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Tribal leaders urge managed‑care option for Medicaid to address health disparities
Summary
Tribal leaders and committee members discussed a tribal‑managed Medicaid model (capitated managed care) as a tool to improve behavioral health and chronic‑disease outcomes and to stabilize state budgeting; chairman and tribal leader described meetings with South Dakota and upcoming talks with state health officials.
Committee members and tribal leaders discussed shifting Medicaid services for tribal members to a tribe‑managed, capitated model to improve access to behavioral health and address social determinants of health.
"We've been engaged with South Dakota Department of Social Services on, taking a look at managed care," Chairman Renville told the committee, describing work that tribal leaders and South Dakota officials have done to explore a tribal‑run managed‑care arrangement. He said the goal is to "shift the focus from...a reactive model, which is more expensive," toward earlier intervention and better management of…
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