Author: Committee on Population Publisher: National Academies Press ISBN: 0309553180 Category : Social Science Languages : en Pages : 327
Book Description
The reported population of American Indians and Alaska Natives has grown rapidly over the past 20 years. These changes raise questions for the Indian Health Service and other agencies responsible for serving the American Indian population. How big is the population? What are its health care and insurance needs? This volume presents an up-to-date summary of what is known about the demography of American Indian and Alaska Native population--their age and geographic distributions, household structure, employment, and disability and disease patterns. This information is critical for health care planners who must determine the eligible population for Indian health services and the costs of providing them. The volume will also be of interest to researchers and policymakers concerned about the future characteristics and needs of the American Indian population.
Author: United States. Congress. Senate. Select Committee on Indian Affairs Publisher: ISBN: Category : Indians of North America Languages : en Pages : 456
Author: United States Government Accountability Office Publisher: ISBN: 9781468003994 Category : Languages : en Pages : 58
Book Description
Access to health care services for American Indians and Alaska Natives has been a long standing concern.1 The Indian Health Service (IHS), an agency within the Department of Health and Human Services (HHS), is charged with providing health care to the approximately 1.9 million American Indians and Alaska Natives who are members or descendants of federally recognized tribes.2 These services are provided at federally or tribally operated health care facilities,3 which receive IHS funding and are located in 12 geographic regions overseen by IHS area offices.4 These IHS-funded facilities vary in the services that they provide. For example, some facilities offer comprehensive hospital services, while others offer only primary care services. When services are not available at these facilities, the agency's contract health services (CHS) program may pay for services from external health care providers, including hospital- and office-based providers. The CHS program is administered at the local level by individual CHS programs generally affiliated with IHS-funded facilities in each area. These individual CHS programs may be federally or tribally operated. These federal and tribal CHS programs determine whether or not to pay for the referral of a patient to an external provider or pay an external provider for a service already provided. IHS requires that patients meet certain eligibility and administrative requirements to have the services paid by the CHS program. In addition, the CHS program, which is funded through the annual appropriations process, must operate within the limits of its appropriations. Therefore, committees associated with each CHS program meet at least weekly to review cases and approve payment based on the relative medical need of each case. When the requirements have not been met or funds are not available, CHS programs defer or deny requests to pay for services. Services for which patients otherwise meet necessary requirements, but for which CHS program funds are not available for payment, are known as unfunded services. Limits on available resources have affected the specific types of services available to American Indians and Alaska Natives through the CHS program. For example, in a 2005 report examining 13 IHS-funded health care facilities, we reported that primary care services were generally offered at the facilities, but certain specialty and other services were not always directly available to American Indians and Alaska Natives.5 These facilities also generally lacked funds to pay for all of these services through their CHS programs. We also noted that, in some cases, gaps in services resulted in diagnosis or treatment delays that exacerbated the severity of a patient's condition and required more intensive treatment.
Author: Kathleen M. King Publisher: ISBN: 9781457848698 Category : Languages : en Pages : 76
Book Description
The Indian Health Service (IHS) provides care to American Indians and Alaska Natives through a system of health care facilities. The Patient Protection and Affordable Care Act (PPACA) provides states the option to expand their Medicaid programs and creates new health care coverage options, including for American Indians and Alaska Natives, beginning in 2014. This report (1) estimated the number of American Indians and Alaska Natives potentially eligible for the expanded and new coverage options; and (2) reviewed efforts by IHS, the Centers for Medicare & Medicaid Services (CMS), states, tribal organizations, and facilities to promote enrollment of American Indians and Alaska Natives in current programs and expanded and new coverage options, and any challenges associated with their enrollment. Tables and figures. This is a print on demand reoprt.
Author: National Academies of Sciences, Engineering, and Medicine Publisher: National Academies Press ISBN: 030946921X Category : Medical Languages : en Pages : 161
Book Description
The Social Security Administration (SSA) administers two programs that provide benefits based on disability: the Social Security Disability Insurance (SSDI) program and the Supplemental Security Income (SSI) program. This report analyzes health care utilizations as they relate to impairment severity and SSA's definition of disability. Health Care Utilization as a Proxy in Disability Determination identifies types of utilizations that might be good proxies for "listing-level" severity; that is, what represents an impairment, or combination of impairments, that are severe enough to prevent a person from doing any gainful activity, regardless of age, education, or work experience.
Author: Committee on Population
Author: United States. Congress. Senate. Select Committee on Indian Affairs
Author: 
Author: 
Author: United States Government Accountability Office
Author: Kathleen M. King
Author: National Academies of Sciences, Engineering, and Medicine
Author: 
Author: United States. Indian Health Service
Author: James P. Rife