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Why Tribal Healthcare Is So Unique (with Kevin Chambers)
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"The best way I can explain it is the concept is like your house is on fire, and now you go get homeowners insurance." - Kevin Chambers
Kevin Chambers (Lucent Health) joined me this week to help me understand just what makes tribal healthcare plans so unique.
As Kevin shares in this episode, many companies are somewhat scared to insure tribes, as they have sovereignty and so any potential lawsuits are tried in tribal court. That doesn’t mean that this niche needs to be neglected, though; tribes actually have some huge opportunities to build really effective healthcare plans.
Kevin and I discussed the federal government’s role in tribal healthcare, and the four main “pillars” he uses to insure tribes; four little-known government sponsored entitlements that subsidize tribal healthcare, including the ability for native people to pay Medicare rates for their healthcare, which Kevin calls “the ultimate Reference-Based Pricing”.
Tune in this week for a look into the world of tribal healthcare!
Chapters:
(00:00:00) Introducing Kevin Chambers
(00:01:32) Self-Governed Tribal Healthcare Clinics
(00:16:24) Medicare Savings Program for Tribal Healthcare
(00:23:24) Tribal Healthcare: Self-Governance and Affordable Medicine
(00:27:26) High-Cost Medical Expense Reimbursement Fund
(00:36:20) Crucial Role of TPAs in Tribal Healthcare
(00:39:02) Reducing Fraudulent Charges through Healthcare Billing Transparency
(00:40:08) Exposing Wasteful Healthcare Practices
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Key Words:
#TribalHealthcare #SelfGovernance #EducationalInitiatives #HealthcareSolutions #CatastrophicHealthFund #TPAs #TransparencyInHealthcare #HealthcareEfficiency #TribalSpace #QualityCare #FinancialEfficiency #LegalCompliance #selffunded #podcast
Tribal Healthcare, Self Governance, Educational Initiatives, Healthcare Solutions, Catastrophic Health Fund, TPAs, Transparency In Healthcare, Healthcare Efficiency, Tribal Space, Quality Care, Financial Efficiency, Legal Compliance, self funded, podcast
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