NATIVE AMERICAN

HEALTH DELIVERY SYSTEM

UNDER MEDICAID REFORM

Native Americans are currently treated as second class citizens and this is evident in the type of health care they receive. Although the federal government provides limited funding to Indian Health Service (IHS), it is not enough in order to provide the appropriate type of health care to this population. It is important to note that IHS is a residual payer. This means that other payment sources for which an Indian patient is eligible (i.e. Medicaid) must be exhausted before IHS will pay for services. In addition, Indians are being stripped of their own forms of independent funding, such as their casino revenues, because the federal government prohibits gambling on reservations.

There are many problems with IHS, such as accessibility and funding, that cannot be rectified without efforts from state and federal governments. Moreover, Medicaid reform has added to the problems, instead of improving the Native American health care delivery system. Although Indians compose a small percentage of the Medicaid population, it could be reduced if Indian Health Care Service (IHCS) providers were included in the networks of Managed Care Organizations. If a successful health care system for Indians is created, then there is an excellent possibility of utilizing their program for dealing with the nation’s Medicaid population and treatment of both illegal and legal immigrants. Moreover, this will improve the availability and accessibility to quality, cost-efficient health care, which these neglected individuals deserve.

Relevant web sites
 

Indian Health Service

Provides background on Indian Health Service and the Native American health care system. Also, discusses problems and current projects to improve the poor conditions of Indian health care (i.e. Design for a New IHS). Links, such as About the Indian Health Service, Year 2000 Project, Management Resources, and Public Information, provides information on the comprehensive program, the budget for year 2000, and discusses the Indian health manual and eligibility requirements for IHS. It is an informative site that discusses current health issues as well in terms of Native American health care.
 

Nebraska Urban Indian Medical Center (NUIMC)

NUIMC gives a background on themselves and the services they offer. They accepts clients, regardless of their ability to pay, with a sliding fee scale. It is an interesting site to look at because it provides a possible model for other Indian health care clinics. Moreover, it offers access to related sites which involve in depth descriptions of preventive programs and culturally sensitive, medical services.
 

United States Department of Health and Human Services

This search site is especially valuable because it gives one the opportunity to submit specific searches related to Native American health care. For example, when "urban Indians" was typed in, it revealed several documents and sites which discuss the health challenges of Native Americans and the recent restructuring programs of IHS. It looks at both Indians who occupy the reservations and those who live in urban areas. It is an excellent search engine for this topic. It also provides statistical information upon request.
 

Native Health Research Database

The NHRD:

  • addresses future AI/AN health information needs
  • contributes to improvement of AI/AN health status
  • provides a historical repository of AI/AN health information
  • enhances availability and use of AI/AN health information for program development
  • provides access to AI/AN epidemiologic, statistical, health promotion, and research information

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    HCFA- Medicaid Information

    This site provides access to specific searches about statistics
    and Indian Health Care. It also gives a breakdown of the number of Native American Medicaid recipients within each state and takes a look at Native Americans in terms of health care.
     

    National Library of Medicine- PubMed

    NLM's free search service gives access to the 9 million citations in MEDLINE and Pre-MEDLINE (with links to participating on-line journals), and other related databases. It was a valuable form to search on current information about the health needs of Native Americans and the current problems this population faces. It also provides articles on Indian health care in relation to Medicaid reform and possible solutions of improvement to the delivery system.
     
     

    Relevant web documents

       
      President Clinton Announces New Racial and Ethnic Health Disparities Initiative

      The initiative commits to setting high national health goals for racial and ethnic minorities. It explains a five-step plan to mobilize the resources and expertise of the Federal government, the private sector, and local communities to eliminate disparities among all the populations. It discusses HCFA’s distribution of $24 billion over the next 5 years and the President's fiscal year 1999 budget proposes the beginning of a new five-year, $400 million set of activities addressing health disparities. Through a combination of education, outreach, and increased access to health care for the uninsured, a major step to eliminating racial and ethnic disparities in children's health will be achieved.
       

      Impact on American Indian or Alaskan Native (AIAN) Health Research

      The need for better statistical collection is addressed in this document and it provides methods to improve the collection and dissemination about the health of the AIAN population. By looking at this article, it gives an understanding of why there may be misleading information about the health care of Indians. Moreover, by implementing the new programs suggested through this article, there is a better chance of focussing on certain flaws in the AIAN health care system and formulating new methods to improve access to care.
      Comprehensive Health Care Program for American Indians and
       

      Alaska Native (AIAN)

      It gives a view of Indian health care programs and the accomplishments of IHS, along with their flaws and problems. It specifically discusses the issue of the IHS Health Care Delivery System, Measuring Progress, and Health Care Programs. Once again it Once again it gives a descriptive overview of the AIAN health care program.
       

      Medicaid

      In order to understand the Native American health delivery system under Medicaid Reform, it is good to know what this reform entails. This document provides all this information in the forms of what provisions of the Medicaid statute are repealed, what changes to the Medicaid program are made, and what new provisions to the Medicaid statute have been added.
       

      Medicaid Recipients of Medical Care by Race/Ethnicity and By State

      Gives valuable information as described by the title- specifically useful to look at Native Americans versus other minority populations.
       

      Indian Health Care

      This document touches on two key topics which are self explanatory:

       
      Kaiser Family Foundation Report- Native Americans and Medicaid: Coverage and Financing Issues

      It is an informative report on Medicaid’s role for Native Americans and the policy issues for Native Americans in managed care. Before going in-depth about Native Americans and Medicaid managed care, the report also highlights the background on Indian health care. It is a very useful document in terms of understanding Indian health care as affected by Medicaid and managed care.