Tobacco Cessation Coverage: Creating a Healthier Workforce and Increasing Business Efficiency

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Equipping employees with tobacco cessation resources not only improves their health but also boosts business productivity and reduces healthcare costs. This comprehensive approach addresses the desire of tobacco users to quit, the financial impact of tobacco use on businesses, and the preventable costs of tobacco-related diseases. By promoting a tobacco-free workplace, businesses can enhance their competitiveness in the marketplace and minimize lost work productivity associated with tobacco use.


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  1. TOBACCO CESSATION COVERAGE: Creating a Healthier Workforce and Improving Your Business s Bottom Line Name Agency/Title

  2. Staying Competitive in the Marketplace Equipping your employees with the resources to quit tobacco is good for them and great for your business Every employee that becomes tobacco free will reduce health care costs for your business increase overall productivity

  3. Tobacco Users Want to Quit (and need help) Approximately 70% of tobacco users want to quit

  4. Tobacco Use and Your Bottom Line It is estimated that US businesses incur excess costs in the range of $5,816 per year.1 an 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.2 The annual per smoker cost of lost productivity due to unsanctioned smoking breaks is $3,077.24.1 Businesses pay an average of $2,289 in workers compensation costs for smokers, compared to $176 for nonsmokers.3 1Berman M., Crane R., Seiber E., Munur M. Estimating the cost of a smoking employee. TobControl 2013; 0:1-6. 2Weng 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. 3Musich S, Napier D, Edington D. The association of health risks with worker s compensation costs. JOEM. 2001:43 (6):534-541.

  5. THE COST OF TOBACCO-RELATED DISEASES TO BUSINESSES Medical Condition/Event Annual Treatment Cost 1, 2 Respiratory Failure on Ventilator $314,000 Chemotherapy & Cancer Surgery $123,000 Coronary Artery Disease 275,000 Bypass Surgery $72,000 Stroke $61,000 70% of current smokers' excess medical care costs are preventable by quitting3 1 Berman M., Crane R., Seiber E., Munur M. Estimating the cost of a smoking employee. Tob Control 2013; 0:1-6. 2Centers for Disease Control and Prevention. Quitting Smoking Among Adults --- United States, 2001-- 2010.MMWR. 2011;60(44):1513 15193 3 Maciosek , Michael V., Xub, Xin ,Butani Amy L., Pechacek, Terry F. Preventive Medicine 77 (2015) 162 167

  6. 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.1 Employees who smoke at least one pack a day experience 75 percent more lost productive time than non smoking workers.2 Three 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.

  7. How Much Does Tobacco Cost You? Do The Math: 840 5,000 0.168 Smoking Rate Total # of Employees # of Smokers 840 $4,056 $3,407,040 Lost Productivity Cost Per Smoker Total Lost Productivity Costs # of Smokers 840 $2,056 $1,727,040 # of Smokers Medical Cost Per Smoker Total Medical Cost Employees who smoke cost your business over five million annually

  8. We Know What Works Research indicates the most effective tobacco treatment is a combination of: evidence-based coaching and FDA approved medications.

  9. Cessation Benefits Cessation Benefits Should Include ALL of These Treatments: Barriers to Avoid: MEDICATIONS COUNSELING 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 Nicotine Gum Nicotine Patch Nicotine Lozenge Nicotine Nasal Spray Nicotine Inhaler Bupropion Varenicline Individual Group Phone Medication and counseling together are more effective than either alone

  10. 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.1,2 The effectiveness of counseling services increases as their intensity (the number and length of sessions) increases.1 Smokers are more likely to use telephone counseling than to participate in individual or group counseling sessions.2,3 1Fiore 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.

  11. Quitlines: Evidence-based and Effective Quitlines are telephone-based tobacco cessation services that help tobacco users quit through a variety of services, including: Counseling FDA-approved medications Information and self-help materials Quitlines reach many smokers, even underserved and rural populations Quitline counseling can more than double a smoker s chances of quitting. 1 Quitline 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,

  12. Cessation Coverage: Cost-Effective Paying for tobacco use cessation treatments is the single most cost-effective health insurance benefit .1,2,3 Coverage 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 1Warner 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. 3Coffield 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.

  13. 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.2 Calculate 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.

  14. Return-on-Investment: Quitline and Medication Employ 5000 Number of Employees who use tobacco (16.8% prevalence rate ) users Number of Quitline participants based on level of reach (5,10,20%). 42 participants 840 840 840 Tobacco Tobacco users Tobacco users 5% Reach 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 cost (avg quitline cost of $250 x ppts) $10,500 Program Cost $21,000 Program Cost $ 42,000 Program Cost Averted Medical Costs (#smokers who quit x $2,056) $ 24,672 Medical Cost Averted $48,672 Productivity Cost Averted $ 51,400 Medical Cost Averted $101,400 Productivity Cost Averted $ 102,800 Medical Cost Averted $202,800 Productivity Cost Averted Averted Productivity Costs (# smokers who quit x $4056) 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**

  15. 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

  16. Take the Next StepCall Us We can provide assistance with: Defining a comprehensive cessation treatment benefit Identifying resources to provide an evidence- based cessation treatment program Promoting the program to employees On-going evaluation of utilization, outcomes and ROI Call ______ at _________

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