Indian Health
Delivery System

The Indian Health Care Delivery system is complex, as a result of the unique government to government relationship between Tribes and the United States. Its formation is rooted in the US constitution, treaties, executive orders, and a myriad of laws, rules, and regulations. It requires an understanding of the interconnectedness between the Tribal, federal, state, and local, jurisdictions, in addition to private and non-profit entities engaged in health care.

While Indigenous people experience significant health disparities when compared to the general population, they are tremendously resilient, with their culture serving as a foundation to healing and recovery. KAI brings extensive expertise in working with Tribes and the Urban Indian Health organizations, their interaction with all other health care entities, including Tribal authorities from the Public Law 93-638 Indian Self-Determination and Education Assistance contracts and compacts. KAI has experience in providing education in meaningful engagements with others working in Indigenous communities with culturally appropriate techniques.

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Integration of
Traditional Practices

Identifying promising practices for how to effectively integrate tradition and culture into systems of care to achieve improved health outcomes

638 Contracting/ Compacting

Assisting tribes to exert sovereign authority in the administration of tribal health programs

Medicaid Rate

Supporting tribal residential SUD facilities in the development of cost-based per diem rates through Medicaid

Our Clients

Case Studies

Change is only possible when there is cooperation and commitment. We partner with communities to leverage culture and resilience to affect change in Indian Country.