mmpc - National Indian Health Board

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Findings Figure 8. Adjusted Mean Payment per Recipient excluding payments for hospital stays. Compare with Figure 4 Adjusted Mean Total Payments per Recipient, and Figure 6 Adjusted Mean Payment per Recipient excluding outpatient visits. Aberdeen Alaska Albuquerque Bemidji Billings California Nashville Navajo Oklahoma Phoenix Portland Tucson $- $2,000 $4,000 $6,000 $8,000 $10,000 Figure 9. Adjusted Mean Payment per Recipient excluding payments for prescription drugs. Compare with Figure 4 Adjusted Mean Total Payments per Recipient, and Figure 6 Adjusted Mean Payment per Recipient excluding outpatient visits. Aberdeen Alaska Albuquerque Bemidji Billings California Nashville Navajo Oklahoma Phoenix Portland Tucson $- $2,000 $4,000 $6,000 $8,000 $10,000 25 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 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
Findings Unadjusted mean payments for outpatient services to IHS and Tribal Program providers (Figure 10) for IHS AIAN were about 60% of the total paid to all providers (Figure 9, see Table 9). For Group 1 the proportion was 58% ($1,800 out of at least $3100 per recipient), while for Group 2 the proportion was 62% ($1,530 out of at least $2,487 per recipient). The types of outpatient services included in IHS Program services provided by IHS and Tribal providers is more comprehensive than those included for all providers in ways that cannot be equalized with MAX claims data. In the Billings Area outpatient service payments for IHS Program outpatient services are so large that payments to IHS Program providers for IHS outpatient services actually exceed payments to all providers for Outpatient Visit, Laboratory, Imaging, and Dental services (Table 9). Figure 10. Unadjusted Mean Payment per Recipient for outpatient services including visits, laboratory and imaging, and dental services. Compare with Figure 10 unadjusted Mean Payment per Recipient for IHS or Tribal outpatient services. Aberdeen Alaska Albuquerque Bemidji Billings California Nashville Navajo Oklahoma Phoenix Portland Tucson Outpatient Payments to all Providers $- $1,000 $2,000 $3,000 $4,000 $5,000 $6,000 $7,000 The types of outpatient services provided by IHS Program Providers are more comprehensive than those included here for all providers in ways that cannot be equalized with MAX data. In the Billings Area (Montana & Wyoming states) these other outpatient services are so much broader that payments to IHS Program Providers for IHS Program outpatient services actually exceed payments to All Providers for Outpatient Visit, Laboratory, Imaging, and Dental services for the same recipients. 26 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
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MEDICARE, MEDICAID, & HEALTH REFORM
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GENERAL INFORMATION TABLE OF CONTEN
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Last Updated: November 12, 2012 2.
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Ref. # 2. Task/Issue Person(s) CMS
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Ref. # II. POLICY Task/Issue Person
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Ref. # Task/Issue Person(s) 9. Stra
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Ref. # Task/Issue Person(s) 15. Eva
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IV. OUTREACH AND EDUCATION MMPC: SU
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Ref. # Task/Issue Person(s) 25. Med
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MMPC October 9, 2012 Teleconference
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To do List: -Myra will have draft b
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Internal Revenue Service Meeting No
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with a “interim/acting”. Can al
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8/7/12 DRAFT COMPANION TO ADDENDUM
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Indian Self-Determination and Educa
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Under federal law, There are privac
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1. Purpose of Addendum; Supersessio
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(1) ISDEAA, 25 USC §450 et seq.; (
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13. Medical Quality Assurance Requi
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edits on documents are due back fro
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d. CCIIO Philosophy - CCIIO is taki
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- I/T/U provider receives their all
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i. CMS rep. commented that an analy
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IHS TRIBAL SELF-GOVERNANCE ADVISORY
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Letter: Dr. Robert Petzel, Under Se
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October 17, 2012 Dr. Robert Petzel,
Page 53 and 54: A BILL To correct inconsistencies i
Page 55 and 56: California Rural Indian Health Boar
Page 57 and 58: As people have changes in employmen
Page 59 and 60: Indian eligibility determinations,
Page 61 and 62: v.7, 2012‐09‐23a ACA, (2) the s
Page 63 and 64: Indian tribe means any Indian tribe
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Page 73 and 74: v.7, 2012‐09‐23a 48 Enacted thr
Page 75 and 76: Prepared by James Crouch MPH Chair,
Page 77 and 78: Summary T he Indian Health Service
Page 79 and 80: Summary providers that were either
Page 81 and 82: Introduction Reliable determination
Page 83 and 84: Analysis Groups IHS AIAN Methods Th
Page 85 and 86: Methods group for the statistical m
Page 87 and 88: Enrollees with no Payments Methods
Page 89 and 90: Methods Table 5. Mean Medicaid and
Page 91 and 92: Restricted Benefits Methods Enrolle
Page 93 and 94: Age and Sex Methods Medical care pa
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Page 97 and 98: Methods Map 1. 12 IHS Areas: Contra
Page 99 and 100: Findings Figure 1. Adjustment of Me
Page 101 and 102: Findings Payments are Higher for IH
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Page 107 and 108: Findings Table 10. Unadjusted Mean
Page 109 and 110: Findings Figure 13. Adjusted Mean T
Page 111 and 112: Analysis Group Compiled Findings fo
Page 113 and 114: Findings Adjusted Mean Payments for
Page 115 and 116: Findings Figure 18. Percent differe
Page 117 and 118: Findings providers for services nee
Page 119 and 120: Findings Figure 21. Medicaid Altern
Page 121 and 122: Conclusions and Recommendations pro
Page 123 and 124: Indian Health Service, 2012. Federa
Page 125 and 126: Tribal Consultation Policy HHS 1. P
Page 127 and 128: defined in Sections 8 and 9 of this
Page 129 and 130: 2. Office of Intergovernmental Affa
Page 131 and 132: will give equal consideration to th
Page 133 and 134: provide Indian Tribes with a region
Page 135 and 136: 4. Each Operating Division Head/Dep
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Page 139 and 140: 17. Sovereignty - The ultimate sour
Page 141 and 142: 1. Selection of workgroup co-chairs
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Page 149 and 150: November 14 -15, 2012 TTAG FACE TO
Page 151 and 152: AGENDA: Day 2 Thursday - Nov. 15, 2
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organization applying for or receiv
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members of a tribe receiving direct
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is at or below the poverty line. (d
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under this part. Grantees that rece
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income home energy assistance progr
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Need for Uniform Operational Guidan
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Dear Tribal Representatives, Octobe
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There is a strong correlation betwe
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Wed. Nov 14 th : SDPI National Call
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Future MMPC Meetings & Conference C
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Regulation Review and Impact Analys
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64. Policy on Conferring with Urban
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RRIAR Ref. # 1.c. 8. 9. 13. Short T
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premium tax credit assistance and c
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Access to this benefit is criticall
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community providers for purposes of
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November 12, 2012 Centers for Medic
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_________ American Indian or Alaska
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November 9, 2012 Page 2 We are comm
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Tribal Consultation for Health Insu
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Background Analysis of Tribal Consu
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Analysis of Tribal Consultation Pol
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D. FFE Data Analysis of Tribal Cons
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John O'Brien Director, Healthcare &
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Draft Report: Currently being circu
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