Online Program

Expedited Medicaid restoration in Washington state: Effects on costs and community days

Tuesday, November 5, 2013 : 5:30 p.m. - 5:50 p.m.

Marisa Domino, PhD, Department of Health Policy and Management, University of North Carolina at Chapel Hill, Chapel Hill, NC
Jennifer Jolley, Cecil G. Sheps Center for Health Sciences Research, Chapel Hill, NC
Community reentry for persons with mental illness released from jails and prisons is one of the most pressing public health and public safety challenges today. To address this challenge, Connecticut and Washington State have expedited Medicaid restoration for mentally ill persons released from prisons to facilitate access and utilization of services upon release. To date, however, the effectiveness of expedited Medicaid restoration programs towards reducing the remarkably high recidivism rates for offenders with severe mental illness is unknown. Here, cost-effectiveness findings from an NIMH-funded study of expedited Medicaid restoration in Connecticut and Washington State are presented. In both states, expedited Medicaid restoration led to quicker and greater mental health service use but no strong effects were observed regarding reduced criminal justice outcomes and costs. Many controls went on to obtain Medicaid after release so further analyses are needed to isolate overall effects of having vs. not-having Medicaid. However, our current analyses suggest that Medicaid alone might not be enough to keep people with SMI out of criminal justice system.

Learning Areas:

Provision of health care to the public
Public health or related public policy
Public health or related research

Learning Objectives:
Identify the cost savings and impacts of expedited Medicaid restoration programs in Connecticut and Washington and the differential effects on mental health service use vs. reduced criminal justice involvements.

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am currently an Associate Professor of Health Economics in the Department of Health Policy and Management as well as a Research Fellow at the Cecil G. Sheps Center for Health Services Research at the University of North Carolina at Chapel Hill.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.