | Health Affairs Vol. 35; no. 7; pp. 1176 - 1184 |
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| Autores principales: | , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Health Affairs Publishing, LLC
Jul2016
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=116675035&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 116675035 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 02782715 HAF jtl: Health Affairs issn: 02782715 maglogo: N pubinfo: dt: Jul2016 vid: 35 iid: 7 pid: 1453 pub: Health Affairs Publishing, LLC place: Washington, District of Columbia artinfo: ui: 116675035 116675035 116675035 10.1377/hlthaff.2015.1540 116675035 ppf: 1176 ppct: 8 formats: tig: atl: Evidence Suggests That The ACAs Tobacco Surcharges Reduced Insurance Take-Up And Did Not Increase Smoking Cessation. aug: au: Friedman, Abigail S. Schpero, William L. Busch, Susan H. affil: Assistant professor, Department of Health Policy and Management, Yale School of Public Health, New Haven, Connecticut sug: subj: Smoking Cessation Evaluation Insurance, Health Insurance Coverage Statistics and Numerical Data Health Care Costs Taxes Patient Protection and Affordable Care Act Human Health Insurance Exchanges Male Female Adult Middle Age Data Analysis, Statistical Confidence Intervals Funding Source Adult: 19-44 years Middle Aged: 45-64 years Male Female ab: To account for tobacco users' excess health care costs and encourage cessation, the Affordable Care Act (ACA) allowed insurers to impose a surcharge on tobacco users' premiums for plans offered on the health insurance exchanges, or Marketplaces. Low-income tax credits for Marketplace coverage were based on premiums for non-tobacco users, which means that these credits did not offset any surcharge costs. Thus, this policy greatly increased out-of-pocket premiums for many tobacco users. Using data for 2011-14 from the Behavioral Risk Factor Surveillance System, we examined the effect of tobacco surcharges on insurance status and smoking cessation in the first year of the exchanges' implementation, among adults most likely to purchase insurance from them. Relative to smokers who faced no surcharges, smokers facing medium or high surcharges had significantly reduced coverage (reductions of 4.3 percentage points and 11.6 percentage points, respectively), but no significant differences in smoking cessation. In contrast, those facing low surcharges showed significantly less smoking cessation. Taken together, these findings suggest that tobacco surcharges conflicted with a major goal of the ACA--increased financial protection--without increasing smoking cessation. States should consider these potential effects when deciding whether to limit surcharges to less than the federal maximum. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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