Budgetary Impact from Multiple Perspectives of Sustained Antitobacco National Media Campaigns to Red
Thursday, April 15, 2021
Posted by: Natalia Gromov
Maciosek
MV, Armour BS, Babb SD, et al.
Budgetary Impact from
Multiple Perspectives of Sustained Antitobacco National Media Campaigns to
Reduce the Harms of Cigarette Smoking.
Tobacco Control Published Online First: 27 April 2020. doi:
10.1136/tobaccocontrol-2019-055482
Background.
High-intensity antitobacco media campaigns are a proven strategy to reduce the
harms of cigarette smoking. While buy-in from multiple stakeholders is needed
to launch meaningful health policy, the budgetary impact of sustained media
campaigns from multiple payer perspectives is unknown.
Methods.
We estimated the budgetary impact and time to breakeven from societal,
all-payer, Medicare, Medicaid and private insurer perspectives of national
antitobacco media campaigns in the USA. Campaigns of 1, 5 and 10 years of
durations were assessed in a microsimulation model to estimate the 10 and
20-year health and budgetary impact. Simulation model inputs were obtained from
literature and both pubic use and proprietary data sets.
Results. The
microsimulation predicts that a 10-year national smoking cessation campaign
would produce net savings of $10.4, $5.1, $1.4, $3.6 and $0.2 billion from the
societal, all-payer, Medicare, Medicaid and private insurer perspectives,
respectively. National antitobacco media campaigns of 1, 5 and 10-year
durations could produce net savings for Medicaid and Medicare within 2 years,
and for private insurers within 6–9 years. A 10-year campaign would reduce
adult cigarette smoking prevalence by 1.2 percentage points, prevent 23 500
smoking-attributable deaths over the first 10 years. In sensitivity analysis,
media campaign costs would be offset by reductions in medical care spending of
smoking among all payers combined within 6 years in all tested scenarios.
Conclusions.
1, 5 and 10-year antitobacco media campaigns all yield net savings within 10
years from all perspectives. Multiyear campaigns yield substantially higher
savings than a 1-year campaign.
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