Affordable Care Act Survey:

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Presentation transcript:

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

Survey jointly conducted by: 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)

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

Impact on Health Insurance Coverage

Participation in Tribal Sponsorship

Avenues for Expanding Health Insurance Coverage

Impact on Third-Party Revenues

Savings to Purchased/Referred Care (PRC) Program

Impact of Increased Third-Party Revenues

Impact of Employer Mandate

IRS Notices on Employer Shared Responsibility Payments