mmpc - National Indian Health Board

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Findings Percent of IHS Active Users who are Medicaid enrollees (column B). The Medicaid enrollment rate for IHS Active Users was determined during the linkage of IHS Registry data to this Medicaid enrollee data (see Methods and Table 2 in the 2011 report Integrating Medicaid and <strong>Indian</strong> <strong>Health</strong> Service Data). Percent of IHS Active User Medicaid Enrollees who are Recipients of Medicaid Paid Services (column C). The Medicaid participation rate of enrollees was determined by dividing the number of IHS AIAN Medicaid enrollees that had paid claims of more than zero dollars in column A, by all the IHS AIAN Medicaid enrollees (Attachment Table C.3). When expressed as a percent of the FDI Adjusted Benchmark Costs, the Areas with lowest fractions of health care costs paid by Medicaid for their IHS Active User population are Nashville (19%) and Oklahoma (21%)with a Medicaid Fraction of about one-fifth ( Figure 15). Aberdeen, California, Albuquerque, Portland and Bemidji Areas have mid-range fractions of between a little more than one quarter and a little less than one-third (27% to 31%). Alaska and Billings are in the middle of the Area rankings with a little more than one-third of the costs paid by Medicaid (34% to 38%). And Navajo and Phoenix have Medicaid fractions of nearly one half (46% and 49% respectively). Tucson has the highest Medicaid paid fraction of nearly two-thirds (65%). Figure 20. Medicaid Alternate Resources paid to all providers as percent of IHS calculated FDI benchmark health care costs for IHS Active Users in each Area. Nashville Oklahoma Aberdeen California Albuquerque Portland Bemidji Billings Alaska Navajo Phoenix Tucson 19% 21% 27% 29% 29% 30% 31% 34% 38% 46% 49% Medicaid Fraction Paid to IHS and Tribal Providers for IHS Active Users Using the Medicaid IHS Program claims payment data for IHS AIAN Medicaid recipients we can calculate the expected Mean Medicaid IHS Program Payment per IHS Active User to IHS and Tribal (I/T) providers. We substitute the unadjusted Mean Medicaid IHS Program Payment per IHS AIAN Recipient for the Total Payment in the calculations in Table 14 to obtain the percents in Figure 16. When the outcomes are expressed as a percent of the FDI Adjusted Benchmark Cost, the Areas with I/T providers with the lowest reported Alternate Resources for IHS Active User Medicaid enrollees are Nashville (2%), Bemidji (4%), Oklahoma (4%) and California (6%), (Figure 15). For Portland, Albuquerque, and Aberdeen Areas only 8% of all Medicaid payments are to IHS and Tribal providers for health care costs of their Active Users, and Alaska Area is only 9%. Medicaid resources Billings (12%), Navajo (19%), Phoenix (21%), and Tucson Areas (24%) have the highest relative Medicaid resources. 39 65% 0% 20% 40% 60% 80% 100% Percent of FDI Benchmark Cost All Providers
Findings Figure 21. Medicaid Alternate Resources paid to I/T providers as percent of IHS calculated FDI benchmark health care costs for IHS Active Users in each Area. Nashville Oklahoma Bemidji California Portland Albuquerque Aberdeen Alaska Billings Navajo Phoenix Tucson 2% 4% 4% 6% 8% 8% 8% 9% 12% 19% 21% 24% 0% 20% 40% 60% 80% 100% Percent of FDI Benchmark Cost 40 I/T Providers
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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
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Indian eligibility determinations,
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v.7, 2012‐09‐23a ACA, (2) the s
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Indian tribe means any Indian tribe
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v.7, 2012‐09‐23a In issuing thi
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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
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
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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 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: Findings providers for services nee
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
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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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Page 159 and 160: is at or below the poverty line. (d
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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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