mmpc - National Indian Health Board

Findings
Payments are Higher for IHS AIAN with Medicaid IHS Program claims
When the IHS AIAN are divided into those with and without Medicaid IHS Program claims paid to IHS system
health care providers (I/T), payments are higher for IHS AIAN who had Medicaid IHS Program claims than those
who did not in all Areas but Nashville (Figure 4). Whether the IHS AIAN who had Medicaid IHS Program claims
were also IHS Active Users (Group 1) or not (Group 2), payments are higher than those of IHS Active Users who
did not have any Medicaid IHS Program claims (Group 3). The only distinction was that in the Navajo Area the
payments were much higher for IHS AIAN who had Medicaid IHS Program claims and were also IHS Active
Users (Group 1), but not for those with Medicaid IHS Program claims who were not also IHS Active Users
(Group 2). The much higher payments for IHS AIAN in Navajo Area were eliminated when all recipients in the
state of Arizona were excluded from analysis (Figure 5). In fact there were no Medicaid IHS Program claims for
AIAN who were not IHS Active Users when recipients from Arizona were excluded from the analysis.
Figure 4. Adjusted Mean Total Payment per Recipient for IHS AIAN in Figure 2 divided into: 1) IHS AIAN with IHS Program
claims who are IHS Active Users; 2) IHS AIAN with IHS Program claims who are not IHS Active Users; and 3) IHS AIAN who
are IHS Active Users with no IHS Program Medicaid claims. For comparison the Other AIAN and Whites of Figure 2 are shown.
Aberdeen
Alaska
Albuquerque
Bemidji
Billings
California
Nashville
Navajo
Oklahoma
Phoenix
Portland
Tucson
$- $2,000 $4,000 $6,000 $8,000 $10,000
22
1.IHS Program claims
& Active User
2.IHS Program claims
but Not Active User
3.IHS Active User with
no IHS Program claims
Other AIAN
Whites