The Indian Health Service (IHS) serves approximately 2.2 million American Indian and Alaska Native (AI/AN) people in the U.S. According to surveillance data from the Centers for Disease Control and Prevention, AI/AN populations have the highest incidence of acute hepatitis C virus (HCV) and the highest rate of HCV-related mortality relative to other racial and ethnic groups.
Access to Services and Benefits & Services Integration
Reports
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Types and Costs of Services for Dual Beneficiaries by Medicare Advantage Health Plans: An Environmental Scan
The Centers for Medicare and Medicaid Services (CMS) uses the Star Rating program to measure the quality of Medicare Advantage (MA) plans, publicly report plan performance, and determine quality bonus payments and rebates for MA plans.
Patient-Centered Medical Home Implementation in Indian Health Service Direct Service Facilities
This report summarizes strategies Indian Health Service (IHS) clinics have used to implement the Patient-Centered Medical Home (PCMH) model of care, challenges they faced during implementation, and lessons learned that might benefit IHS clinics that have not yet received PCMH recognition. Common strategies to address challenges include use of telemedicine and partnerships with academic me
Strategies by Federally-Funded Health Centers to Facilitate Patient Access to Specialty Care
This report summarizes findings from a small qualitative study of six health centers that are pursuing a diverse range of approaches to facilitating specialty care for patients.
Indian Health Service Programs—A Retention Analysis
This study expands upon the analysis of the National Health Service Corps (NHSC) begun in “Provider Retention in High Need Areas and continued in “The National Health Service Corps: An Extended Analysis” by using the same techniques used in these earlier studies to examine retention patterns in Indian Health providers.. The study finds about 81% of the IHS program participants serve
Providing TA to Local Programs and Communities: Lessons from a Scan of Initiatives Offering TA to Human Services Programs
This scan of public and private technical assistance (TA) initiatives synthesizes lessons, challenges, and best practices for providing federal TA to human services programs working to address poverty and child well-being. The scan, encompassing 18 TA initiatives, is intended to inform decisions about how best to target TA efforts for different situations, audiences, and objectives.
A Policy to Provide Child Care Access for All Working Families: Effects on Mothers’ Employment and Caseload
This brief describes the effects of an alternative policy that would expand child care by providing subsidies for children ages three and younger in working families with incomes at or below 200 percent of the federal poverty guidelines.
ASPE Data Point
The Affordable Care Act is Improving Access to Preventive Services for Millions of Americans
Report
Innovative Medicaid Managed Care Coordination Programs for Co-morbid Behavioral Health and Chronic Physical Health Conditions: Final Report
The prevalence of co-morbid chronic physical and behavioral health conditions is an established driver of spiraling costs and poor health outcomes among Medicaid recipients. States are increasingly deploying new managed care models to help control Medicaid costs and promote improved health outcomes.