mmpc - National Indian Health Board

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Findings Figure 14. Adjusted Mean Total Payment per Recipient for the IHS AIAN with any months of managed medical care in a CMCP in Figure 13 divided into three groups across 12 IHS Areas. Other AIAN and White results are shown as well. Note that the scale was expanded to accommodate adjusted payments greater than $10,000 IHS AIAN with Medicaid IHS Program claims in Bemidji, Oklahoma, Phoenix and Tucson Areas. Aberdeen Alaska Albuquerque Bemidji Billings California Nashville Navajo Oklahoma Phoenix Portland Tucson $- $2,000 $4,000 $6,000 $8,000 $10,000 $12,000 31 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
Analysis Group Compiled Findings for All Analyses and Areas Findings Adjusted Mean Payments for IHS AIAN are Overall Higher IHS AIAN generally had higher adjusted mean total payments than either Other AIAN or Whites for nearly all types of Recipients analyzed, though the payments for IHS AIAN were only 4% to 9% higher than those of Whites (depending on the type of Recipient, Table 11). The payments were 18% to 32% higher for four of six types of Recipients when compared to Other AIAN. To obtain an overall measure for all types of Recipients in the 6 analyses, we first determined the adjusted mean total payment for each type of IHS AIAN Recipient (Table 11) in each IHS Area (Attachment Table L.1). We then determined the difference between the adjusted mean total payment for IHS AIAN with that of each type of Other AIAN and White Recipients in the IHS Areas (Attachment Table L.1). The difference between the payment for the IHS AIAN and comparison group was expressed as a percent of the payment for IHS AIAN. That percent difference in mean payments was multiplied by the number of IHS AIAN in each Recipient and IHS Area to provide a weighted mean (average) of the relative differences (Attachment Table L.2). The findings for the differences thus determined across the six types of Recipients are presented in Table 11 and Figure 15. The findings across the 12 IHS Areas are presented in the next section (Figures 16 and 17, Attachment Table L.3). Table 11. Mean percent differences in the adjusted Mean Total Payments for IHS AIAN recipients compared to Other AIAN and Whites for the 6 groups of recipients. See also Figure 15 and Attachment Table L.2. Mean Payment Analyses 1 2 3 4 5 * 6 * Differen ce in Means Recipients Less than 65 years of Age Recipients Aged 65 & Over 12 months Enrollment Any Months of Enrollment 12 months Enrollment Any Months of Enrollment FFS Medical (220,368) Capitated Medical (34,490) Mean Payment Differe nce in Means FFS Medical (336,888) Mean Payment Differe nce in Means Capitated Medical (116,277) Mean Payment 32 Differen ce in Means FFS Medical (8,554) Mean Paymen t Differe nce in Means Capitated Medical (1,759)* Mean Payment IHS AIAN $ 5,976 $ 6,157 $ 848 $ 702 $ 8,609 $ 888 FFS Medical (14,715) Payments per Year Payments per Month Payments per Year Payments per Month Differen ce in Means Other AIAN 24% 25% -17% 32% -38% 18% Whites 13% 9% 12% 4% 8% -21% *There were insufficient numbers of recipients over age 65 in capitated medical care to analyze mean payments reliably. Capitated Medical (3,884)*
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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,
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A BILL To correct inconsistencies i
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California Rural Indian Health Boar
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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 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
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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
Page 103 and 104: Findings for Group 3 was $600 and W
Page 105 and 106: Findings Unadjusted mean payments f
Page 107 and 108: Findings Table 10. Unadjusted Mean
Page 109: Findings Figure 13. Adjusted Mean T
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
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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
Page 153 and 154: Subpart G--Social Services Block Gr
Page 155 and 156: organization applying for or receiv
Page 157 and 158: members of a tribe receiving direct
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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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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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