Hello:

I think readers will find the following message very interesting. I did!

Ron

===============<Forwarded Message>===============

On 3/22/2005, [EMAIL PROTECTED] said:

PLPL> The Centers for Medicare and Medicaid (CMS) today announced that it is
PLPL> adding coverage for smoking and tobacco use cessation counseling for
PLPL> certain beneficiaries that will help them quit the habit.

PLPL> "Covering smoking and tobacco use cessation counseling for seniors has
PLPL> great potential to save and improve lives for millions of seniors," said
PLPL> CMS Administrator Mark B. McClellan, M.D., Ph.D.  "This is another step
PLPL> in turning Medicare into a prevention-oriented health program."

PLPL> The coverage decision, which was proposed for public comment in
PLPL> December, involves Medicare beneficiaries who have an illness caused or
PLPL> complicated by tobacco use, including heart disease, cerebrovascular
PLPL> disease, lung disease, weak bones, blood clots, and cataracts - the
PLPL> diseases that account for the bulk of Medicare spending today.  It also
PLPL> applies to beneficiaries who take any of the many medications whose
PLPL> effectiveness is complicated by tobacco use - including insulins and
PLPL> medicines for high blood pressure, blood clots and depression.

PLPL> Public comments generally supported the approach that CMS proposed,
PLPL> although some commenters preferred broader coverage of all tobacco
PLPL> users.  CMS modified the proposal in response to comments by removing a
PLPL> requirement that providers have uniform training in smoking and tobacco
PLPL> use cessation counseling, since no nationally accepted standards exist.
PLPL> When standards do become available, CMS plans to consider whether to add
PLPL> those requirements to its coverage policy.

PLPL> "Millions of Medicare beneficiaries have smoked for many years, and are
PLPL> now experiencing the heart problems, respiratory problems, and many
PLPL> other often-fatal diseases that smoking can cause," McClellan said.
PLPL> "It's really hard to quit, but we are going to do everything we can to
PLPL> help.  I especially want to urge smokers on Medicare who are just
PLPL> starting to experience heart problems or lung problems or high blood
PLPL> pressure to take advantage of this new step."

PLPL> The Centers for Disease Control and Prevention (CDC) has estimated that
PLPL> 9.3 percent of Americans age 65 and older smoke cigarettes. About
PLPL> 440,000 people die annually from smoking related disease, with 300,000
PLPL> of those deaths in those 65 and older.  CDC estimated in 2002 that 57
PLPL> percent of smokers age 65 and over report a desire to quit. Currently,
PLPL> about 10 percent of elderly smokers quit each year, with 1 percent
PLPL> relapsing.

PLPL> "The evidence fully supports the hope that seniors with diseases and
PLPL> health effects caused by smoking and tobacco use can quit, given the
PLPL> right assistance," McClellan said.

PLPL> The CMS decision to cover cessation counseling comes in response to a
PLPL> June, 2004 request from the Partnership for Prevention (PFP). The PFP
PLPL> requested CMS open a National Coverage Decision (NCD) to consider
PLPL> coverage of tobacco cessation counseling as detailed in the U.S.
PLPL> Department of Health and Human Services, Public Health Service (PHS)
PLPL> 2000 Clinical Practice Guideline: Treating Tobacco Use and Dependence.

PLPL> The PHS 2000 Guideline has been endorsed by many healthcare and
PLPL> professional organizations.  Based on the evidence that is reflected in
PLPL> the guidelines, CMS had decided to extend smoking and tobacco use
PLPL> cessation coverage to beneficiaries who smoke and have been diagnosed
PLPL> with a smoking related disease or are taking certain drugs whose
PLPL> metabolism is affected by tobacco use.  This announcement builds on a
PLPL> series of HHS initiatives designed to help Americans quit smoking,
PLPL> including the opening of a new national quitline (1-800-QUITNOW) and
PLPL> designating all HHS campuses tobacco-free.

PLPL> While many may think that those who quit at age 65 or older fail to
PLPL> reap the health benefits of abstinence from tobacco, the U.S. Surgeon
PLPL> General has reported that the benefits of cessation do extend to
PLPL> quitting at older ages. Smoking cessation in older adults leads to
PLPL> significant risk reduction and other health benefits, even in those who
PLPL> have smoked for years.

PLPL> Medicare's upcoming prescription drug benefit will cover smoking
PLPL> cessation treatments that are prescribed by a physician.

PLPL> "Federal policy has acknowledged tobacco as the number one cause of
PLPL> preventable death for decades now, and CMS has taken the lead in
PLPL> implementing coverage policy for our seniors to deal directly with this
PLPL> critical health problem," said Sean Tunis, M.D., CMS' Chief Medical
PLPL> Officer.

PLPL> Researchers estimate that smoking accounts for approximately 10% of the
PLPL> total costs of the Medicare program or about $20.5 billion in 1997.   On
PLPL> average, nonsmokers survived 1.6-3.9 years longer than those who have
PLPL> never smoked.

PLPL> The final Medicare coverage decision is available on the CMS Website at
PLPL> https://www.cms.hhs.gov/mcd/viewdecisionmemo.asp?id=130

PLPL> To view this press release:
PLPL> http://www.cms.hhs.gov/media/press/release.asp?Counter=1395



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