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The future of Indian Health Services for native Americans in the United States: an analysis of policy options and recommendations

Published online by Cambridge University Press:  06 May 2016

Tiffany Henley  and
Maureen Boshier
Tiffany Henley*
Affiliation:
PhD Candidate in Public Administration and Urban Policy, Old Dominion University, Norfolk, VA, USA
Maureen Boshier
Affiliation:
Visiting Associate Professor, Community and Environmental Health, Old Dominion University, Norfolk, VA, USA
*
*Correspondence to: Tiffany Henley, Department of Urban Studies and Public Administration, 2084 Constant Hall, Norfolk, VA 23529, USA. Email: [email protected]
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Abstract

The passage of the Affordable Care Act in the United States has opened a policy window for the establishment of an independent Medicaid agency for the Navajo Nation. This article explores several policy options to improve health care services for Native Americans. Although there is a lack of scholarly research on the impact of healthcare reform and the effectiveness of current health care programs for American Indians, policymakers should utilize evidence-based research to inform policy decisions.

Type
Articles
Information
Health Economics, Policy and Law , Volume 11 , Issue 4 , October 2016 , pp. 397 - 414
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Copyright
© Cambridge University Press 2016 

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References

Baldwin, L., Hollow, W. B., Casey, S., Hart, L. G., Larson, E. H., Moore, K., Lewis, E., Holly, C., Andrilla, A. and Grossman, D. C. (2008), ‘Access to specialty health care for rural American Indians in two states’, The Journal of Rural Health, 24(3): 269–278.CrossRefGoogle ScholarPubMed
Bergman, A. B., Grossman, D. C., Erdrich, A. M., Todd, J. G. and Forquera, R. (1999), ‘A political history of the Indian Health Service’, Milbank Quarterly, 77(4): 571–604.Google Scholar
Betlach, T. J. (2013), ‘AHCCC strategic plan: state fiscal years 2014–2018’, http://www.azahcccs.gov/shared/Downloads/StrategicPlan_14-18.pdf [1 July 2013].Google Scholar
Boccuti, C., Swoope, C. and Artiga, S. (2014), ‘The Role of Medicare and the Indian Health Service for American Indians and Alaska Natives: Health, Access and Coverage’, Kaiser Family Foundation, http://kff.org/medicare/report/the-role-of-medicare-and-the-indian-health-service-for-american-indians-and-alaska-natives-health-access-and-coverage/[1 May 2015].Google Scholar
Brennan, R., Laura, K., Elizabeth, A. B. and Metzler, M. (2008), ‘Promoting Health Equity: A Resource to Help Communities Address Social Determinants of Health’, in Promoting Health Equity: A Resource to Help Communities Address Social Determinants of Health. Centers for Disease Control and Prevention: 1–111.Google Scholar
Department of Health and Human Services and Indian Health Service (2012), ‘2012 report to congress on funding needs’, http://www.ihs.gov//newsroom/includes/themes/newihstheme//display_objects/documents/RepCong_2012/201 Report to Congress and Data.pdf [27 April 2015].Google Scholar
Department of Health and Human Services and Office of the Inspector General (1996), ‘Tribal contracting for Indian Health Services’, https://oig.hhs.gov/oei/reports/oei-09-93-00350.pdf[1 May 2015].Google Scholar
Devi, S. (2011), ‘Native American health left out in the cold’, The Lancet, 377(9776): 1481–1482.CrossRefGoogle ScholarPubMed
Donovan, B. (2013), ‘Navajo’s take on running its own Medicaid program’, Navajo Times, http://www.navajotimes.com/politics/2013/0213/021413med.php [14 February 2013].Google Scholar
Econometrica (2014), ‘Report to congress on the feasibility of a Navajo Nation Medicaid agency’, http://www.medicaid.gov/Medicaid-CHIP-Program-Information/By-Topics/Downloads/Navajo-Nation-Medicaid-Agency-Feasibility-Report-to-Congress.pdf [7 July 2015].Google Scholar
Espey, D. K., Jim, M. A., Cobb, N., Bartholomew, M., Becker, T., Haverkamp, D. and Plescia, M. (2014), ‘Leading causes of death and all-cause mortality in American Indians and Alaska Natives’, American Journal of Public Health, 104(S3): S303–S311.Google Scholar
Fox, E. (2011), ‘Health care reform: tracking tribal, federal, and state implementation’, Office of External Affairs http://www.cms.gov/Outreach-and-Education/American-Indian-Alaska-Native/AIAN/Downloads/CMSHealthCareReform5202011.pdf [10 March 2015].Google Scholar
Graef, C. (2014), ‘Indian Country Grapples With Health Funding Shortfalls, Non- Payment’, MintPress News, http://www.mintpressnews.com/indian-country-grapples-health-funding-shortfalls-non-payment/196625/ [30 November 2015].Google Scholar
Goetzel, R. Z., Ozminkowski, R. J., Villagra, V. G. and Duffy, J. (2005), ‘Return on investment in disease management: a review’, Health Care Financing Review, 26(4): 1–19.Google Scholar
US Government Accountability Office (2013), Indian Health Service: Most American Indians and Alaska Natives Potentially Eligible for Expanded Health Coverage, But Action Needed to Increase Enrollment, Washington, DC: US Government Printing Office. http://www.gao.gov/products/GAO-13-553 [30 November 2015].Google Scholar
Health Insurance Exchange Native American Work Group (2013), ‘Native American work group final recommendations to the health insurance exchange task’, http://www.hsd.state.nm.us/uploads/FileLinks/9c3d97e20c324b87b0756b5cd86d177a/Final_NAWG_Report.pdf [27 February 2013].Google Scholar
Indian Health Service (2010), ‘Statement by Indian Health Service director Yvette Roubideaux on IHS implementation of health insurance reform and the Indian Health Care Improvement Act’ http://www.ihs.gov/pressreleases/index.cfm?module=view_details&ID=IyggLiEK [14 April 2010].Google Scholar
Indian Health Service (2015), ‘What is the Tribal Self-Governance program?’, http://www.ihs.gov/SelfGovernance/index.cfm?module=dsp_otsg_about [30 November 2015].Google Scholar
Kaiser Health News (2013), ‘Utah’s Medicaid expansion decision on hold’, http://www.kaiserhealthnews.org/Daily-Reports/2013/August/23/Medicaid-expansion.aspx [23 August 2013].Google Scholar
Kane, J. (2013), ‘Navajo Nation may pursue own Medicaid system regardless of study’, The Daily Times, http://www.daily-times.com/ci_22558542/navajo-nation-may-pursue-own-medicaid-system-regardless [9 February 2013].Google Scholar
Katz, R. J. (2004), ‘Addressing the health care needs of American Indians and Alaska Natives’, American Journal of Public Health, 94(1): 13–14.Google Scholar
Keane, C. (2013), ‘Tribes unhappy with NM’s choice of Medicaid Providers’, Navajo Times, http://www.navajotimes.com/politics/2013/0213/021413med.php.Google Scholar
Kennedy, B. L. (2013), ‘Obamacare even reaches the Navajo Nation’, MSN, http://money.msn.com/now/post.aspx?post=d4a606cc-1421-4f72-81ab-496bc7a3fd31 [12 February 2013].Google Scholar
Lamphere, L. (2005), ‘Providers and staff respond to Medicaid managed care: the unintended consequences of reform in New Mexico’, Medical Anthropology Quarterly, 19(1): 3–25.Google Scholar
Marrone, S. (2007), ‘Understanding barriers to health care: a review of disparities in health care services among indigenous populations’, International Journal of Circumpolar Health, 66(3): 188–198.Google Scholar
Moy, E., Smith, C. R., Johansson, P. and Andrews, R. (2006), ‘Gaps in data for American Indians and Alaska Natives in the national healthcare disparities report’, American Indian and Alaska Native Mental Health Research: The Journal of the National Center, 13(1): 52–69.Google Scholar
National Congress of American Indians (2016), ‘Health Care Reducing Disparities in the Federal Health Care Budget’, http://www.ncai.org/policy-issues/tribal governance/budget-and-approprations/07_FY2016_Health_NCAI_Budget.pdf [21 March 2015].Google Scholar
Navajo Nation (2012), ‘Navajo Nation comments to New Mexico human services department on the centennial care: ensuring care for New Mexicans for the next 100 years and beyond’ New Mexico Legislature, http://www.nmlegis.gov/lcs/handouts/LHHS 062512 Navajo Nation’s Comments to NMHS on Centennial Care.pdf [6 April 2012].Google Scholar
Navajo Nation Council (2013), ‘Speaker Naize addresses Navajo leaders and healthcare officials at the Navajo Nation Affordable Care Act summit’, Office of the Speaker, http://www.navajo-nsn.gov/News Releases/NNCouncil/2013/aug/130823_NNC_SpeakerNaizeAddressesNavajoLeadersAndHealthcareOfficialsAtTheNavajoNationAffordableCareActSummit.pdf [23 August 2013].Google Scholar
New Mexico Human Services Department (2012), ‘2014 strategic plan’, http://www.hsd.state.nm.us/pdf/Strategic Plan FY2014 FINAL 8-30-12.pdf [1 May 2015].Google Scholar
New Mexico Human Services Department (2013), ‘Strategic plan: fiscal year 2014’, http://www.hsd.state.nm.us/pdf/Strategic Plan FY2014 FINAL 8-30-12.pdf [4 December 2015].Google Scholar
New Mexico Human Services Department (2014), ‘Strategic plan fiscal year 2015’, http://www.hsd.state.nm.us/uploads/FileLinks/cf2d671604a949abbdd860ed5342dcc6/FY15_HSD_Strategic_Plan.pdf [4 December 2015].Google Scholar
New Mexico Human Services Department (2015), ‘Strategic plan fiscal year 2016,’ http://www.hsd.state.nm.us/uploads/FileLinks/cf2d671604a949abbdd860ed5342dcc6/2016_Strategic_Plan.pdf [4 December 2015].Google Scholar
Noren, J., Kindig, D. and Sprenger, A. (1998), ‘Challenges to Native American health care’, Public Health Reports 113.1: 22.Google Scholar
Office of Governor Herbert (2014), ‘Governor unveiled an alternative plan to Medicaid expansion - the ‘healthy Utah plan’ fixes the hole without expanding Medicaid’, http://www.utah.gov/governor/news_media/article.html?article=9747 [27 February 2014].Google Scholar
Office of Tribal Self-Governance and Indian Health Service (2011), ‘Map of current self-governance Tribes’, Department of Health and Human Services & Indian Health Service. http://www.ihs.gov//newsroom/includes/themes/newihstheme//display_objects/documents/RepCong_2012/2012 Report to Congress and Data.pdf.Google Scholar
Pandey, S. and Collier-Tenison, S. (2001), ‘Welfare reform: an exploration of devolution’, Social Justice, 54–75.Google Scholar
Perry, S. and Foster, J. (2010), ‘Health reform: help for American Indians and Alaska Natives’, Families USA’s Minority Health Initiatives, http://familiesusa2.org/assets/pdfs/health-reform/minority-health/help-for-american-indians-alaska-natives.pdf [1 May 2015].Google Scholar
Sarche, M. and Spicer, P. (2008), ‘Poverty and health disparities for American Indian and alaska native children: current knowledge and future prospects’, Annals of the New York Academy of Sciences, 1136: 126–136.Google Scholar
Shelton, B. L. (2004), ‘Legal and historical roots of health care for American Indians and Alaska Natives in the United States’, Henry J. Kaiser Family Foundation (Report No. 7021), http://www.kff.org/minorityhealth/upload/Legal-and-Historical-Roots-of-Health-Care-for-American-Indians-and-Alaska-Natives-in-the-United-States.pdf [25 July 2015].Google Scholar
Treaty of Fort Laramie (1868), http://www.ourdocuments.gov/doc.php?doc=42 [21 May 2015].Google Scholar
United States General Accounting Office (1998), ‘Welfare reform early fiscal effects of the TANF block grant’, (Report No. AIMD-98-137). U.S. General Accounting Office, http://www.gao.gov/assets/230/226268.pdf [19 June 2015].Google Scholar
US Department of Health and Human Services (2015), ‘Approved tribal TANF grants’, https://www.acf.hhs.gov/sites/default/files/ofa/appvd_tfags_fy_2015_revised_12_15_2014.pdf [30 November 2015].Google Scholar
Utah Navajo Health System Inc (2013), http://www.unhsinc.org/ [1 July 2015].Google Scholar
Vestal, C. (2013), ‘Native Americans may not embrace special benefits Affordable Care Act offers them’, Albuquerque Journal, http://www.abqjournal.com/282482/news/nation/native-american-may-not-embrace-special-benefits-affordable-care-act-offers-them.html [13 October 2013].Google Scholar
Warne, D. (2006), ‘Research and educational approaches to reducing health disparities among American Indians and Alaska Natives’, Journal of Transcultural Nursing, 17(3): 266–271.Google Scholar
Warne, D. (2011), ‘Policy issues in American Indian Health governance’, Journal of Law, Medicine, and Ethics, 39(s1): 42–45.Google Scholar
Zuckerman, S., Haley, J., Roubideaux, Y. and Lillie-Blanton, M. (2004), ‘Health service access, use, and insurance coverage among American Indians/Alaska Natives and whites: what role does the Indian Health Service play’, American Journal of Public Health, 94(1): 53–59.Google Scholar