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The Latest Research, Commentary, And News From Health Affairs

Wednesday, April 14, 2021

Dear John,

A new study shows that while Medicaid expansion increased evidence-based
addiction treatment for people involved in the criminal justice system,
treatment gaps still remain.

Health Law And The Opioid Epidemic

There are clear connections

between substance use disorder and the criminal justice system. The
majority of adults in US prisons and jails have a substance use
disorder, and among people with opioid use disorder (OUD), more than
half have reported contact with the criminal justice system.

But stigma, the loss of insurance during incarceration, and the limited
access that people have to coverage and services after being released
are all barriers to treatment of OUD. The Affordable Care Act, through
states' expansion of Medicaid, was expected to increase the number of
insured justice-involved individuals and improve access to substance use
treatment.

In a new paper, Utsha G. Khatri and coauthors studied the impact of
Medicaid expansion on the use of OUD medication

and found that, among people referred to treatment by the criminal
justice system, use of OUD medications rose by 165 percent in states
that expanded coverage.

Still, this segment of the population remained "substantially less
likely to receive medications for OUD as part of the treatment plan when
compared with those referred through all other sources," in the years
both before and after Medicaid expansion.

Today on Health Affairs Blog, Sophia Tripoli and coauthors discuss how
several states are developing Medicaid health equity incentives

as part of broader efforts to reform how health care is financed and
organized in ways that are intended to improve population health in
communities of color.

Check out our COVID-19 Resource Center
for free
content about all things related to the pandemic.

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Your Daily Digest

Medicaid Expansion Increased Medications For Opioid Use Disorder Among
Adults Referred By Criminal Justice Agencies

Utsha G. Khatri, Benjamin A. Howell, and Tyler N. A. Winkelman

To Advance Health Equity, Federal Policy Makers Should Build On Lessons
From State Medicaid Experiments

Sophia Tripoli, Eliot Fishman, Amber Hewitt, Emmett Ruff, and Cary
Sanders

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The Health Affairs Podcast Fellowship is an exciting new program for
US-based applicants. The program is intended for early- or
mid-early-stage career individuals with an interest in health policy
and storytelling.

The program is intended to support applicants who have an audio project
in mind to inform and educate the public. Applicants should have a
working knowledge of the topic and an idea of what's needed to
complete their project (interviews, data, field recordings, etc.).

Each fellow will produce a podcast series of at least four episodes
using interviews, background briefs, public data, Health Affairs
research, and other materials to tell the story.

Candidates are expected to be US-based print or radio journalists,
freelance storytellers, solo-preneurs, or academics. The fellowship is
designed to enable fellows to work independently over a five-month
period (June to October) to produce a podcast series/story of at least
four episodes, which Health Affairs will publish soon after.

Apply Today

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