Financing American Indian Health Care: Impacts and Options for Improving Access and Quality

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October 2009
Kathryn Langwell, et al.

What are the implications of under-funding the Indian Health Service (IHS) for access to care and quality of care provided to American Indians who reside in rural and frontier areas and depend on the IHS for their health care? Kathryn Langwell, president of Sundance Research Institute and formerly of Sanford Research and the University of South Dakota, and colleagues examined this question and assessed the level of financing of American Indian health, the impacts of financing and organization on access to and quality of care, and the feasibility and costs of options to increase financing and improve operational efficiency and effectiveness. Learn more in this HCFO findings brief.