Guyer Jocelyn, Serafi Kinda, Bachrach Deborah, Gould Alixandra
Manatt Health.
Issue Brief (Commonw Fund). 2019 Jan 1;2019:1-12.
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.
To identify emerging trends in the care delivery models that state Medicaid programs use for former inmates.
Literature review and interviews with state officials, plans, and providers.
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.
With a foundation of insurance coverage, states have developed a range of promising, replicable approaches to providing care to people leaving jail or prison.
随着许多州扩大医疗补助资格范围，刑满出狱的人员现在通常在获释后能够登记参加医保。然而，越来越明显的是，仅靠医保不足以满足那些在昂贵的住院治疗和监禁之间循环往复的人们常常复杂的健康和社会需求。
确定各州医疗补助计划用于曾经入狱人员的医疗服务提供模式中的新趋势。
文献综述以及对州官员、医保计划和医疗服务提供者的访谈。
针对刑满出狱人员的医疗服务提供模式提供全面的初级医疗服务，通常包括：数据交换，以确保在有人出狱时通知医疗服务提供者；“狱中拓展”，以帮助囚犯在获释前与初级医疗服务提供者建立关系、识别健康状况并建立基于社区的护理；解决住房问题及其他健康社会决定因素的策略；使用有入狱经历的同伴支持专家；以及对为曾经入狱人员提供服务的初级医疗服务提供者和专科医生进行专门培训。
在医保覆盖的基础上，各州已制定了一系列有前景且可复制的方法，为刑满出狱人员提供医疗服务。
