But because of rapidly increasing costs in the health care industry, for-profit companies that Maryland and other states relied on for inmate health care services were no longer agreeing to fixed-price deals.This is another reason why we need single payer health insurance, since the government is paying for health care, they would not have to pay several companies of that amount of money.
Faced with pressure to improve the system, particularly in Baltimore, state officials offered separate contracts for the prison system's varying health care needs. Different companies were awarded contracts for medical, dental, mental health and pharmaceutical coverage. These contractors now "pass-through" the costs of their goods and services to the state for reimbursement. For fiscal year 2006, the tab for inmate health care in the state totaled $109.7 million.
Auditors found that medical care, dental care and mental health care providers weren't providing required levels of staff. They also noted problems with medical screenings, chronic care checkups, medication dispensation and timely treatment based on inmate needs.
Source:The Baltimore Sun
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