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Improving Native American Elder Access to and Use of Healthcare through Effective Health System Navigation

Award Number: R01MD010292
ORGANIZATION: NATIONAL CENTER ON MINORITY HEALTH AND HEALTH DISPARITIES
OPDIV: NIH
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)

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DESCRIPTION (provided by applicant): Major public insurance reforms of the past two decades, i.e., those requiring enrollment into managed care programs, have failed to substantively address the healthcare needs of American Indians in general, let alone the particular needs of American Indian elders, ages 55 years and older, who suffer from poorer quality of life and lower life expectancies compared to all other aging populations in the U.S. American Indian elders represent a neglected group within the nation's healthcare system. Despite the pervasive belief that the Indian Health Service (IHS) will fully address their health-related needs, elders are negatively affected by gaps in insurance and lack of access to healthcare. Since 2014, the Patient Protection and Affordable Care Act, plus state Medicaid expansion, has made it possible for American Indian elders who are not yet eligible for Medicare to benefit from healthcare coverage. The Affordable Care Act is also intended to improve access to and quality of services for seniors in Medicare and includes special provisions to ameliorate healthcare disparities for American Indians. This proposed five-year, community-driven study features a mixed-method, participatory research design to examine insurance-related outreach activities under the Affordable Care Act, help-seeking behavior, and the healthcare experiences of American Indian elders in New Mexico, home to 22 federally-recognized Pueblos and Tribes. This study combines qualitative and quantitative interviews with concept-mapping techniques and focus groups. The information gathered will generate new practical knowledge, grounded in the actual perspectives of American Indian elders and other relevant stakeholders, to improve healthcare practices and policies for a population that has been largely excluded from national and state discussions of healthcare reform. Study data will also inform development and evaluation of culturally tailored programming to enhance understanding and facilitate negotiation of the changing landscape of healthcare by American Indian elders. This work will fill a gap in research on public insurance initiatives, which do not typically focus on the AIE population, and will offer a replicable model for enhancing the effects of the Affordable Care Act on other underserved groups affected by inequities in healthcare.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2023 ( Subtotal = -$41,496 )
2023	2019	PACIFIC INSTITUTE FOR RESEARCH & EVALUATION	4061 POWDER MILL RD	BELTSVILLE	MD	20705	PRINCE GEORGES	USA	Minority Health and Health Disparities Research	001	5	5/15/2023	NON-COMPETING CONTINUATION	-$41,496
2023	2019	PACIFIC INSTITUTE FOR RESEARCH & EVALUATION	4061 POWDER MILL RD	BELTSVILLE	MD	20705	PRINCE GEORGES	USA	Minority Health and Health Disparities Research	000	5	5/4/2023	NON-COMPETING CONTINUATION	-$41,496
2023	2019	PACIFIC INSTITUTE FOR RESEARCH & EVALUATION	4061 POWDER MILL RD	BELTSVILLE	MD	20705	PRINCE GEORGES	USA	Minority Health and Health Disparities Research	002	5	6/21/2023	NON-COMPETING CONTINUATION	$41,496
														Subtotal = -$41,496

Issue Date FY: 2022 ( Subtotal = $0 )
2022	2019	PACIFIC INSTITUTE FOR RESEARCH AND EVALUATION	4061 POWDER MILL RD STE 350	BELTSVILLE	MD	20705	PRINCE GEORGES	USA	Minority Health and Health Disparities Research	000	5	10/25/2021	NON-COMPETING CONTINUATION	$0
														Subtotal = $0

Issue Date FY: 2021 ( Subtotal = $0 )
2021	2019	PACIFIC INSTITUTE FOR RESEARCH AND EVALUATION	11720 BELTSVILLE DR STE 900	BELTSVILLE	MD	20705	PRINCE GEORGES	USA	Minority Health and Health Disparities Research	000	5	12/11/2020	NON-COMPETING CONTINUATION	$0
														Subtotal = $0

Issue Date FY: 2019 ( Subtotal = $486,641 )
2019	2019	PACIFIC INSTITUTE FOR RESEARCH AND EVALUATION	11720 BELTSVILLE DR STE 900	BELTSVILLE	MD	20705	PRINCE GEORGES	USA	Minority Health and Health Disparities Research	000	5	12/15/2018	NON-COMPETING CONTINUATION	$486,641
														Subtotal = $486,641

Issue Date FY: 2018 ( Subtotal = $471,931 )
2018	2018	PACIFIC INSTITUTE FOR RESEARCH AND EVALUATION	11720 BELTSVILLE DR STE 900	BELTSVILLE	MD	20705	PRINCE GEORGES	USA	Minority Health and Health Disparities Research	001	4	6/14/2018	NON-COMPETING CONTINUATION	$47,194
2018	2018	PACIFIC INSTITUTE FOR RESEARCH AND EVALUATION	11720 BELTSVILLE DR STE 900	BELTSVILLE	MD	20705	PRINCE GEORGES	USA	Minority Health and Health Disparities Research	000	4	12/14/2017	NON-COMPETING CONTINUATION	$424,737
														Subtotal = $471,931

Issue Date FY: 2017 ( Subtotal = $481,706 )
2017	2017	PACIFIC INSTITUTE FOR RESEARCH AND EVALUATION	11720 BELTSVILLE DR STE 900	BELTSVILLE	MD	20705	PRINCE GEORGES	USA	Minority Health and Health Disparities Research	000	3	12/16/2016	NON-COMPETING CONTINUATION	$433,533
2017	2017	PACIFIC INSTITUTE FOR RESEARCH AND EVALUATION	11720 BELTSVILLE DR STE 900	BELTSVILLE	MD	20705	PRINCE GEORGES	USA	Minority Health and Health Disparities Research	001	3	6/28/2017	NON-COMPETING CONTINUATION	$48,173
														Subtotal = $481,706

Issue Date FY: 2016 ( Subtotal = $502,040 )
2016	2016	PACIFIC INSTITUTE FOR RESEARCH & EVALUATION	11710 BELTSVILLE DR, SUITE 300	BELTSVILLE	MD	20705	PRINCE GEORGES	USA	Minority Health and Health Disparities Research	001	2	3/3/2016	NON-COMPETING CONTINUATION	$50,206
2016	2016	PACIFIC INSTITUTE FOR RESEARCH & EVALUATION	11710 BELTSVILLE DR, SUITE 300	BELTSVILLE	MD	20705	PRINCE GEORGES	USA	Minority Health and Health Disparities Research	000	2	12/28/2015	NON-COMPETING CONTINUATION	$451,834
														Subtotal = $502,040

Issue Date FY: 2015 ( Subtotal = $505,839 )
2015	2015	PACIFIC INSTITUTE FOR RESEARCH & EVALUATION	11710 BELTSVILLE DR, SUITE 300	BELTSVILLE	MD	20705	PRINCE GEORGES	USA	Minority Health and Health Disparities Research	000	1	7/1/2015	NEW	$505,839
														Subtotal = $505,839

Grand Total All Awards = $2,406,661

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Improving Native American Elder Access to and Use of Healthcare through Effective Health System Navigation

Award Number: R01MD010292

ORGANIZATION: NATIONAL CENTER ON MINORITY HEALTH AND HEALTH DISPARITIES

OPDIV: NIH

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)

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