American Indian Veterans' Views about Their Choices in Health Care
VA, IHS, and Medicare
Bibliographic Data
| ID | 19005852 |
|---|---|
| Authors | Nancy Reifel (American Indian studies, Indian Health Service, corresponding author), Ruth Bayhylle (UCLA Department of Information Studies, Native American Veterans Groups, Los Angeles), Nancy Harada (0000-0002-2725-7346, Geriatric Research, Education and Clinical Center, Veterans Administration Greater Los Angeles Health Care System), Nancy D Harada (0000-0002-9433-118X, Geriatric Research Education and Clinical Center), Valentine Villa (California State College, Los Angeles), Valentine M Villa (California State University Los Angeles) |
| Year | 2009 |
| Volume | 33 |
| Issue | 3 |
| Pages | 23-33 |
| Publication date | 2009-01-01 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | American Indian Culture and Research Journal (JOURNAL) |
| Journal identifiers | ISSN: 0161-6463 • E-ISSN: 0161-6463 |
| Publisher | UCLA American Indian Studies Center (PUBLISHER • US) |
| DOI | 10.17953/aicr.33.3.b3527747755l0522 |
| OpenAlex | W1516473703 |
| Language | EN |
| Citations received | 1 |
| References cited | 3 |
Legislation during the past three decades has gradually drawn Indian Health Service (IHS)–funded clinics into the mainstream of the US medical care environment. The Indian Self-Determination and Education Reform Act of 1973 and its Indian Education Amendments of 1984 began a movement away from federal management of health services to local tribal control of the more than five hundred facilities serving American Indians. At the same time the Indian Health Care Improvement Act granted authority to IHS-funded clinics to bill Medicaid, beginning a long and continuing negotiation among the tribes, states, IHS, and Centers for Medicare and Medicaid Services (CMS). In 1990, 6 percent (72,000 individuals) of IHS beneficiaries were more than sixty-five and eligible for Medicare. Some 31.6 percent lived below the poverty level and were eligible for Medicaid. The IHS has facilitated and encouraged enrollment of its beneficiaries in Medicare and Medicaid. By 2008, 18 percent of the IHS budget is assumed to be met by third-party collections, including CMS billing. The Alaska Native and American Indian Direct Reimbursement Act of 1999 gave tribal clinics the authority to bill Medicaid directly for services without using the IHS as an intermediary, thus further facilitating access to CMS programs
Advertising · Business · Citation · Download · Health care · Icon · Library science · Political science · World Wide Web · Computer Science · Healthcare Policy and Management · Law · Medicine · Primary Care and Health Outcomes · Psychology · Public Health Policies and Education
Identification of American Indian and Alaska Native Veterans in Administrative Data of the Veterans Health Administration and the Indian Health Service
The history and politics of US health care policy for American Indians and Alaskan Natives
Effect of Using Information From Only One System for Dually Eligible Health Care Users
| Citations per year | 1 |
|---|---|
| Citation span | 2026 - 2026 (1) |
| Highly cited | No |