The Center for Medicare and Medicaid Services (CMS) Tribal Affairs Group works closely with American Indian and Alaskan Native (AI/AN) communities and leaders to enable access to culturally competent healthcare available through Medicare, Medicaid, Children's Health Insurance Program (CHIP), Exchanges or any other health care program funded by CMS. CMS collaborates with the Indian Health Service (IHS) and other federal partners to facilitate access to high quality and timely healthcare. The CMS Tribal Technical Advisory Group (TTAG) was established in 2004 to provide advice and input to CMS on policy and program issues affecting delivery of health services to AI/ANs enrolled in these programs. TTAG has developed strategic plans that guide their work. The TTAG American Indian and Alaska Native Strategic Plan 2013-2018 includes five goals; the fifth goal is to develop and improve CMS data systems to evaluate and expand the capacity of CMS to serve American Indians and Alaska Natives. The Strategic Plan includes four objectives aimed at meeting this goal. The CMS TTAG Data Project is designed to address three of the four objectives. This project, as part of the overall CMS TTAG Data Project, will specifically address one of these objectives: Objective 2. Develop and test data for reporting the effects on AI/AN and IHS system providers of the implementation of ARRA P.L. 111-5, CHIPRA P.L. 111-3, and ACA P.L. 111-148 on CMS program enrollment, health care delivery, outcomes and payments across states and IHS areas.
To meet this objective, the CMS American Indian and Alaska Native Data Analysis Project includes the analysis of CMS data for Medicare beneficiaries and persons enrolled in Medicaid.
1) Establish baseline indicators for Medicare enrollment and health status, service use, payments, and outcomes for AI/AN Medicare beneficiaries using CMS data;
2) Monitor changes in these indicators in subsequent years using CMS data;
3) Describe the health status, service use, payments, and outcomes for AI/ANs with chronic disease using CMS data; and
4) Assess health disparities between AI/ANs and other Medicare beneficiaries.
This project is designed to inform the CMS Tribal Affairs Group and the CMS TTAG in their work to evaluate and expand the capacity of CMS to serve American Indians and Alaska Natives (Goal 5).