Imagine a health system that finally meets your Tribe’s needs.

Healthcare That Strengthens Self-Determination

American Indian & Alaska Native communities face major health inequities despite federal
trust obligations.

Federal Indian health programs remain underfunded and fragmented, with approaches that don't reflect Tribal values.

Indigenous Pact is your partner in achieving health equity by advancing Tribal self-determination, health, & sustainable revenue.

We deliver solutions that strengthen sovereignty and are guided by each Tribe’s unique vision and priorities.

As a Native American, woman-owned, certified B Corporation, we bring innovation, expertise, and a deep understanding of Tribal communities.

We meet Tribal healthcare needs by delivering robust access to care, high-quality outcomes, and trusted expertise.

Our care and consulting solutions strengthen healthcare revenue and reinforce Tribal sovereignty.

Care Delivery for Tribal Nations

Indigenous Pact helps Tribal Nations build care systems that expand access, improve health outcomes, and make care more affordable. All of our services are designed in partnership with Tribal leadership and grounded in respect for culture, tradition, and sovereignty.

Our Care Model

Access to Care

We help bring care directly to your community through:

  • Onsite care clinics

  • Mobile health units

  • Virtual services, including:

    • Telehealth

    • OneGen Room (advanced virtual care in the clinic)

Health Outcomes

We focus on whole-person, coordinated care that includes:

  • Personalized care teams

  • Board-certified physicians

  • Preventative care

  • Chronic condition management

  • Care coordination

  • Medication management and referrals

  • Tracking and improving outcomes

Affordability

We help make care sustainable by aligning with available funding:

  • Medicaid support

  • Budget-focused planning and care design

Our Care Services

  • We deliver flexible care solutions tailored to your clinic’s needs through both virtual and in-person services. Our team works within your existing operations to strengthen care delivery, reduce wait times, improve access, and support financial sustainability.

  • The OneGen Room is a first-of-its-kind, immersive virtual care experience designed specifically for Tribal healthcare. It combines in-person and digital services to bring board-certified physicians directly into the clinic using telepresence, a digital wall, diagnostic tools, and connected devices. Built to fit within a Tribe’s existing space, the room also features mood, lighting, and sound controls to create a calming, culturally responsive environment. It supports physical, mental, social, and traditional care while expanding access, improving outcomes, and generating sustainable revenue.

  • We help Tribes design and deliver behavioral health and substance use programs that are culturally grounded, financially sustainable, and community-driven. From detox to outpatient care, we support every stage of program planning, development, and implementation.

  • We help Tribes align services with Medicaid and IHS policies to expand wraparound care and secure long-term funding. Our guidance ensures compliance while creating space to grow services based on community needs.

  • We work with Tribal leaders to create care models rooted in Indigenous knowledge, values, and tradition. These models shape everything from staffing to clinical pathways, ensuring care reflects and respects the culture of the community it serves.

  • We help build systems that recognize the family as central to healing. Using models like PACT and OneGen, care is coordinated across generations and designed to support physical, emotional, and cultural wellness together.

  • We support Tribal clinics in building secure, effective systems to manage patient data, improve documentation, and strengthen care coordination. Our training and support help staff use these systems with confidence and accuracy.

  • We work directly with your team to improve care quality, streamline operations, and meet performance goals. Through hands-on coaching and support, we help build the internal capacity to lead lasting change.

Every solution is co-developed with Tribal leadership, tailored to community values, and supported with full implementation, training, and operational support.

For example, a Tribe may begin by expanding virtual primary care, then layer in a OneGen Room for specialty access, and finally add behavioral health and family-centered models supported by performance coaching and Medicaid policy alignment. Each service strengthens Tribal capacity, supports self-governance in healthcare, and lays the foundation for long-term, sustainable care.

Tribal Health Consulting

Our consulting services deliver the depth of expertise Tribes need to strengthen operations, fill resource gaps, and optimize revenue cycles. This ensures long-term sustainability and greater confidence in healthcare delivery.

Advisory

We provide strategic and operational guidance to support day-to-day management and long-term planning.

  • Strategic planning and operations

  • Healthcare leadership and initiative support

  • Day-to-day management consulting

Assessment and Audit

We offer in-depth evaluations to uncover opportunities and ensure performance.

  • Feasibility studies

  • Community health evaluations

  • Revenue cycle analysis

    • Identify all opportunities

    • Optimize performance

    • Eliminate gaps and leakage

Operations and Execution

We help design, build, and operate care infrastructure with clear focus and expert support.

  • Facility design

  • Infrastructure development

  • Ongoing operational support

Our Consulting Model

Our Consulting Services

  • We guide Tribes through the process of assuming control of their healthcare systems by supporting 638 compacting, federal negotiations, and planning for operational independence.

  • We work with Tribal leaders to design healthcare systems that reflect community values, meet long-term goals, and build a clear path toward sustainable, self-determined care.

  • We provide expert support to plan, model, and evaluate new or expanded clinic services—from concept to construction—ensuring every step aligns with Tribal needs and available resources.

  • We assess and improve revenue systems to increase collections, reduce leakage, and ensure billing processes are aligned with Medicaid, IHS, and third-party payer requirements.

  • We help align healthcare operations with legal, regulatory, and IT system requirements, reducing risk and supporting secure, effective, and compliant care delivery.

  • We help Tribes recruit, train, and retain clinical and administrative staff with strategies that build local capacity, reduce turnover, and support long-term workforce stability.

  • We offer hands-on support to turn strategic plans into action. Our team manages timelines, workflows, vendors, and operations to ensure your projects are executed on time and on budget.

  • We support funding, reporting, and continuous improvement with evaluations, grant writing, policies and procedures, and other technical documentation tailored to Tribal programs.

Every consulting engagement is co-developed with Tribal leadership, grounded in sovereignty, and tailored to each community’s goals.

We support health system design, self-governance transition through 638 compacting, and clinic development with feasibility modeling. As needed, we provide revenue cycle and billing support, workforce development, and hands-on project implementation. We also offer guidance on compliance, policy, IT systems, and program evaluation.

Each service is available based on Tribal priorities and designed to strengthen local capacity, sustainability, and self-determined healthcare.

Sovereign Care for Healthy, Strong, and Prosperous Nations

We support Tribal strength and sovereignty through cultural alignment and strategic expertise.

Our team brings deep respect for tradition, history, and community, with a shared understanding of each Tribe’s vision.

We also provide trusted support in governmental affairs, self-determination, financial sustainability, and regulatory policy to help Tribes lead with confidence and protect their sovereignty.

Connect With Us to Create Healthy, Sustainable, Prosperous Nations. Together.

Rachel Joseph, Paiute-Shoshone

“The Indigenous Pact team spent the last tow days here providing assistance and support to our two county seven Federally Recognized Tribes health project serving Inyo and Mono Counties in the Eastern Sierras of California. The team I totally committed to improving health care and we are blessed because of our association with Indigenous Pact.”

Native-led. Woman-owned. Certified B Corporation committed to partnering with Tribes to advance self-determination, health, and sustainable revenue while creating health equity in one generation.