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首页> 美国卫生研究院文献>American Journal of Public Hygiene >Meeting the Tobacco Cessation Coverage Requirement of the Patient Protection and Affordable Care Act: State Smoking Cessation Quitlines and Cost Sharing
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Meeting the Tobacco Cessation Coverage Requirement of the Patient Protection and Affordable Care Act: State Smoking Cessation Quitlines and Cost Sharing

机译：满足患者保护和负担得起的医疗法案的戒烟范围要求：州戒烟戒烟热线和费用分担

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摘要

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.
机译：目标。我们探讨了各主要利益相关方是否考虑与州电话戒烟戒烟热线分担费用，因为将戒烟服务作为必不可少的基本健康益处的一部分是《患者保护和负担得起的医疗法案》（ACA）的一项新要求。我们分析了2014年4月和5月与美国4个州的州卫生部门，戒烟热线服务提供商，卫生计划和保险经纪人的代表进行的访谈收集的定性数据。州卫生部门在策略上有所不同，他们认为州戒烟在满足ACA要求方面将发挥作用。健康计划和保险经纪人之所以提到州戒烟热线，是因为它们被认为是有效和免费的，但是在四个州中的三个州，私人利益相关者团体并未考虑成本分摊。如果州卫生部门打算与私人保险提供商发起成本分摊协议，那么他们将需要与广泛的利益相关方合作，并且需要克服人们对州戒烟服务免费的看法。

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