In Reversal, Counties and States Help Inmates Keep Medicaid

Assertive community treatment teams working through outreach-centered programs in Maricopa County have become an industry standard for treating those with persistent and severe mental illnesses who have recently been incarcerated. They provide a long-term approach, aiming to halt a cycle of incarceration and hospitalization by focusing on underlying issues such as what caused the police interaction and incarceration.

*Medical research has done wonders to rid populations of diseases; however, the U.S. health care system has failed to appropriate the right resources to Medicare patients with one or more chronic conditions. Health Quality Partners in Doylstown, PA enrolls Medicare patients with at least one chronic illness and hospitalization and sends a trained nurse to see them on a routine basis, whether they are healthy or sick. As a result, the HQP program has reduced hospitalizations and cut Medicare costs.

Across the country, hospitals are embracing intensive intervention programs to help victims of violence — including those who have criminal histories — after they have been brought in for treatment of injuries. Such programs can help prevent retaliation, reduce the chance a patient will be violently injured again, and put people on track for success.

The Children Living With Cancer Foundation organizes dance parties for children with cancer, to provide them with a sense of joy, encouragement, and community during times of need. The nonprofit also organizes community events and donations and works with local pharmacies to get patients the medicines they need at subsidized rates. So far, the Foundation has supported 300 childhood cancer patients and their families.

To allow patients to still see their doctors during the coronavirus pandemic, insurance providers have eliminated some of the barriers for providers to be reimbursed for telehealth appointments. This change in policy has helped doctors in Maine grow their telehealth practices in ways that may outlast the pandemic.

The United Kingdom's health-care system – which has been lauded as one of the most equitable models for care – is built around a government agency that decides "which treatments are worth covering, and for whom." Although the measures used to determine these recommendations are controversial and the agency doesn't always sustain public trust in their decisions, the overall outcome has increased both social solidarity and life expectancy.

Frustrated by a tight labor market, two locally owned Grand Rapids employers discovered the virtues – economic, not just moral – of hiring formerly incarcerated people, whose gratitude for an opportunity translated into excellent performance and less risk of adding to rapid turnover. The employers helped guarantee success by paying for support services that made post-prison transitions easier. The employers then talked hundreds of other local employers into doing the same. Besides providing a business advantage, the program changes lives and is evidently contributing to much lower rates of recidivism.

New Hampshire's Rockinham County gives some people with extensive drug and criminal histories an offramp from the criminal legal system, in the form of housing at Cross Roads House and a drug court to emphasize treatment over punishment. But, while other cities in the state meet such needs with multiple programs, the second-most populous county in the state has a severe shortage of supportive housing and services. Such services can make the difference between prison and success, and even between life and death in a place with high rates of overdose deaths.

Drug Aid Africa sources unused, unaltered drugs from people who don’t need them anymore and distributes them to people who do need them but can’t afford or access them. Drug Aid Africa provides free routine medications for conditions like sickle-cell anemia, as well as antimalarials, antibiotics and frequent visits to communities where they provide healthcare support and supplies. So far, the organization's efforts have helped more than 10,000 people.

A pair of doctors are working to make healthcare more accessible and affordable by training area hospitals to use new technology, like ultrasound devices, to detect non-communicable diseases. Through their newly established non-communicable disease clinic staffed with personnel trained to provide more precise medical care, about 1,100 patients have been cared for.