prisoner medicaid eligibility incarcerated populations, the affordable care act, and the challenge...
TRANSCRIPT
Prisoner Medicaid Eligibility
Incarcerated Populations, the Affordable Care Act,
and the Challenge of 2014
Brad Brockmann, JD, MDiv, Executive Director, Center for Prisoner Health and Human Rights, Providence, RI
Jody Rich, MD, MPH, Professor of Medicine, Brown University Medical School, Co-founder and
Director, Center for Prisoner Health and Human Rights
Session Outline
Brief introduction and gauging audience experience and expectations
Review of current continuity of care and discharge planning challenges for soon-to-be-released prisoners
Key Medicaid expansion features
Presentation of structural and other practical issues that need to be addressed in connection with Medicaid expansion in 2014 as informed by the RI experience
Summary of ongoing challenges that need to be addressed prior to 2014
Open discussion of audience experiences with preparing for Medicaid expansion in 2014
Key Medicaid Expansion/ACA Features
Coverage for populations most likely to be involved with the criminal justice system
Parity
Emphasis on need for effective prevention services (90% Federal payment for expansion population so long as they do not become disabled)
Navigators
Health homes
One stop shopping
Technology upgrades, improved interface among different healthcare systems
Reimbursement of healthcare expenditures by correctional facilities for medical and mental health services incurred by non-adjudicated detainees who have Health Exchange issued health plans
Key Lessons from RI Experience
Be at the table
Beware silos- both between agencies and, within agencies, between departments
Always bring IT to the table
Bring people who have an excellent comprehension of how different inter- and intra-agency systems interface, exchange and utilize information, etc.
Get a really big table so everyone will fit
Ongoing Challenges and Opportunities
Role of Navigators
Be at the table
Health homes
Opportunity for continued healthcare coverage for non-adjudicated detainees with exchange-issued insurance plans after incarceration: what does this mean for prisons/jails?
New electronic/computer systems, new interfaces between agencies: integrating correctional institutions into new health information technology infrastructure
Capacity
Differential treatment of non-adjudicated detainees with Medicaid coverage post-incarceration
Thank you!!
www.prisonerhealth.org
Thank you!