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Date: April 30, 2024 Tue
Time: 2:35 am
Time: 2:35 am
Results for correctional health care
3 results foundAuthor: Maine. State Legislature. Office of Program Evaluation & Government Accountability Title: Health Care Services in State Correctional Facilities – Weaknesses Exist in MDOC’s Monitoring of Contractor Compliance and Performance; New Administration is Undertaking Systemic Changes Summary: The Maine Legislature’s Office of Program Evaluation and Government Accountability (OPEGA) has completed a review of Health Care Services in State Correctional Facilities. This review was performed at the direction of the Government Oversight Committee for the 124th Legislature. OPEGA contracted with an expert consultant, MGT of America, Inc. (MGT), to conduct most of the fieldwork for this review. The review’s scope was limited to the adult and juvenile correctional facilities operated by the Maine Department of Corrections (MDOC). It was also specifically focused on the health care services delivered to prisoners by the private correctional care providers Correctional Medical Services (CMS) and CorrectRx. Contracts with these providers represent most of the health care dollars spent on State prisoners, all of which are supported by the State’s General Fund. MGT conducted its fieldwork from September through November 2010 and began sharing its preliminary issues and recommendations with OPEGA and MDOC in January 2011. Subsequently, OPEGA discussed issues raised by MGT with MDOC management and performed some additional document review in the course of finalizing the issues and recommendations for this report. MDOC’s administration of health services for prisoners has been in a state of continuous change since OPEGA began this review in the summer of 2010 and continues to undergo changes as this report is being published. When the review was initiated, the MDOC position of Health Care Services Director was vacant. The position is responsible for administration and oversight of health care services and was filled just prior to MGT beginning the fieldwork. In January 2011, while OPEGA was just beginning discussions with MDOC about reportable issues and corrective actions, a new Governor assumed office. A new MDOC Commissioner was appointed and started in the position in late February and the staff in other administrative positions directly related to managing health care services began to change as well. As a result, OPEGA put this project on hold during the spring of 2011 to allow time for the new management of MDOC to familiarize themselves with the Department’s functions, review the MGT findings, and form their own conclusions about the state of health care services in MDOC facilities. This report now reflects issues drawn from MGT’s point in time look at the Department’s health care services for prisoners during the fall of 2010, the relevant actions that have been taken to date by the new administration, and OPEGA’s recommendations for ongoing improvements. 1 Correctional Medical Services has recently undergone organizational Details: Augusta: Maine State Legislature, Office of Program Evaluation & Government Accountability, 2011. 39p. Source: Internet Resource: Report No. SR-MEDSERV-09: Accessed November 19, 2011 at: http://www.maine.gov/legis/opega/GOC/GOC_meetings/Current_handouts/11-15-11/MEDSERV%20Final%20Report%2011-10-11.pdf Year: 2011 Country: United States URL: http://www.maine.gov/legis/opega/GOC/GOC_meetings/Current_handouts/11-15-11/MEDSERV%20Final%20Report%2011-10-11.pdf Shelf Number: 123403 Keywords: Correctional Health CarePrison Health Care (Maine) |
Author: Pew Charitable Trusts Title: State Prisons and the Delivery of Hospital Care: How states set up and finance off-site care for incarcerated individuals Summary: Delivering adequate medical care to the more than 1 million adults in state prisons is a growing challenge for states, in part because of the high costs and complex logistics required to hospitalize people who are incarcerated. While most care for incarcerated individuals is delivered on-site, some of them periodically need to be hospitalized for acute or specialized care. As is true generally, this treatment is expensive because of the labor-intensive and sophisticated services provided. And hospitalizing someone who is in prison brings added expenses, such as providing secure transportation to and from the hospital and guarding the patient round-the-clock. State officials nationwide are under increasing pressure to contain hospitalization costs while also ensuring the constitutional right to "reasonably adequate" care. Hospitalization expenses are already a significant portion of correctional health care spending and are likely to grow if prison trends continue. The average age of those behind bars is rising, and the health needs of these individuals-like older people outside of prison-are more extensive than those of younger cohorts, including more hospitalizations. State officials are also noting an increase in the amount of care required for all adults entering correctional facilities. Looming over these considerations is the future direction of national health care policy, especially the role of Medicaid, the federal-state program for low-income individuals. With these challenges in mind, The Pew Charitable Trusts explored hospital care for people incarcerated in state prisons, tapping data from two nationwide surveys conducted by Pew and the Vera Institute of Justice and from interviews with more than 75 state officials. This first-of-its-kind analysis of hospital care for this patient population is part of a broader examination by Pew of correctional health care in the United States. This report will discuss the ways states arrange and pay for hospital care for their incarcerated population and how such care supplements on-site prison health services. Its findings include: - Off-site care costs are a significant part of correctional health budgets. For example, Virginia spent 27 percent of its prison health care budget on off-site hospital care in 2015, while New York spent 23 percent. - The health care delivery model that state prisons use to provide on-site services informs decisions they must make regarding hospitalization arrangements, including who holds authority to send someone off-site, how the care is coordinated and reviewed, and which entity pays the bill. - The federal Affordable Care Act (ACA) offers state policymakers who elect to expand their Medicaid programs' eligibility a way to reduce inpatient hospital spending. - Though incarcerated individuals always will need to be treated at hospitals for certain conditions or tests, some states have promising practices to avert some off-site care, saving money and mitigating public safety risks. The report's discussion of state approaches to providing care to incarcerated individuals is designed to help the officials involved in setting hospitalization policy-lawmakers, prison and hospital medical staff and administrators, correctional officers, and sometimes private contractors-better manage costs while working toward or maintaining a high-performing prison health care system. Details: Philadelphia: Pew Charitable Trusts, 2018. 22p. Source: Internet Resource: Accessed August 24, 2018 at: http://www.pewtrusts.org/-/media/assets/2018/07/prisons-and-hospital-care_report.pdf Year: 2018 Country: United States URL: http://www.pewtrusts.org/-/media/assets/2018/07/prisons-and-hospital-care_report.pdf Shelf Number: 151260 Keywords: Correctional Health CareHospitalsMedicare CarePrison Health CarePrison Hospitals |
Author: Guyer, Jocelyn Title: State Strategies for Establishing Connections to Health Care for Justice-Involved Populations: The Central Role of Medicaid Summary: Issue: With many states expanding Medicaid eligibility, individuals leaving jail or prison are now often able to enroll in health coverage upon release. It is increasingly clear, however, that coverage alone is insufficient to address the often complex health and social needs of people who cycle between costly hospital and jail stays. Goals: To identify emerging trends in the care delivery models that state Medicaid programs use for former inmates. Methods: Literature review and interviews with state officials, plans, and providers. Key Findings: The care delivery models for individuals leaving jail or prison provide comprehensive primary care, typically including: data exchange to ensure providers are notified when someone is leaving jail or prison; "in-reach" to help inmates establish a relationship with a primary care provider prior to release, identify health conditions, and set up community-based care; strategies for addressing housing issues and other social determinants of health; use of a peer-support specialist who has experienced incarceration; and specialized training for primary care providers and specialists who work with the formerly incarcerated. Conclusion: With a foundation of insurance coverage, states have developed a range of promising, replicable approaches to providing care to people leaving jail or prison. Details: New York: Commonwealth Fund, 2019. 12p. Source: Internet Resource: Issue Brief: Accessed March 18, 2019 at: https://www.commonwealthfund.org/sites/default/files/2019-01/Guyer_state_strategies_justice_involved_Medicaid_ib_v2.pdf Year: 2019 Country: United States URL: https://www.commonwealthfund.org/sites/default/files/2019-01/Guyer_state_strategies_justice_involved_Medicaid_ib_v2.pdf Shelf Number: 155011 Keywords: Correctional Health CareHealth CareMedicaidMedical Care |