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Because Medicaid recipients smoke at rates more than double for adults with private insurance, the program is unduly impacted by smoking-related health care costs, estimated around $39.6 billion annually, or 15.2 percent of Medicaid expenditures nationwide. One study analyzing all Medicaid recipients switching from combustible cigarettes to e-cigarettes estimates savings would have amounted to $48 billion in 2012

Ascertainment of hypertension Blood pressure measurement was performed by trained investigators using uniformly calibrated electronic sphygmomanometers, accurate to 0.1 mmHg

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