The Indian Health Service: Overview, Contract Health Services, and Affordable Care Act Impacts ( Health Care Issues, Costs and Access )

Publication series :Health Care Issues, Costs and Access

Author: Pamela M. Agnelli  

Publisher: Nova Science Publishers, Inc.‎

Publication year: 2014

E-ISBN: 9781633216143

P-ISBN(Hardback):  9781633215825

Subject: R1 Preventive Medicine , Health

Keyword: Health Care

Language: ENG

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The Indian Health Service: Overview, Contract Health Services, and Affordable Care Act Impacts

Chapter

OTHER IHS-SUPPORTED ACTIVITIES

IHS AUTHORIZATION

CONGRESSIONAL COMMITTEE JURISDICTION

CONCLUSION

APPENDIX A. THE AMERICAN INDIAN AND ALASKA NATIVE POPULATION

APPENDIX B. BRIEF HISTORY OF FEDERAL INVOLVEMENT IN INDIAN HEALTH

TIMELINE SOURCES

Chapter 2: INDIAN HEALTH SERVICE: OPPORTUNITIES MAY EXIST TO IMPROVE THE CONTRACT HEALTH SERVICES PROGRAM

WHY GAO DID THIS STUDY

WHAT GAO RECOMMENDS

WHAT GAO FOUND

ABBREVIATIONS

BACKGROUND

MORE THAN TWO-THIRDS OF CHS CLAIMS WERE PAID WITHIN 6MONTHS BUT SOME TOOK MUCH LONGER TO PAY

IHS HAS THREE TIMELINESS MEASURES FOR PROCESSING PROVIDER PAYMENTS, BUT THE TWO INVOLVING PURCHASE ORDER ISSUANCE DO NOT PROVIDE A CLEAR PICTURE OF TIMELINESS

COMPLEXITY OF THE CHS PROGRAM, CHS STAFFING AND FUNDING AVAILABILITY, AND VARIATIONS IN PROGRAM PRACTICES CAN AFFECT THE TIMELINESS OF PAYMENTS TO PROVIDERS

NEW COVERAGE OPTIONS IN PPACAMAY PROVIDE IHS AN OPPORTUNITY TO SIMPLIFY CHS ELIGIBILITY RULES

CONCLUSION

RECOMMENDATIONS FOR EXECUTIVE ACTION

AGENCY COMMENTS AND OUR EVALUATION

Chapter 3: INDIAN HEALTH CARE: IMPACT OF THE AFFORDABLE CARE ACT (ACA)

SUMMARY

INTRODUCTION

OVERVIEW OF INDIAN HEALTH CARE

INDIAN HEALTH CARE IMPROVEMENT ACT

SELECTED MAJOR CHANGES TO IHCIA IN THE ACA

IHCIA TITLE I: INDIAN HEALTH, HUMAN RESOURCES, AND DEVELOPMENT

IHCIA TITLE II:HEALTH SERVICES

IHCIA TITLE III: FACILITIES

IHCIA TITLE IV: ACCESS TO HEALTH SERVICES

IHCIA TITLE V:HEALTH SERVICES FOR URBAN INDIANS

IHCIA TITLE VI:ORGANIZATIONAL IMPROVEMENTS

IHCIA TITLE VII: BEHAVIORAL HEALTH PROGRAMS

IHCIA TITLE VIII:MISCELLANEOUS

NATIVE HAWAIIAN HEALTH CARE REAUTHORIZATION

ACA PRIVATE HEALTH INSURANCE CHANGES

SSAHEALTH BENEFIT IMPROVEMENTS FOR INDIANS

Chapter 4: THE INDIAN HEALTH CARE IMPROVEMENT ACT REAUTHORIZATION AND EXTENSIONAS ENACTED BY THE ACA: DETAILED SUMMARY AND TIMELINE

SUMMARY

INTRODUCTION

OVERVIEW OF INDIAN HEALTH CARE

OVERVIEW OF REPORT

TITLE I—IHCIA REAUTHORIZATION AND AMENDMENTS

TITLE II—AMENDMENTS TO OTHER ACTS

APPENDIX A. TIMELINE OF IHCIA PROVISIONS IN THE ACA

APPENDIX B. ACRONYMS USED IN THE REPORT

INDEX

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