Open AccessTribal Benefits Counseling Program: Expanding Health Care Opportunities for Tribal Members
Author(s) -
Donna Friedsam,
Gretchen Haug,
Mike Rust,
Amy Lake
Publication year - 2003
Publication title -
american journal of public health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.284
H-Index - 264
eISSN - 1541-0048
pISSN - 0090-0036
DOI - 10.2105/ajph.93.10.1634
Subject(s) - medicaid , family medicine , medicine , revenue , health care , public health , health insurance , environmental health , nursing , gerontology , business , economic growth , finance , economics
American Indian tribal clinics hired benefits counselors to increase the number of patients with public and private insurance coverage, expand the range of health care options available to tribal members, and increase third-party revenues for tribal clinics. Benefits counselors received intensive training, technical assistance, and evaluation over a 2-year period. Six tribal clinics participated in the full training program, including follow-up, process evaluation, and outcomes reporting. Participating tribal sites experienced a 78% increase in Medicaid enrollment among pregnant women and children, compared with a 26% enrollment increase statewide during the same period. Trained benefits counselors on-site at tribal clinics can substantially increase third-party insurance coverage among patients.