Enhancing Revenue Collection Capacity in Urban Indian Health Programs: The Critical Link to ensure Survival and Sustainability

Authors: Bartgis, Jami, Bermudez-Del-Villar, A
Publication Year: 2011
Last Updated: 2016-02-11 15:02:52
Journal: NCUIH
Keywords: Third Party Billiing, Sustainability, Survival, Revenue, Income, Health Information Technology, Urban Indian Health Programs

Short Abstract:

In order to reap the benefits brought about by the passage of the Affordable Care Act, clinics and health programs across the US have to accommodate a series of new requirements to keep their financial structure up and running. That is not the case for Urban Indian Health Programs (UIHPs). These programs--serving a marginalized population within an already vulnerable community-- will have to learn and re-engineer their core finances system in order to survive and grow. UHPs creation and evolution respond to a promise never fulfilled; and that got them locked into a dependency cycle that is not compatible with the pervasive Third Party Billing (TPB) system; therefore not sustainable in current times.  UIHPs are a critical component of the Indian health system given their unique culturally customized healthcare and community services in urban settings across the US. There is hope, however, if the right approach is taken.

Abstract:

In order to reap the benefits brought about by the passage of the Affordable Care Act, clinics and health programs across the US have to accommodate a series of new requirements to keep their financial structure up and running. That is not the case for Urban Indian Health Programs (UIHPs). These programs--serving a marginalized population within an already vulnerable community-- will have to learn and re-engineer their core finances system in order to survive and grow. UHPs creation and evolution respond to a promise never fulfilled; and that got them locked into a dependency cycle that is not compatible with the pervasive Third Party Billing (TPB) system; therefore not sustainable in current times.  UIHPs are a critical component of the Indian health system given their unique culturally customized healthcare and community services in urban settings across the US. There is hope, however, if the right approach is taken.

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