How To Improve Health Outcomes for Your Tribal Organization
The funding structures and federal programs available to tribal health organizations, including clinic reimbursement rates, 105(l) lease structures, and 340B drug pricing, and how to access them.
Improving health outcomes for tribal organizations is not primarily a clinical challenge. It is a structural and financial one. The federal government has created a set of programs specifically designed to support tribal health, but most tribal organizations are not fully utilizing them. The gap between what is available and what is accessed is where Face Rock operates.
The three most consequential programs for most tribal health organizations are clinic reimbursement optimization (IHS, Medicaid, FQHC designation), 105(l) lease structures, and the 340B Drug Pricing Program. Each can individually generate significant additional revenue or meaningful cost reduction. Together, they create a financial foundation that supports both program quality and long-term sustainability.
The article addresses the organizational requirements for each program, including what structure needs to be in place, what enrollment steps are required, and what ongoing compliance obligations each program carries. It is written as a reference for tribal health administrators who want to understand the landscape before engaging a specialist.
The underlying argument is that health outcomes and financial structure are not separate problems. Programs that are financially stressed, operating on thin margins, deferring infrastructure investment, cycling through staff, produce worse health outcomes. The programs described here are a path to financial stability, and financial stability is a precondition for consistent, high-quality care.
Work with Face Rock
No cost to assess eligibility. Face Rock identifies what federal programs are available to your tribal health system and what it would take to access them.