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Affordable Care Act Survey: Impact on Tribes and Tribal Health Organizations April 24, 2019

This survey explores the impact of the Affordable Care Act (ACA) and reauthorized Indian Health Care Improvement Act (IHCIA) on Tribes and Tribal Health Organizations (THOs). The survey results provide valuable insights into health insurance coverage, participation in Tribal sponsorship avenues, impact on third-party revenues, savings to the Purchased/Referred Care (PRC) program, and the impact of employer mandate IRS notices on employer shared responsibility payments.

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Affordable Care Act Survey: Impact on Tribes and Tribal Health Organizations April 24, 2019

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  1. Affordable Care Act Survey: Impact on Tribes and Tribal Health Organizations April 24, 2019 Presented by Doneg McDonough, CEO, Health System Analytics Technical Advisor, TSGAC DonegMcD@outlook.com Tribal Self-Governance Advisory Committee / TribalSelfGov.org

  2. Impact on Tribes and Tribal health organizations from Affordable Care Act (ACA) and reauthorized Indian Health Care Improvement Act (IHCIA): Survey jointly conducted by: Tribal Self-Governance Advisory Committee (TSGAC) National Indian Health Board (NIHB) National Congress of American Indians (NCAI)

  3. Survey of Tribes and Tribal Health Organizations (THOs) on Impact of ACA • In late 2018, a survey was jointly conducted by TSGAC, NIHB, and NCAI • The eight question survey focused on impact of ACA on Tribes and THOs • 68 Tribes and THOs responded to the survey • - 14 (21%) of the respondents were Title I contracting Tribes • - 54 (79%) of the respondents were Title V compacting Tribes • Survey results contain valuable information but are not necessarily representative of Tribes and THOs overall given over-representation of Title V compacting Tribes

  4. Impact on Health Insurance Coverage

  5. Participation in Tribal Sponsorship

  6. Avenues for Expanding Health Insurance Coverage

  7. Impact on Third-Party Revenues

  8. Savings to Purchased/Referred Care (PRC) Program

  9. Impact of Increased Third-Party Revenues

  10. Impact of Employer Mandate

  11. IRS Notices on Employer Shared Responsibility Payments

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