Impact of Health Reform on Smoking and Treatment Utilization

The overall objective of this study is to examine how the implementation of landmark health care legislation has impacted the population of smokers in a private health care delivery system, their treatment utilization, and their smoking cessation outcomes over time. New insured smokers through Medicaid expansion and CA exchanges are likely to be a vulnerable group, with a higher prevalence of comorbidities, and unique barriers to utilization of tobacco treatment. The study is designed to test whether newly insured patients have a higher percentage of comorbidities and differential use of tobacco cessation counseling. Further, the study will test whether variation in benefit plan and coverage among post-ACA new member smokers differentially impacts tobacco cessation counseling utilization and smoking cessation outcomes longitudinally.

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