According to a
report by the Substance Abuse and Mental Health Services
Administration (SAMHSA), approximately two-thirds of individuals
in jail or prison have a substance use disorder, and over half
experience mental illness. For these individuals, re-entry into
society can be challenging, with many experiencing barriers to
accessing needed healthcare services.
Managed care organizations (MCOs) can play a critical role
in improving outcomes for justice-involved individuals with
substance abuse disorder and mental illness upon re-entry. Here are
some strategies that MCOs can implement to achieve this goal, while
simultaneously improving the cost of care, continuity of care, and
quality of care these individuals receive.
MCOs can work with local jails and state prisons to identify
individuals with substance abuse disorder and mental illness during
the intake process. This will enable MCOs to begin developing a care
plan that meets the individual's specific needs, including substance
abuse treatment and mental health services upon release.
Care coordinators can work with justice-involved individuals
upon release to develop comprehensive care plans that address their
substance abuse and mental health needs. This may include referrals to
community-based services such as counseling, support groups, and
medication-assisted treatment (MAT).
To ensure successful re-entry, MCOs should work with state
Medicaid agencies to ensure continuity of care. This may involve
coordinating with local healthcare providers to ensure that
individuals have access to medication and other necessary treatment.
MCOs can provide education and training to both
justice-involved individuals and service providers on the importance
of early intervention and treatment for substance abuse disorder and
mental illness. This education can help to reduce stigma, costs, and
recidivism, while improving continued access to care.
MCOs should monitor outcomes to determine the effectiveness
of their programs. This may involve tracking rates of substance
abuse relapse and hospitalization for mental illness and their
associated costs. This data can be used to make improvements to
programs and to develop best practices at both the healthcare and
MCOs play a critical role in improving outcomes for
justice-involved populations. By identifying individuals during
intake, developing comprehensive care plans, ensuring continuity of
care upon release, providing education and training, and monitoring
outcomes, MCOs can help to reduce recidivism rates and improve the
lives of justice-involved individuals.
By working collaboratively with partners like Equifax and
utilizing our Incarceration Intelligence solution that can help
improve cost, continuity of care, and quality of care, MCOs can help
to break down barriers to care and ensure that justice-involved
individuals receive the support they need to successfully re-enter society.
Learn more about our Incarceration Intelligence now or contact us
today to determine how our innovative data solution can meet your
With decades of experience serving the public sector,
Equifax leverages trusted, unique data, analytics, technology, and
expertise to help clients drive innovation and transform knowledge
into insights. Equifax empowers state Medicaid agencies and managed
care organizations to collaborate and make more informed decisions,
streamline operations, maximize program efficiency, reduce fraud and
improper payments, and enhance the user experience.