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Inmate Medical Claims Management & Excess Medical Insurance

Counties throughout the country are experiencing rising costs as it relates to the criminal justice system – costs that if left unchecked, could result in budgetary shortfalls.  Many of these costs cannot be prevented, but through a new program bid nationally by Dallas County, Texas, they can be contained.  The NACo Financial Services Center’s cost containment program allows counties to proactively control the costs of inmate health care.

Correctional Risk Services, Inc. (CRS)  offers two methods for counties to contain inmate health care costs.  Through the Inmate Medical Insurance program, an insurance policy is designed to limit the county’s liability for paying an inmate’s inpatient and outpatient hospital costs.  The plan can be customized to be affordable, flexible and tailored to the county’s needs.  This insurance policy stops the spikes in offsite inmate medical costs that may be caused by large inmate medical claims and protects against the expenses of catastrophic claims for inmate medical costs.  It is constructed as a stop-loss policy and provides the opportunity for counties to set their own self-insurance levels while providing reinsurance above those levels.

Correctional Risk Services, Inc. also helps counties manage inmate offsite medical claims by monitoring the necessity of medical treatment, auditing medical charges to assure services were actually performed, and reviewing medical charges to determine if they were priced correctly. CRS also professionally manages claims, including processing hospital and related physician charges, auditing the bills in order to eliminate duplication of submitted claims and processing checks.  CRS also provides detailed claims records and analysis to assist in better budget forecasting.

To see how one county cut their inmate medical costs in half click here

For more information about the these programs, click here for a brochure or contact Jim Sawyer at 202.661-8868 or email jsawyer@naco.org.



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