Tribal Health Finance & Revenue

Strengthening billing and revenue to create sustainable healthcare. 

Healthcare revenue is the foundation of care.

Healthcare revenue strengthens your community’s care today and builds security for future generations.  

Yet revenue is too often lost—not because care isn’t delivered, but because systems and rules create barriers that keep what’s rightfully yours. 

With trusted partnership, those barriers can be removed. Revenue flows back under your Tribe’s control, supporting care that reflects your values, your governance, and your vision for the future. 

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Side by side, we build lasting healthcare funding.

We begin by working with your Tribe to understand your current financial and revenue systems. Together, we build a roadmap that fits your vision for sustainable tribal health funding. 

We stand beside you—supporting your team to find where revenue gets delayed, identify areas of concern, and strengthen billing and revenue capture. Your team leads with deep knowledge of your community. 

We support your transformation from today’s financial model to the future you want to achieve. This partnership is built on respect and shared purpose, moving your Tribe toward lasting financial strength for your community’s health. 

A financial approach built on clarity and sustainability.

We look at your Tribe’s revenue cycle from end-to-end: patient registration all the way through claim submission and follow up. Our hands-on support helps capture what’s owed, reduce dependence on federal funding, and grow sustainable revenue your community controls. 

The result is a clear plan that strengthens your financial operations while moving from uncertainty toward the growth and expansion your Tribe deserves, creating real financial opportunity that advances your community’s health. 

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What You Can Expect from Our Partnership

System Analysis

Review of current financial operations, identification of strengths and gaps, and support implementation of improvements through staff prepared to carry them forward.

Healthcare Provider & Network Administration

Support the establishment of structures to manage provider contracts, network participation, and payer relationships with clarity and accountability.

Workforce Planning

Align efficient staffing models with financial goals by defining roles and responsibilities, strengthening coordination, and preparing your team for long-term success.

Operational Framework

Support the development of policies, procedures, and reporting systems to ensure operations are consistent, reliable, and easy to maintain.

End-to-End Revenue Cycle Support

Implementation and/or integration of sustainable in-house revenue cycle management functions to reduce reliance on third-party vendors, prepare staff for accuracy, and monitor results to capture every earned dollar.

Strategic Performance Metrics

Define the indicators that lead to operational sustainability, train leaders to apply them effectively, and track performance to support informed decisions.

Billing and Invoicing Administration

Development of dependable billing systems and timely invoicing practices with staff education to reduce errors and accelerate access to revenue.

Quality Advancement Programming

Strengthen quality initiatives by aligning them with reimbursement, implementing improvements, and preparing staff to sustain progress.

Regulatory Compliance

Stay compliant by monitoring requirements, updating policies as rules change, and keeping staff ready through ongoing training. 

Community Knowledge Development

Designed and implemented comprehensive training materials aimed at enhancing community engagement, while providing education on the financial aspects of healthcare and keeping patients informed of changes.

Revenue Expansion Pathways

Discover opportunities for reinvestment and the expansion of clinical service offerings with revenue generated from third-party income.

Purchased/Referred Care

Evaluate current PRC processes, strengthen documentation and compliance, implement improvements, and prepare staff to protect PRC funds so they continue serving your community’s care 

End-to-End Revenue Cycle Assessment

Examine the full cycle from intake to payment, identify performance gaps, and recommend solutions to optimize every step.

Advisory Support

Provide ongoing guidance with clear, actionable recommendations to keep systems strong and adaptable.

Get Clarity on Where to Start & What Comes Next.

Find Out What It Means To
Join The PACT

“Maximizing Tribal healthcare revenue and reinvestment back into the healthcare system is essential for sustainability. A resilient healthcare model ensures ongoing access to care and enables the expansion of critical services for Indigenous communities.”

Brook

Brook Herbel

Lead Consultant, Consulting
Iowa Tribe of Kansas and Nebraska

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