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County Jails and the Affordable Care Act: Enrolling Eligible Individuals in Health Coverage
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by Anita Cardwell and Maeghan Gilmore, National Association of Counties.

The Patient Protection and Affordable Care Act (ACA) will provide new health insurance coverage optionsCountry Jails ACA for millions of individuals by expanding Medicaid eligibility and establishing state-level health insurance exchanges. The authors explain the ACA’s eligibility requirements and examine the potential role of jails in helping detainees enroll for coverage, either while they are in pre-adjudicated status and/or when inmates are preparing to reenter the community.

Determining eligibility and following through with enrollment may prove to be challenging, but the cost savings to jails and the counties they serve are likely to make the effort worthwhile. Improved delivery of community health care may also reduce recidivism for some populations. The authors examine ways jails can work with community-based health care partners to assist in enrollment. Their discussion includes a list of key local criminal justice stakeholders who should be involved in planning for health care system changes and practical advice on addressing each partner’s needs. Synopses are included of agencies’ experiences in Salt Lake County, Utah; Alameda County, California; Allegheny County, Pennsylvania, and New York City, New York.

Read the full article.

Posted Mon, Jan 6 2014 8:54 AM by Susan Powell
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