Poverty and Public Health
3:47 pm
Thu May 2, 2013

Insurance Exchanges Could Open Indian Health Service To Non-Indians

KUNM's Tristan Ahtone Reports

Credit Indian Health Service

Medicaid expansion under the Affordable Health Care Act is expected to bring in much needed dollars to the chronically underfunded Indian Health Service or IHS.  But tribal health experts say the main game changer in Indian country will be new health insurance exchanges.  For the first time ever, the IHS, a system traditionally open only to Native Americans, will be competing for non-Indian patients in order to survive. KUNM’s Tristan Ahtone reports.

TRISTAN AHTONE: There are 27 Indian Health Service, or IHS, facilities in New Mexico, and most are located in some very rural areas - so rural, they’re often described as “frontier”. The Pueblo of Jemez’s clinic is one of those rural IHS clinics, where Dave Panana serves as nurse manager, and today, tour guide.

DAVE PANANA: We have seven rooms, the first two are for triage, and then the other five are for regular doctor visit exam rooms.

AHTONE: The clinic handles ambulatory care, dental, standard x-rays - all the services a rural community like Jemez Pueblo needs.

PANANA: This is our lab, so we do basic point of care testing to as well, your normal A1C's, your UA's, Hemoglobin’s, etc.

AHTONE: On Jemez, about 55% of the patients that come in are currently uninsured, which means that IHS and Jemez Pueblo absorb the medical costs of that population. But Panana says that’s about to change.

PANANA: Hopefully that number will go down especially with the changes with the health insurance exchanges that are coming down in 2014.

AHTONE: Health insurance exchanges are marketplaces for people to buy private insurance. In essence, it will be like comparing prices for airline tickets online, and, once you purchase an insurance plan, you’re locked into a network. Here’s how the exchanges could benefit the Indian Health Service: if IHS clinics are contracted with these private insurance plans, suddenly, more non-Indian patients will be able to access health care at places like Jemez Pueblo. Maria Clark is the director of the Pueblo’s Health and Human Services Department.

MARIA CLARK: They pass us everyday wondering “wow, it would be really neat if I could just go there, it would be such a short drive, be a wonderful convenience.” So we want to be able to promote ourselves in a way that we want their healthcare dollars spent here and we welcome them.

JIM ROBERTS: I think that health reform, with the exchanges, are going to forge a new business model mindset within the Indian health system.

AHTONE: That’s Jim Roberts is a Native American health expert with the Northwest Portland Area Indian Health Board. He says right now in Oregon, the Indian Health System has already been integrated into the states exchange, and he says that the idea is spreading.

ROBERTS: In Washington state we have begun that process where I have no doubt fully that our programs will be able to provide services to Non-Indians and Indians, served by qualified health plans.

AHTONE: Another opportunity the states health exchange offers tribes will be the ability to purchase supplemental insurance plans for their members. For tribal citizens with serious medical issues, tribal governments could opt to purchase plans for them through the exchange instead of dipping into limited IHS funds from the federal government. That’s according to April Wilkinson, program specialist for the Pueblo of Jemez.

APRIL WILKINSON: So if we can pay a $100 premium a month for somebody that has some significant illnesses, and utilize that insurance to supplement what we would have put out for their healthcare bill, we’re going to do that.

AHTONE: But that’s only viable if the insurance plan lists Jemez and other IHS clinics in their networks, which is happening, but slowly. Becky Kenny is with Blue Cross Blue Shield.

BECKY KENNY: Blue Cross and Blue Shield of New Mexico is including IHS clinics in our exchange network as we consider them to be essential community providers here in our state.

AHTONE: Across the country, heath care exchanges won’t be up and running until October. But already, many health insurance providers are seeing opportunities in tribes, reportedly showing up on reservations around New Mexico looking to sign up tribal members for private insurance. For KUNM, I’m Tristan Ahtone.