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The ACA and Criminal Justice Reentry Populations

Published in February 2015, this whitepaper examines the opportunities and challenges presented by the Affordable Care Act (the ACA) for criminal justice reentry.

An estimated 6.89 million individuals were under the supervision of adult correctional systems in 2013, 4.75 million under community supervision, 1.57 million in prison, and roughly 731,000 housed in local jails on any given day. With millions more passing through local jails every year, people flowing through the criminal justice system are less likely to have health coverage and often have significant healthcare needs. Yet while the criminal justice system accounts for only a small percentage of the U.S. population, an estimated 14% of residents with HIV, 33% of those with Hepatitis-C, and 40% of those with tuberculosis pass through correctional facilities, while 40% of men and nearly 60% of women in jail have at least one chronic health condition. According to numerous studies, healthcare disruptions when these individuals reenter the community have been found to lead to increased rates or re-incarceration, worse healthcare outcomes, and more costly care.

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The Affordable Care Act: Opportunities & Challenges for Behavioral Health Providers

This Information Brief examines the opportunities and challenges for behavioral health providers under the Affordable Care Act (the ACA). With a particular focus on substance abuse, this brief considers three challenges: (1) The ACA Coverage Gap, (2) Providers' Lack of ACA Knowledge and Strategic Plans, and (3) The Need for Client Outreach & Enrollment. The brief offers solutions to providers' practical problems and calls attention to policy issues that require additional consideration or research.    

Download the PDF: The Affordable Care Act: Opportunities & Challenges for Behavioral Health Providers 

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The Affordable Care Act: Shaping Substance Abuse Treatment

This Information Brief examines the Affordable Care Act (the ACA)-- also known as health care reform or "ObamaCare"-- and its potential impact on substance abuse treatment.  In particular, this brief considers the impact of the ACA's Medicaid expansion, Affordable Insurance Exchanges, and Essential Health Benefits (EHBs) on the healthcare market, anticipating the law's effects on the financing and provision of substance abuse treatment.   The brief predicts that the influx of 27 newly insured individuals coupled with EHB and parity requirements will yield a considerable number of new substance abuse clients and trigger a notable shift in payers.  These events, in turn, will drive further changes for both substance abuse treatment providers and clients, as the field moves toward new financial systems that emphasize integrated payment models.    

Download the PDF: The Affordable Care Act: Shaping Substance Abuse Treatment

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Prescribing Solutions for America's Prescription Drug Crisis: Utah Valley University

Delivered at the 2013 Utah Valley University Conference on Addiction, this presentation examines the non-medical use of prescription drugs and the Office of National Drug Control Policy's (ONDCP) strategies to curtail prescription drug abuse, notably examining Prescription Drug Monitoring Programs (PMPs) and the Drug Enforcement Administration's (DEA) Proposed Rule governing prescription drug takeback programs.  

In particular, this presentation: 

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Wasted: Prescribing Solutions for Opioid Abuse: America's Prescription Drug Crisis

This presentation, delivered at the National Conference of Insurance Legislators' (NCOIL) annual meeting in Point Clear, Alabama, examines the non-medical use of prescription drugs (particularly opioids), the consequences of non-medical use, and the strategies currently available to combat such use. 

Major Topics Include

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