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United States General Accounting Office
Washington, DC 20548
Human Resources
Division
B-197671
RELEASED
MARCH 11, 1980
The Honorable Mike Gravel/
United States Senate
Dear Senator Gravel:
111784
Subject: Eindian Health Service Contracts with Alaska
Native Health Organization7(HRD-80-60)
On November 15, 1978, you asked us to compare the costs 0
the Indian Health Service (IHS) has incurred in contracting .
with Alaska Native health organizations for administering
health service programs with the costs IHS had previously
incurred in administering such programs directly.
On March 14, 1979, we discussed with your staff the
various factors which prevented us from making a meaningful
comparative study. Essentially, we said that (i) some pro-
grams under contract with the Native health organizations
were never administered totally by IHS and (2) the IHS
accounting system lacked sufficient data to make a meaning-
ful study. We also discussed various problems impairing the
working relationships among IHS and several Native health
organizations and agreed to obtain additional information
to better identify the problems and their effects on health
services to the Alaska Natives. This report summarizes the
results of this additional undertaking.
During our study, we met with IHS headquarters officials,
Alaska Area Native Health Service officials, and representa-
tives of several Native health organizations and reviewed
accounting records maintained by the area office and the
Native health organizations and reviewed applicable IHS
policy and procedures manuals. We conducted our work at IHS
headquarters, Rockville, Maryland; the Alaska Area Native
Health Service, Anchorage, Alaska; the Mauneluk Association,
Kotzebue, Alaska; the Norton Sound Health Corporation, Nome,
Alaska; and the villages 6f Buckland, Little Diomede, Norvik,
Selawik, and Wales, Alaska.
(102040)
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