CRIHB Research Documents for National American Indians and Alaska Natives

“Integrating Medicaid and IHS Data” report for 2011
In this report we provide findings for American Indians and Alaska Natives (AIAN) from Medicaid and Children’s Health Insurance Program (CHIP) data linked to Indian Health Service (IHS) data. The purpose of the linkage is to allow analysis of Medicaid enrollment and utilization data for AIAN who meet the legal definitions of AIAN who are eligible for health care services from IHS and Indian health program providers, and to determine the completeness with which these AIAN are properly classified in the racial definition for AIAN compiled by Medicaid.

Integrating Medicaid & Indian Health Service Data 2011 (pdf format)

Uninsured American Indians and Alaska Natives with Incomes 133% to 300% of Poverty: Data for Health Insurance Exchange Outreach

As outreach efforts increase to offer affordable health insurance to low income American Indians and Alaska Natives (AIAN), there is a need to know how many uninsured AIAN there in the administrative Areas of the Indian Health Service health care system to tailor the efforts to the different needs of AIAN in and out of that system. This report shows how the data from the American Community Survey of the U.S. Census Bureau can be used to provide this information.

    AIAN Uninsured Data Report 2010 (pdf format)

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)
 

 
American Indians and Alaska Natives: Medicaid State Data Collection

State Medicaid programs gather data on American Indians and Alaska Natives (AIAN) and healthcare providers of the Indian Health Service health care system.  This report assesses how completely and accurately they are able to achieve that goal, and what could be done to improve their success.

AIAN Medicaid Data Collection Report 2010 (pdf Format)