Little is known about the unique transitional and social support needs of formerly incarcerated persons (FIPs) in Louisiana, the state with the highest incarceration rate in the USA. We partnered with community organizations to identify FIPs in Greater New Orleans and conducted semi-structured, in-person, audio-recorded interviews to assess FIPs’ experiences with health care in and out of prison. Interviewees reported negative experiences with health care during incarceration and limited health guidance during the prerelease process. Post-release concerns included lack of insurance and difficulty accessing care and medication. Findings were then used to inform the development of a transitional care delivery model called at a Federally Qualified Health Center in New Orleans, in which 4th year medical students act as transitional care case managers.