![]() They performed a retrospective analysis, and what they learned was reassuring. So they planned a study involving Medicaid enrollees who received OUD medications during RIDIC (see box below), and accessed claims data for costs of inpatient and outpatient health care services, before and after OUD treatment. So, what is the overall impact on community health care spending when prisoners are treated with OUD medications, then released?Ī team of investigators looked into this topic and found no relevant published studies. Of special concern are costs for continuing treatment for addiction, billed to Medicaid, and costs for health care unrelated to addiction, such as newly diagnosed hepatitis C. Medicaid pays many OUD-related costs, especially in states with expanded Medicaid coverage, suggesting that costs might rise after prisoners are released. In this cost-conscious era, the possible costs of treating OUD during incarceration has become an issue. ![]() ![]() Yet few prisons and jails offer to start OUD treatment during incarceration-and few will even continue treatment that has already begun. ![]() Most of the more than 2 million Americans with OUD have contact at some point with the criminal justice system, so incarceration provides a good opportunity to start treatment. With the risk of fatal overdose at least ten times higher in released prisoners than in the general population, there’s a clear need for treating opioid use disorder (OUD) during incarceration.
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