Health Programs and Initiatives at Chickasaw Nation Department of Health
Explore the various health programs and initiatives offered by the Chickasaw Nation Department of Health in Ada, Oklahoma, including the Premium Assistance Program, Hepatitis C Clinic, and Medicare Pilot Programs aimed at providing quality care and financial support to individuals in need. Learn about the eligibility criteria, services provided, and success stories of these programs.
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Presentation Transcript
Chickasaw Nation Department of Health Ada, Oklahoma Emergency room visits annually 55,000 Inpatient visits annually 4,300 Babies born annually 1,000 Gross outpatient visits annually 552,000 Licensed 72 bed Joint Commission accredited hospital
Premium Assistance Program Facts Tribes can assist with the cost of health insurance for specific American Indians who qualify. Eligibility is determined by income and need. There is no cost to the qualified applicant. No co-pay or deductible when served by the CNDH or when referred in the health care network by our facility. Gives you more treatment options and choices when traveling away from your tribal health care facility.
Premium Assistance Program Applicant requirements: 65 years of age or younger Currently receive services at CNDH facilities Enrolled citizen of a federally recognized tribe Live in the Chickasaw Nation service area Eligibility and income guidelines of the program are met No other medical insurance coverage Filed a tax return in the last year and intend to file in the upcoming year
Premium Assistance Program Pilot Program Implemented September 1,2014 High cost medical patients and pharmacy expenses for patients in Service Unit 246 patients enrolled in the pilot ROI 6.4 to 1 with 73 percent third party revenue and 27percent cost avoidance Blue Cross Blue Shield of Oklahoma Blue Preferred Bronze PPO 102 marketplace plan
Hepatitis C Clinic Premium Assistance Program April 2016 Return on investment: 1.88 to 1 118 patients completed treatment 84 cured patients as of Jan. 31,2018
Medicare Part B Medicare Part B Pilot Program Implemented July 1, 2017 Patients who did not elect Part B at 65 and now have a surcharge penalty associated with their monthly payment Patient will pay the $134 premium; we pick up the penalty associated with them 38 patients in Service Unit with multiple visits to our facilities and purchase refer care
Medicare Part D Premium Assistance Pilot Program (Patient s on Medicare but did not have a prescription plan) Started Jan.1,2013 currently in year six High cost pharmacy use 816 patients enrolled Return on investment of 13 to 1 Coventry First Health
Questions? Brenda Teel, Executive Officer of Revenue Brenda.Teel@Chickasaw.net
