At this morning meeting there was a lot of very good dialog
and participation. We had some new players, which is good. I would like to
share my comments and thoughts to this process that we are undertaking.
Communication:
· To the
tribal leaders on this topic for unity and voice as one. Several tribes are
submitting their position papers individually. More leverage as a group.
· Educating
Communities which is going to impact them.
· There has to
be representation, if the leadership are unable to attend, that written
designation letters be drawn appointing their representatives. State and
Federal only recognize leadership for discussion and input. Nothing against
tribal leaders however they generally don’t stick with the topic at hand, and
voice other matters. Which in my opinion sends mixed messages and has an
appearance as griping session(s).
Implementation:
· I am aware
it is very difficult and/or next to impossible to develop a single position
paper with input from all tribes. As stated in yesterday’s meeting “Who is
going to lead?” As stated above submission of individual positions separately
does not signify unity. Would it better to read one position paper? Are these
positions saying the same thing or are they specifically addressing their own
concerns?
· I would
think that tribal resolution from each tribe to support “only” one support
letter, with input from all tribes, would have clout.
Tribes:
· Larger
tribes have a bigger voice than much smaller tribes.
· Urban’s are
the largest population which is also going to get impacted by this. How are
they going to be counted or represented? As with other tribes which are
developing their position papers, what about the urban population?
· There should
be representation from AIPC and AAIHB at these sessions.
· Navajos,
Jicarilla and Mescalero are undoubtedly looking out for themselves.
Tribal MCO’s
· This would
greatly benefit tribes that are managing their own healthcare through P.L.
93-638 etc. What would it take to be identified as an MCO?
· Are current
tribal health center big enough to qualify as an MCO?
· Would
services be open to native Americans or to everyone?
· Would
services be offered to patients with some sort of alternate resources? What
about the ones that don’t?
· Agreements
would need to be developed with much larger health facilities i.e. Lovelace
etc. for services that cannot be provided at the tribal health facilities.
State:
· The state
has developed Centennial Care for implementation and my perspective is that we
should have started this a while back.
· As stated
that CMS will make the final decision regarding this. Again, it would only make
sense to submit a “Single” position paper endorsed by all tribes instead of
individually. As stated “It only makes sense to read one document” instead of
many.
I am in support of want needs to happen and will do my part.
These are my thoughts that I would like to share.
Thanks you
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