Tag Archive for: Medicare/Medicaid

Benefits of Native Traditional Healing

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Authors: Alicia Evan

Publication Year: 2023

Keywords: Cultural Sensitivity and Appropriateness; Diabetes; Ethnicity; Hypertension; Injury and Trauma; Mental and Behavioral Health; Nutrition; Social Determinants of Health; Substance Use; Suicide and Suicide Prevention; Traditional Healing

 

Short Abstract: This infographic details five common traditional healing interventions offered at Urban Indian Organizations.

 

Abstract: This infographic details five common traditional healing interventions offered at Urban Indian Organizations. The information described is pulled from NCUIH’s report on “Recent Trends in Third-Party Billing at Urban Indian Organizations: Thematic Analysis of Traditional Healing Programs at Urban Indian Organizations and Meta-Analysis of Health Outcomes.” To learn more, view the whole report here. Disclaimer: The mentioned report associated with this infographic was commissioned by the Centers for Medicare & Medicaid Services (CMS) through a contract with NORC at the University of Chicago. This project supports evidence-based Medicaid reimbursement policymaking through rigorous research on the implementation and efficacy of traditional healing at Urban Indian Organizations. The views, opinions, and data analysis published in this report are those of the National Council of Urban Indian Health and do not reflect the policies or positions of the federal government.

 

Source: Link to Original Article.

Source: https://ncuih.org/wp-content/uploads/NCUIH-Traditional-Healing-Benefits-09.21.23-1.pdf

Type of Resource: Best Practices Newsletter

 

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Understanding Disabilities in American Indian & Alaska Native Communities Toolkit Guide

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Authors: National Indian Council on Aging, Inc. and National Council on Disability

Publication Year: 2023

Last Updated:

Journal:

Keywords: Aging; Awareness; Cultural Sensitivity and Appropriateness; Diabetes; Health Care Access; Health Disparities; Medicare; Medicaid; Mental and Behavioral Health; Population Information; Substance Use; Visual Impairment; Disability; Historical Trauma

 

Short Abstract: This resource is divided into dedicated sections for healthy living, education, independent living, vocational rehabilitation and employment resources, assistive technology, housing and facilities, and transportation.

 

Abstract: This resource is divided into dedicated sections for healthy living, education, independent living, vocational rehabilitation and employment resources, assistive technology, housing and facilities, and transportation. Additional information provides overviews on federal disabilities laws, initiatives, agencies, and organizations that support work with Native individuals with disabilities and communities.

 

Source: Link to Original Article.

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Source: https://www.nicoa.org/wp-content/uploads/2023/03/NCD_Understanding_Disabilities_in_American_Indian_508.pdf

Type of Resource: Toolkit

A Federal Indian Health Insurance Plan: Fulfilling a solemn obligation to American Indians and Alaska Natives in the United States

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Authors: Vishal Kheptal et al.

Publication Year: 2022

Last Updated:

Journal: Preventive Medicine Reports

Keywords: Appropriations; Budget Proposals; Federal Health Care; Health Disparities; Health Care Reform; IHS; Public Health Insurance

 

Short Abstract: The Indian Health Service (IHS) is but the latest effort to honor the constitutional and treaty commitment made to deliver health care to American Indians and Alaska Natives in the United States. The agency currently serves over 2.5 million American Indians and Alaska Natives through IHS-operated health facilities, as well provides funding support for contractual delivery of health services by Tribes to their constituents. Not unlike its predecessors, however, the IHS is struggling to fulfill its stated mission.

 

Abstract: The Indian Health Service (IHS) is but the latest effort to honor the constitutional and treaty commitment made to deliver health care to American Indians and Alaska Natives in the United States. The agency currently serves over 2.5 million American Indians and Alaska Natives through IHS-operated health facilities, as well provides funding support for contractual delivery of health services by Tribes to their constituents. Not unlike its predecessors, however, the IHS is struggling to fulfill its stated mission. Access to specialty care remains limited through the agency, particularly for Urban Indians, due to limited fiscal support of the Purchase-Referred Care Program. As a result of chronic underfunding stemming from Congressional inaction, the agency faces perennial understaffing and leadership turnover. In addition, the IHS is structurally unprepared to address the progressive urbanization of Alaska Natives and American Indians, more of whom now live in New York City than in North Dakota. Given these challenges, a renewed approach is warranted. In this essay, we review the history of the IHS, examine its current fiscal challenges, outline the ongoing demographic shift of AI/AN toward urban centers, and call for the creation of a Federal Indian Health Insurance Plan. Offered as a benefit to all American Indians and Alaska Natives without cost-sharing, the plan would be applicable both on and off tribal lands. Funded through mandatory appropriations, the plan would significantly increase fiscal support for AI/AN health programs and work to reduce health disparities affecting AI/ANs in the United States.

 

Source: Link to Original Article.

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Source: https://www.sciencedirect.com/science/article/pii/S2211335521003600

Type of Resource: Best Practices Newsletter

Making Amends: Recommended Strategies and Actions to Improve the Health and Safety of American Indian and Alaska Native Mothers and Infants

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Authors: U.S. Secretary of Health and Human Services Advisory Committee on Infant and Maternal Mortality (ACIMM)

Publication Year: 2022

Last Updated: December 2022

Journal:

Keywords: Awareness; Ethnicity; Federal Health Care; Health Care Access; Health Disparities; IHS; Infant Mortality; Medicare; Medicaid; Minority Groups; Misclassification of AI/AN; Pregnancy; Women's Health; Social Determinants of Health

 

Short Abstract: Report submitted in to US HHS Secretary with recommendations for the federal government to reconcile past actions and step up to the obligations to American Indians and Alaska Natives (AI/AN). Recommendations are based on the findings of previous reports on the health of AI/AN people, populations, and communities, ACIMM’s analysis of maternal health and birth outcome-related data, presentations by representatives of federal health programs, and the testimony and input of over 88 individuals with relevant lived and professional experience.

 

Abstract: Report submitted in to US HHS Secretary with recommendations for the federal government to reconcile past actions and step up to the obligations to American Indians and Alaska Natives (AI/AN). Recommendations are based on the findings of previous reports on the health of AI/AN people, populations, and communities, ACIMM’s analysis of maternal health and birth outcome-related data, presentations by representatives of federal health programs, and the testimony and input of over 88 individuals with relevant lived and professional experience. 59 strategies are offered to support three overarching recommendations: I. Make the health and safety of AI/AN mothers and infants a priority for action. II. Improve the living conditions of AI/AN mothers and infants and assure universal access to high quality healthcare III. Address urgent and immediate challenges that disproportionately affect AI/AN women before, during, and after pregnancy.

 

Source: Link to Original Article.

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Source: https://www.hrsa.gov/sites/default/files/hrsa/advisory-committees/infant-mortality/birth-outcomes-AI-AN-mothers-infants.pdf

Type of Resource: Report

National Indian Heath Board 51 State Health Insurance Status Report

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Authors: National Indian Health Board

Publication Year: 2022

Last Updated: October 2022

Keywords: General Materials; Health Care Access; Health Disparities; Health Care Reform; Medicare; Medicaid; Insurance; Affordable Care Act; Social Determinants of Health

 

Short Abstract: This report from the National Indian Health Board details the enrollment of the AI/AN population in Medicare and Medicaid, as well as the AI/AN population that was uninsured between 2012-2020. This also offers a breakdown of this by each state and DC and the percent changes in enrollment over the 2012-2020 period. This report provides a view into the percent change in insurance enrollment of the AI/AN population before implementing the Affordable Care Act in 2013 and after.

 

Source: Link to Original Article.

Source: https://www.nihb.org/tribalhealthreform/wp-content/uploads/2022/11/NIHB-2022-State-Enrollment-Report-_FINAL.pdf

Type of Resource: NCUIH data products

Medicaid’s Role in Health Care for American Indians and Alaska Natives

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Authors: Medicaid and CHIP Payment and Access Commission

Publication Year: 2021

Last Updated: February 2021

Journal: MACPAC IssueBrief

Keywords: Health Care Access; Medicaid

 

Short Abstract: This brief provides an overview of the relationship between the federal government and AIAN people in the United States and provides a snapshot of the AIAN people in terms of demographics, economic and health disparities, and access to health coverage and care. It then describes the structure of the IHS, including eligibility criteria, delivery system, and financing sources. It goes on to detail the special Medicaid rules and protections that apply to AIAN beneficiaries and Indian health providers. Finally, it discusses some of the key policy issues affecting Medicaid’s relationship with the IHS and in serving the AIAN population.

 

Source: Link to Original Article.

Source: https://www.macpac.gov/wp-content/uploads/2021/02/Medicaids-Role-in-Health-Care-for-American-Indians-and-Alaska-Natives.pdf