1. “What Data is Relevant to Insure or Not Insure”
California Rural Indian Health Board (CRIHB)
For the Centers for Medicare & Medicaid Services (CMS)
Tribal Affairs Group (TAG) under the guidance of the
CMS Tribal Technical Advisory Group (TTAG)

2. Uninsured American Indians, With & Without IHS Coverage
American Community Survey
Survey with most Indians surveyed annually
AI/AN Populations are small enough that currently only survey results at the state level are reliable
Currently only have data from one year (2008)
Next Year will have 3 years of data ( )

3. Health Care Coverage Information from American Community Survey

4. Uninsured Eligible for Health Insurance Exchange (HIE)
Without cost-sharing:
Household Incomes 139% to 300% of Poverty
more reliable numbers with more years of data because of the low population of Indians

5. 471,000 American Indians are uninsured
With incomes 139% to 300% of Poverty
In all states combined
177,000 with IHS Coverage
294,000 without

6. Age Distribution of these AI/AN with & without IHS

7. Gender Distribution of these AI/AN with & without IHS

8. Exchanges will develop state by state
State numbers for
American Indians vary

9. Numbers of the Uninsured vary greatly by state

10. Distributions vary by state: Age Groups with IHS ‘coverage’

11. Begin analysis for 12 IHS Areas

12. Number of Uninsured with Incomes 139 to 300% Poverty

13. Percent of the Uninsured with & without IHS ‘Coverage’

14. Area Results require at least 3 years of survey data
To be reliable statistically
Will begin analysis of 3 years of data at end of this year 2011

15. What other types of data do we need to decide to insure or not insure?