CRIHB Research Documents for National American Indians and Alaska Natives

Gaps and Strategies to improve American Indian and Alaska Native Data for Medicare, Medicaid and CHIP

The Centers for Medicare and Medicaid Services (CMS) regularly convenes a Tribal Technical Advisory Group (TTAG) to provide consultation on the impact of CMS programs and policies on American Indians and Alaska Natives (AIAN) populations.  A fundamental problem is that the TTAG has a lack of data on AIAN enrollees in the CMS programs.  To address this lack of information the CMS AIAN Strategic Plan for 2006-2010 called for a Data Project to identify gaps in AIAN Medicaid, CHIP & Medicare data and recommend strategies for closing them.

The CRIHB Research unit was commissioned by the CMS under the auspices of the CMS TTAG to investigate the strengths and limitations Medicaid, CHIP & Medicare data available for AIAN using criteria set out in the CMS AIAN Strategic Plan. 

               AIAN CMS Data Report 2007 (pdf format)


American Indian and Alaska Native MEDICAID & CHIP PROGRAM AND POLICY DATA Summary Report

This report includes Medicaid and CHIP findings for AIAN using data readily available online in a web State Summary Data Mart developed and sustained by CMS. Online data for AIAN and for Indian Health Service (IHS) funded providers for the 35 states of the IHS healthcare delivery system are tabulated in the report.

            AIAN Medicaid Statistics 2009 (pdf format): For 35 States
            AIAN Medicaid Statistics 2010 (pdf format): For 12 IHS Areas and the counties of the 
            Urban Indian Health Organizations.
                Enrollment Service Use & Payments, AIAN Medicaid Statistics 2010 Appendix Tables 
            (pdf format)
 

American Indian and Alaska Native MEDICARE PROGRAM AND POLICY DATA Summary Report

This report includes Medicare findings for AIAN in each of the 12 Indian Health Service (IHS) Administrative Areas, and the counties of the Urban Indian Health Organizations.

            AIAN Medicare Statistics 2009 (pdf format)