Tuesday, 19 November 2002 - 5:00 PM
Hilton San Francisco Mason A&B (90)

This presentation is part of CESS-86. Cessation, Nicotine, and the Science of Addiction

Putting the Pieces Together: Fashioning a Model for Statewide Cessation Services Through Managed Care

Beau Carter, Integrated Healthcare Association, bcarter@iha.org, Traci Verardo, Next Generation Tobacco Control Alliance, traci.verardo@tobaccofreealliance.org, John Miller, California Senate Committee on Health and Human Services, john.miller@sen.ca.gov.

Learning Objectives: Explain how AHRQ and US Public Health Service guidelines can be adopted into a competitive managed care environment. Identify key factors that can be used to motivate chief stakeholders in their healthcare industry to participate in collaborative efforts toward statewide cessation. Assess whether opportunities exist within their own states to engage the managed care industry in a statewide cessation effort.

Abstract: As a state with over 4 million adult smokers, California faces a major challenge in helping smokers successfully quit. The Next Generation California Tobacco Control Alliance is leading an effort to move the state’s health care industry toward adoption of the PHS guidelines, specifically as they pertain to the role that managed care organizations can play in providing cessation services. With 45 HMOs licensed in California, over 20 million Californians, almost 60%, receive care through managed care organizations, including more than 2 million Medi-Cal enrollees.

Panelists will discuss current issues, opportunities and challenges in (1) working with the managed care industry toward adoption of a uniform cessation benefit, (2) maintaining a productive balance between the competing interests of health plans, medical groups, health care providers and advocates, while keeping them actively engaged, (3) developing a convincing cost/benefit case to secure buy-in from health plans and health purchasers, (4) creating models for delivering cessation services that are adapted for physician offices with varying levels of experience and capacity to help smokers quit, and (5) pursuing policy strategies to achieve statewide implementation.

Co-panelists represent a cross section of experience in tobacco control research, managed care administration and tobacco control advocacy.

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