The Affordable Care Act and Implications for Health Care Services for American Indian and Alaska Native Individuals.
نویسندگان
چکیده
American Indian and Alaska Native (AI/AN) populations report poor physical and mental health outcomes while tribal health providers and the Indian Health Service (IHS) operate in a climate of significant under funding. Understanding how the Patient Protection and Affordable Care Act (ACA) affects Native American tribes and the IHS is critical to addressing the improvement of the overall access, quality, and cost of health care within AI/AN communities. This paper summarizes the ACA provisions that directly and/or indirectly affect the service delivery of health care provided by tribes and the IHS.
منابع مشابه
Committee opinion no. 515: Health care for urban American Indian and Alaska Native women.
Sixty percent of American Indian and Alaska Native women live in metropolitan areas. Most are not eligible for health care provided by the federal Indian Health Service (IHS). The IHS partly funds 34 Urban Indian Health Organizations, which vary in size and services. Some are small informational and referral sites that are limited even in the scope of outpatient services provided. Compared with...
متن کاملAmerican Indian health policy: historical trends and contemporary issues.
The United States has a trust responsibility to provide services to American Indians and Alaska Native (AI/AN) persons. However, a long-standing history of underfunding of the Indian Health Service (IHS) has led to significant challenges in providing services. Twentieth century laws, including the Snyder Act, Transfer Act, Indian Self-Determination and Education Assistance Act, and Indian Healt...
متن کاملProtective Effects of Educational Attainment Against Cigarette Smoking; Diminished Returns of American Indians and Alaska Natives in the National Health Interview Survey
Introduction: Although educational attainment is protective against health risk behaviors such as smoking, the Minorities’ Diminished Return theory posits that these protective effects are smaller for ethnic minorities than majority groups. This study compared the effects of educational attainment on the smoking status of American Indian/Alaska Native (AIAN) and White ...
متن کاملLos Angeles American Indian and Alaska Native Project1 Technical Memo 4: AIAN Health Insurance Coverage
This technical memo examines health insurance coverage of AIANs in Los Angeles. Previous studies have found that AIANs are significantly less likely to have access, particularly to private insurance (Kaiser Commission on Medicaid and the Uninsured, 2000; American Indians and Alaska Natives: Health Coverage and Access to Care, 2004; Urban Indian Health Institute, 2012). The gap is particularly n...
متن کاملDoes the Accountable Care Act Aim to Promote Quality, Health, and Control Costs or Has It Missed the Mark? ;Comment on “Health System Reform in the United States”
McDonough’s perspective on healthcare reform in the US provides a clear, coherent analysis of the mix of access and delivery reforms in the Affordable Care Act (ACA) aka Obamacare. As noted by McDonough, this major reform bill is designed to expand access for health coverage that includes both prevention and treatment benefits among uninsured Americans. Additionally, this legislation includes s...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- Journal of health care for the poor and underserved
دوره 26 4 شماره
صفحات -
تاریخ انتشار 2015