3 Fundamentals of Comprehensive Cessation Benefits
Cessation treatments are a proven prevention to ol that will reduce disease and save health care
costs, yet only 1 in 50 employers in the U.S. and only six states offer all evidence-based treat-
♦ 40% of smokers make a quit attempt each year. Most will not use an evidenced-based cessation treatment
while trying to quit. 3-5% of smokers will actually stop smoking.
♦ Providing tobacco users with access to both medication and cessation counseling increases quit rates by
♦ Smokers and other tobacco users need access to a range of treatments and combinations to find the most
effective cessation tools that work for them. Not all tobacco users are the same; they vary in what products they use, how much, how often, and individual medical conditions.
♦ Nicotine addiction is classified as, and should be treated as, a chronic disease. Tobacco users often need
several attempts over a period of years to quit successfully.
♦ Including cessation treatments as a covered health benefit increases quit rates by 30%.
Nicotine Replacement Therapy (NRT) and Medications Cessation benefits should include all seven FDA-approved over-the-counter and prescription therapies. These benefits should be automatically updatable as the universe of FDA-approved therapies changes.
Although many private health plans and government-sponsored plans offer some form of counseling, most do
not offer a range of effective options. Evidence on cessation counseling shows that: ♦ Person-to person counseling over at least 4 sessions is especially effective at increasing quit rates, including
group and individual therapy and telephone quitlines.
♦ Longer and more frequent counseling sessions are more effective than more
limited sessions in getting people to quit.
♦ Face-to-face counseling should be conducted by a physician or other qualified
heath professional using evidence-based tools and techniques, such as
practical counseling (problem-solving and skills training) and supportive
counseling (encouragement, willingness to help).
♦ Internet resources are a growing source of cessation information, but
insufficient evidence exists to recommend this as a primary cessation tool.
A comprehensive cessation counseling program or benefit should allow for multiple in-person sessions with a
♦ Cost-sharing, such as deductibles, co-pays, or co-insurance should be minimal. ♦ Benefits should not be limited by pre-authorization requirements or other administrative
challenges that can limit tobacco users’ access to cessation treatments.
♦ Evidence shows that even small fees can deter people from using preventative services.
Cost Sharing (co-pays, deductibles, co-insurance)
Cessation services should include all evidenced-based medications and counseling treatments to improve quit rates and save lives.
Key Sources Centers for Disease Control and Prevention. Best Practices for Comprehensive Tobacco Control Programs—2007.
Atlanta. U.S. Department of Health and Human Services. October 2007.
Fiore MC, Bailey Jaen CR, Baker TB, et al. Treating Tobacco Use and Dependence. 2008 Update. Rockville, MD: U.S.
Department of Health and Human Services., Public Health Service. May 2008.
ACS CAN supports an integrated, three-pronged approach to reduce tobacco use: 1) increase the price of tobacco
products by raising tobacco taxes, 2) implement comprehensive smoke-free policies and repeal preemption laws, and 3) fully fund and sustain evidence-based, statewide tobacco prevention and cessation programs. All three strategies are necessary to reduce tobacco use and the more than 400,000 premature deaths from tobacco that occur every year in the U.S.
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Cornea Surgery 1 WEEK BEFORE SURGERY STOP any Aspirin, Coumadin, Plavix, Vitamin E 1 DAY BEFORE SURGERY Zymar (antibiotic) Xibrom (anti - inflammatory) 2 doses Discontinue contact lenses NO food or drink after midnight. You may take your normal medications (pills) with sips of water. Remove all eye makeup including eyeliner and mascara Be certain to have driving arrangemen