TAHLEQUAH – Cherokee Nation Principal Chief Chuck Hoskin Jr. has taken a step to improve health care for tribal citizens. He signed three important directives aimed at expanding access to telemedicine, dialysis treatment, and Medicare.
“Our health system sets the standard in Indian Country because we are always looking for ways to improve,” Hoskin said. He praised Deputy Chief Warner and their team for working hard to keep health services up to date.
Chief Hoskin’s directives will guide special work groups to focus on:
- Improving access to telemedicine
- Expanding Medicare coverage
- Enhancing outpatient dialysis services
Deputy Chief Warner noted that these topics are important to many council members and their communities. “Studying these issues shows that we are listening to the health care needs of Cherokee Nation citizens,” he said.
Speaker Mike Shambaugh, who suggested the dialysis study, highlighted the challenges faced by rural citizens. “Many need to travel long distances for outpatient dialysis, often relying on outside providers,” he explained. “We need to carefully consider how to expand these services sustainably, possibly in partnership with others.”
Currently, Cherokee Nation offers inpatient hemodialysis and collaborates with private contractors to provide outpatient services in Sallisaw. They also assist patients in accessing private provider services through their referral program.
At-large council member Johnny Jack Kidwell emphasized the need to analyze telemedicine and Medicare options for all citizens. “Many at-large citizens are eager for more health service access, and expanding telemedicine could benefit everyone,” he said. “We also need to explore ways to help elders understand and access Medicare plans.”
Cherokee Nation already provides various telemedicine services. The new work group will look into the challenges that could hinder further expansion, such as technology and regulations.
Regarding Medicare, Cherokee Nation’s health benefits coordinators help patients navigate third-party insurance, which directly supports the tribe’s health programs. The work group will also investigate how to assist patients in accessing more comprehensive Medicare plans that cover things like medical equipment and prescriptions.
With over 2 million patient visits annually, Cherokee Nation operates the largest tribal health system in Indian Country, serving members of all federally recognized tribes through its network of 11 health facilities, including a hospital.
The work groups are expected to provide their recommendations by July 1, 2025. While they won’t make policy changes directly, their findings will guide future decisions regarding health services.
“Our goal is to create a top-notch wellness system,” Hoskin said. “This approach is essential for shaping effective health policy.”
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