Skip to Content

Community Oriented Correctional Health Services

Community Oriented Correctional Health Services (COCHS) is the national leader in promoting health care connectivity between jails and the communities in which they reside. With the ongoing implementation of the Patient Protection and Affordable Care Act (ACA), COCHS now reserves its home page to highlight recent developments impacting public health and public safety. For those seeking more information about COCHS, please visit our About Us page.

  • Consumer Rights Come to Jail: How the Affordable Care Act
    Changes the Rights of Individuals Pending Disposition

    The ACA has expanded affordability of, and access to, health care and granted rights and responsibilities specifically to individuals in jail pending disposition. It is only a matter of time before correctional settings must incorporate the consumer-based insurance mechanisms and assurances established by the ACA. Recognition of serious, widespread deficiencies in the physical and mental health care services provided in jail underscores the urgency of this need.
  • Development of a Performance-Based RFP for Correctional
    Health Care Services in Vermont

    In March 2013, the DOC contracted with Community Oriented Correctional Health Services (COCHS) to help the Vermont Department of Corrections (DOC) determine how best to design a contract for correctional health care services, in alignment with ongoing federal and state health reforms. This case study describes the policy environment that prompted the Vermont DOC’s health care system, in partnership with community-based organizations, to develop the first statewide performance-based Request for Proposals (RFP) and subsequent contract for correctional health care services.
  • Technology and Continuity of Care: Connecting Justice and Health
    At the end of 2014, COCHS received funds from the Substance Abuse and Mental Health Services Administration to develop nine case studies on data-sharing between the criminal justice and the health care sectors to promote continuity of care. We developed these case studies as a way to provide insights from a range of jurisdictions and organizations and inform data-sharing efforts in other communities.
  • Medicaid-funded Paraprofessional Services for Criminal Justice Populations
    One of the ACA’s goals is the improvement of population health, including the elimination of health disparities. This goal cannot be achieved without addressing the needs of justice-involved individuals, a population with major health disparities and other challenges that impact health. Through Medicaid expansion, the ACA has created an opportunity for many justice-involved individuals to gain health insurance for the first time. Peer support providers could play an important role in bringing justice-involved individuals into the health care system, delivering culturally competent services, and drawing on shared experiences to help clients overcome their often interrelated barriers to health and community re-entry.
  • NYS Correctional Medical and Behavioral Healthcare Workshop,
    The Present and Future of Correctional Health and Mental Health Care,
    Keynote Speech, Steven Rosenberg, President, COCHS
    On December 9, 2014, at the NYS Correctional Medical and Behavioral Healthcare Workshop, Steven Rosenberg gave the keynote speech. In this speech, he described the future of correctional health care and the way managed care principals will change the relationship between health care in the community and health care in corrections.
  • 10,4United States Senate Briefing -
    Health Care Behind Bars: A Key to Population Health?
    At the invitation of Senator Jay Rockefeller, Senator Roy Blunt and The Alliance for Health Reform, Steven Rosenberg, the President of COCHS, spoke on two panels at the United States Senate. In the first panel, he gave an overview of the health care needs of people cycling through the criminal justice system, and in the second panel, he explained how health care policy impacts justice involved individuals.
  • 11,2Meaningful Use and Corrections: Unknown Opportunities describes the applicability of the federal government’s Medicare and Medicaid EHR Incentive Programs – better known as “meaningful use” – to correctional facilities, and the opportunities that meaningful use affords correctional facilities not only for funds but also to connect with the mainstream health care system in a way that will advance the health of the justice-involved.
  • 6,1COCHS and Health Affairs Conference, Health Reform and Criminal Justice: Advancing New Opportunities. On April 3, 2014, COCHS and Health Affairs (with support from The Robert Wood Johnson Foundation, Langeloth Foundation, and Public Welfare Foundation) hosted in Washington D.C., Health Reform and Criminal Justice: Advancing New Opportunities. This conference provided a forum to discuss multiple topics including health and criminal justice policy, eligibility and enrollment into Medicaid, integration of community and jail health systems, and health information technology's role in building connectivity between corrections and the greater health care community. To view a recording of the entire conference, please visit the 6,1COCHS library.