Indian Health Service: Select Issues and Developments

Isaac Dubois (Editor)

Series: Health Care Issues, Costs and Access
BISAC: HEA028000



Volume 10

Issue 1

Volume 2

Volume 3

Special issue: Resilience in breaking the cycle of children’s environmental health disparities
Edited by I Leslie Rubin, Robert J Geller, Abby Mutic, Benjamin A Gitterman, Nathan Mutic, Wayne Garfinkel, Claire D Coles, Kurt Martinuzzi, and Joav Merrick


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The Indian Health Service (IHS) is an agency in the Department of Health and Human Services (HHS) that provides health care to American Indians and Alaska Natives. When care at an IHS-funded facility is unavailable, IHS’s Contract Health Service (CHS) program pays for care from non-IHS providers if the patient meets certain requirements and funding is available.

The Patient Protection and Affordable Care Act requires the Government Accountability Office (GAO) to study the administration of the CHS program, including a focus on the allocation of funds. IHS uses three primary methods to determine the allocation of CHS funds to the 12 IHS geographic area offices: base funding, which accounts for most of the allocation; annual adjustments; and program increases, which are provided to expand the CHS program. This book examines (1) the extent to which IHS’s allocation of CHS funding varied across IHS areas, and (2) what steps IHS has taken to address funding variation within the CHS program. (Imprint: Nova)


Indian Health Service: Action Needed to Ensure Equitable Allocation of Resources for the Contract Health Service Program

Indian Health Service: Capping Payment Rates for Nonhospital Services Could Save Millions of Dollars for Contract Health Services

Indian Health Service: Most American Indians and Alaska Natives Potentially Eligible for Expanded Health Coverage, but Action Needed to Increase Enrollment


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