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Super Utilizer Strategies- Correctional Partners. Michal Rudnick AHCCCS Update Meeting January 15, 2014. Mental Health & Corrections. http://www.youtube.com/watch?v=SGhHXwc17wQ. Statistics - ADOC. ADOC houses over 40,000 detainees in 15 different facilities - PowerPoint PPT Presentation
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“Reaching across Arizona to provide comprehensive quality health care for those in need”
Super Utilizer Strategies- Correctional Partners
Michal Rudnick
AHCCCS Update Meeting
January 15, 2014
Our first care is your health care Arizona Health Care Cost Containment System 1
“Reaching across Arizona to provide comprehensive quality health care for those in need”
Our first care is your health care Arizona Health Care Cost Containment System
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Mental Health & Corrections http://www.youtube.com/watch?v=SGhHXwc17wQ
“Reaching across Arizona to provide comprehensive quality health care for those in need”
Our first care is your health care Arizona Health Care Cost Containment System
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Statistics - ADOC ADOC houses over
40,000 detainees in 15 different facilities
In FY13, DOC admitted 18,677 and released 17,868
In FY13, the total annual cost per inmate was $23,865.36
“Reaching across Arizona to provide comprehensive quality health care for those in need”
ADOC Health Services ADOC spends an estimated $140 to
$150 million on health expenses each year
60%-70% for mental health/substance abuse treatment
In FY13 DOC treated a total of: 10,008 inmates for ongoing mental
health services 2,498 detainees for substance abuse
treatment 210 detainees with HIV 6,094 detainees with Hep C 156 detainees with hospital
admissions 0 detainees with active TB
Our first care is your health care Arizona Health Care Cost Containment System
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“Reaching across Arizona to provide comprehensive quality health care for those in need”
Our first care is your health care Arizona Health Care Cost Containment System
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Statistics - County County Jails release over 100,000 detainees annually Counties collectively spend an estimate of $90
million on health services annually 60% - 70% for behavioral health services FY13 - Maricopa County Jail spent:
$53,547,105 on health services $6,701,884 of that on inpatient mental health services $30,132,650 was spent on outpatient treatment and
evaluation
“Reaching across Arizona to provide comprehensive quality health care for those in need”
What Does AHCCCS Spend? In FY11, AHCCCS
spent over $187,000,000 on members who were incarcerated at some point before or after enrollment
Of the over $187,000,000 spent, the highest costs included conditions related to mental health and substance abuse
Our first care is your health care Arizona Health Care Cost Containment System
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“Reaching across Arizona to provide comprehensive quality health care for those in need”
Current Eligibility Department of Corrections
When enrollment is identified, eligibility is terminated
Process pre-release applications for detainees with special healthcare needs
Counties Currently 6 counties have an enrollment
suspense/reinstate process (including Maricopa and Pima)
Our first care is your health care Arizona Health Care Cost Containment System
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“Reaching across Arizona to provide comprehensive quality health care for those in need”
Future Eligibility Opportunities Implement an enrollment/suspense process
for short-term DOC detainees Improve the application process for
Jails/DOC in HEAplus Volunteer efforts
Our first care is your health care Arizona Health Care Cost Containment System
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“Reaching across Arizona to provide comprehensive quality health care for those in need”
Care Coordination & Strategies to Deal With High Risk Today, T/RBHAs & behavioral health providers are
expected to collaborate & coordinate care Future opportunities could include engaging those at
high risk during probation to coordinate services Michigan efforts focused on care coordination prove
successful Collaborate with stakeholders (Plans, DHS, RBHAs)
to develop a more robust process for coordination of general medical and behavioral health services
Our first care is your health care Arizona Health Care Cost Containment System
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“Reaching across Arizona to provide comprehensive quality health care for those in need”
Questions/Comments?
Our first care is your health care Arizona Health Care Cost Containment System
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