Coordinate with continuing payers: workers' comp, auto, VA, TRICARE, IHS

Years 1–4 · UHA; state workers' comp agencies & insurance regulators; VA; Defense Health Agency; IHS & tribesDiscuss this step

Indian Health Service & tribal programs

expandedYear 1Federal programs

Today

Treaty-based care, chronically underfunded (per-capita spending far below other federal programs).

Under the plan

Continues; UHP pays IHS and tribal facilities for care to UHP-eligible patients, adding revenue.

Trade-off

More money for IHS without disturbing tribal sovereignty; requires consultation under treaty obligations.