These individuals will then be able to seek some aspects of care and reimbursement through these qualifying federal services, and allow the IHS to bill federal programs to offset its own billing costs and to ensure the elimination of redundancy. These programs supplement the provision of care for American Indians and Alaska Natives and reduce the funding burden on limited funds directed to the IHS. These federal programs, also assist those who qualify in receiving care in areas where IHS services are not traditionally located, off reservation and possibly even in urban and/or rural areas without IHS services and programs. Stakeholders in the programs are of course the IHS itself, all those American Indians and Native Alaskans who are covered by its services or could be covered for services, and the 557 Indian Nations in the 35 states they are affiliated with. Secondary shareholders are all the supplemental federal agencies including the U.S. Department of Health and Human Services, Medicare programs and various state Medicaid programs that provide supplemental care and are then eligible for match funds from the IHS funding structure. The IHS as a stakeholder is affected by the program as it receives almost exclusive federal funding for the services it provides, which in many ways serve as outreach to the native populations under it care. The American Indians and Native Alaskans are affected by the service in that it is their primary mode of medical care, within a system that is closer to universal health care than any other provided by the federal government. The Individuals and their tribes also seek and receive funding to provide outreach for awareness activities associated with the development of prevention and chronic illness risk training and identification for native peoples. These especially high risk issues include but are not limited...
(Coward, Davis, Gold, Smiciklas-Wright, Thorndyke, & Vondracek, 2006, p. 172) (French, 2000) Additionally the natives themselves often receive preferential hiring in IHS clinics and programs, which are tribal run, offering a significant source of well paid employment for natives, often in their own communities, an area where traditional sustainable employment is often lacking. Tribal run clinics and programs affect tribes in that they provide not only legitimate and sustainable employment for members but also help them develop their own independent infrastructures and programs, allowing a significant source of social and physical development in frequently impoverished and underserved areas. (Million, 2000, p. 101) Federal health provision organizations as a final stakeholder in the IHS, are affected in that they are then capable of providing services to native qualifiers and offsetting 100% of the cost to provide such care to the IHS funding structure, which then allows them to provide more services to the general public without a funding burden.
Figure 1 portrays the state of Maryland, the location for the focus of this DRP. Figure 1: Map of Maryland, the State (Google Maps, 2009) 1.3 Study Structure Organization of the Study The following five chapters constitute the body of Chapter I: Introduction Chapter II: Review of the Literature Chapter III: Methods and Results Chapter IV: Chapter V: Conclusions, Recommendations, and Implications Chapter I: Introduction During Chapter I, the researcher presents this study's focus, as it relates to the
China Preventive Health Services and U.S. Preventive Health Services The objective of this study is to compare and contrast China preventive health services and U.S. preventive health services. The work of Clarke (2010) reports that prevention "was a prominent feature of the health care reforms that took place in the late 1960s through the early 1970s. During that time strategies such as universal vaccination, promotion f lifestyle changes, population screenings, and
Health Care Disparities Race Related Healthcare disparities Serial number Socioeconomic status and health Correlation between socioeconomic status and race Health insurance and health Who are the uninsured people? Causes of health care disparities Suggestions for better health care system The latest studies have shown that in spite of the steady developments in the overall health of the United States, racial and ethnic minorities still experience an inferior quality of health services and are less likely to receive routine medical
Healthcare Legal Issues: Care and Treatment of Minors The evolution of the hospital is a unique social phenomenon reflecting societal attitudes toward illness and the welfare of the individual and the group. Hospitals existed in antiquity, in Egypt and in India. After Christianity became the state religion of the Roman Empire, hospitals were built in Christian nations. Subsequently, after Islam arose, hospitals were built in Moslem countries as well. Regardless of
Each of these was included in the initial Senate bill, but was struck from the final Senate version. Despite the victories, the group isn't ready to pledge support for health reform bills. The AMA will not endorse any legislation unless Congress gets rid of the mandated payment cuts of more than $200 billion over 10 years in the government's Medicare program for the elderly. The cuts are part of
" (AAFP, nd) The Health Maintenance Organization further should "…negotiate with both public and private payers for adequate reimbursement or direct payment to cover the expenses of interpreter services so that they can establish services without burdening physicians…" and the private industry should be "…engaged by medical organizations, including the AAFP, and patient advocacy groups to consider innovative ways to provide interpreter services to both employees and the medically underserved." (AAFP,
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