Universal HealthcareBy NextBestFit
Phase 4: Wave 4: everyone · Step 4.4

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
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Task 4.4.5 of 6

IHS & tribal programs: UHP pays IHS, tribal, and urban Indian facilities at UHP rates for eligible patients; formal tribal consultation on implementation.

Who does it
UHA / IHS / tribes
When
Year 1
Trade-off

Paying IHS at UHP rates adds funding but requires tribal consultation that can slow implementation.

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

Several payment systems continue alongside UHP. UHP pays first for every resident and recovers costs from workers' compensation and auto/liability insurers. Workers' comp ($55.1B) and the medical portion of auto and property insurance ($55.3B) continue. The VA, military health system, and IHS remain delivery systems ($306.8B in federal programs).

This step changes 6 existing laws, programs, or institutions. See the list.