Tobacco Cessation Coverage - PowerPoint Presentation

Slide1

Tobacco Cessation Coverage:

Creating a Healthier Workforce and Improving Your Business’s Bottom LineNameAgency/Title

Staying Competitive in the Marketplace

Equipping your employees with the resources to quit tobacco is good for them and great for your businessEvery employee that becomes tobacco free will reduce health care costs for your businessincrease overall productivity

Tobacco

Users Want to Quit

(

and need help)

Approximately 70% of tobacco users

want to quit

Tobacco Use and Your Bottom Line

It is estimated that US businesses incur excess costs in the range of $5,816 per year.1an extra $2,056 a year in medical expense

$4,056 in lost productivity.

1

On average, smokers miss 2.74 more days of work per year compared to non-smokers.2The annual per smoker cost of lost productivity due to unsanctioned smoking breaks is $3,077.24.

1Businesses pay an average of $2,289 in workers’ compensation costs for smokers, compared to $176 for nonsmokers.31 Berman M., Crane R., Seiber E.,

Munur

M. Estimating the cost of a smoking employee.

TobControl

2013; 0:1-6.

2

Weng

S.F.,Ali

S.,

Leonardi

-Bee J. Smoking and absence from work: Systematic review and meta-analysis of occupational studies.

Addiiction

2012; 108: 307-319

.

3

Musich S, Napier D,

Edington

D. The association of health risks with worker’s compensation costs.

JOEM

. 2001:43 (6):534-541.

THE

COST OF TOBACCO-RELATED DISEASES TO BUSINESSES

Medical Condition/Event

Annual

Treatment Cost 1, 2

Respiratory Failure on Ventilator $314,000Chemotherapy & Cancer Surgery

$123,000

Coronary

Artery Disease

275,000

Bypass Surgery$72,000Stroke $61,000

1 Berman M., Crane R., Seiber E., Munur M. Estimating the cost of a smoking employee. Tob Control 2013; 0:1-6. 2 Centers for Disease Control and Prevention. Quitting Smoking Among Adults --- United States, 2001--2010.MMWR. 2011;60(44):1513–151933 Maciosek , Michael V., Xub, Xin ,Butani Amy L., Pechacek, Terry F. Preventive Medicine 77 (2015) 162–167

70% of current smokers' excess medical

care costs are preventable by quitting

3

Lost Work Productivity

Tobacco use is the leading contributor to lost productive work time.Businesses like yours lose an average of $4,056 per smoker every year in lost productivity.1Employees who smoke at least one pack a day experience 75 percent more lost productive time than non smoking workers.2Three 15 minute smoke breaks equal more than a week of lost time a year.

1

Berman M., Crane R.,

Seiber

E., Munur M. Estimating the cost of a smoking employee. Tob

Control 2013; 0:1-6. 2 Stewart W.F., Ricci J.A., Chee E., & Morganstein D. (2003). Lost productive work time costs from health conditions in the United States: Results from the American Productivity Audit. Journal of Occupational and Environmental Medicine, 45(12):1234–46.

How Much Does Tobacco Cost You?

Do The Math:5,000

840

0.168

840

$4,056

$2,056

$1,727,040

$3,407,040

840

Total # of Employees

Smoking

Rate

# of Smokers

# of Smokers

Lost

Productivity

Cost

Per

Smoker

# of Smokers

Medical Cost

Per

Smoker

Total Lost

Productivity Costs

Total Medical Cost

Employees who

smoke cost your

business over

five

million annually

We Know What Works

Research indicates the most effective tobacco treatment is a combination of:

evidence-based coaching and

FDA approved medications.

Cessation Benefits

Cessation Benefits Should Include ALL of These Treatments:MEDICATIONS

COUNSELING

Nicotine

Gum

Individual

Nicotine

Patch

Group

Nicotine

Lozenge

Phone

Nicotine Nasal Spray

Nicotine Inhaler

Bupropion

Varenicline

Barriers to Avoid:

Co-pays

Prior authorization

Duration limits

Annual limits on quit attempts

Dollar limits

Requirements to try one medication before another

Requirements to pair medications with counseling

Medication and counseling together are more effective than either

alone

Counseling: Evidence-based and Effective

Face-to-face counseling and interactive telephone counseling are more effective than services that only provide educational or self-help materials.1,2The effectiveness of counseling services increases as their intensity (the number and length of sessions) increases.1Smokers are more likely to use telephone counseling than to participate in individual or group counseling sessions.2,3

1

Fiore MC, Bailey WC, Cohen SJ, et al.

Treating Tobacco Use and Dependence: Clinical Practice Guideline.

Rockville, MD: U.S. Department of Health and Human Services, Public Health Service; 2000.2McAfee T,

Sofian N, Wilson J, Hindmarsh M. The role of tobacco intervention in population-based health care. American Journal of Preventive Medicine 1998;14:46–52.3McAfee T. Increasing the population impact of quitlines. Paper presented at the North American Quitline Conference, Phoenix, AZ, 2002.

Quitlines: Evidence-based and Effective

Quitlines are telephone-based tobacco cessation services that help tobacco users quit through a variety of services, including:CounselingFDA-approved medicationsInformation and self-help

materials

Quitlines

reach many smokers, even underserved and rural populationsQuitline counseling can more than double a smoker’s chances of

quitting. 1Quitline counseling combined with medication can more than triple the chances of quitting. 1

http

://www.surgeongeneral.gov/tobacco/treating_tobacco_use08.pdf

.

1Fiore MC, et al. Treating Tobacco Use and Dependence: 2008 Update – Clinical Practice Guideline, US Public Health Service, May 2008,

Cessation Coverage: Cost-Effective

Paying for tobacco use cessation treatments is the single most cost-effective health insurance benefit .1,2,3Coverage increases both use of effective treatment and the number of successful quit attempts.4

Employers can significantly reduce long-term costs by implementing smoking cessation programmes.

5

1

Warner KE. Cost effectiveness of smoking-cessation therapies. Interpretation of the evidence and implications for

coverage. Pharmacoeconomics 1997;11(6):538–49.2Cummings SR, Rubin SM, Oster G. The cost-effectiveness of counseling smokers to quit. Journal of the American Medical Association 1989;261(1):75–79.

3

Coffield

AB,

Maciosek

MV, McGinnis JM, et al.. Priorities among recommended clinical preventive services. American Journal of Preventive Medicine 2001;21(1):1–9.4 Hopkins DP, Briss PA, Ricard CJ, et al. Task Force on Community Preventive Services. American Journal

of Preventive Medicine 2001;20(2 Suppl):16–26.5Levy DE. Employer-sponsored insurance coverage of smoking cessation treatments. Am J Manag Care 2006;12:553–62.

Cessation Coverage: Benefit for Employers

ROI for tobacco cessation treatment is positive after one year due to increases in employee productivity alone.1 Medical savings build after two years of providing cessation benefits to employees.1

Cost analyses have shown that tobacco cessation benefits,

from an employer

perspective, are cost-saving.

2Calculate the expected return on your investment

for your business at www.businesscaseroi.org provided by American Health Plans. 1 American Health Plan Insurance. Making the Business Case for Tobacco Cessation.

Retrieved from

http://www.businesscaseroi.org

2

Campbell KP, Lanza A, Dixon R, Chattopadhyay S, Molanari N, Finch RA, editors. A purchaser’s guide to clinical preventive services: moving science into coverage. Washington, DC: National Business Group on Health; 2006.

Return-on-Investment:

Quitline and MedicationEmploy 5000

Number

of

Employees who use tobacco

(16.8% prevalence rate )

840

Tobacco

users

840

Tobacco

users

840

Tobacco

users

Number

o

f

Quitline

participants

based

on

level of

reach (5,10,20%).

5% Reach

42 participants

10% Reach

84 participants

20% Reach

168 participants

Number

of employees who

quit

(based on

quitline

quit rate 30%

)

12

quit

25

quit

50

quit

Estimated

Quitline

program c

ost

(

avg

quitline

cost of

$250 x

ppts

)

$

10,500

Program Cost

$21,000

Program

C

ost

$

42,000

Program C

ost

Averted Medical Costs

(#smokers

who quit x $2,056)

$

24,672

Medical

Cost Averted

$

51,400

Medical

Cost Averted

$

102,800

Medical

Cost Averted

Averted

Productivity Costs

(# smokers who quit x $4056)

$48,672

Productivity

Cost Averted

$101,400

Productivity

Cost Averted

$202,800

Productivity

Cost Averted

ROI* =

(Averted

Costs – Program Costs)

÷ Program Costs

* ROI

based on

Medical

Costs Alone

** ROI based on Medical & Productivity Cost

= 1.3

ROI*

=

5.9 ROI **

= 1.4

ROI*

=

6.2

ROI **

= 1.4

ROI*

= 6.2 ROI**

A Win for Employers and Employees

Providing a tobacco cessation benefit for employees is cost-effective and benefits a business’s bottom line and employee health. Quitlines are an cost-effective resource for providing evidence-based cessation treatment.

“Paying for an employee’s tobacco cessation treatment provides more return on investment than any other adult treatment or prevention benefit.”

–

National Business Group on Health

Take the Next Step…Call Us

We can provide assistance with: Defining a comprehensive cessation treatment benefitIdentifying resources to provide an evidence-based cessation treatment programPromoting the program to employeesOn-going evaluation of utilization, outcomes and ROICall ______ at _________