Published February 3, 2019
TULSA, Okla. — MedWatch, a full-spectrum population health care management company providing clinical risk management solutions to in all 50 states in the self-funded health plan market since 1988, has partnered with FirstNation HealthCare, a TPA and brokerage/consulting firm specializing in the claims processing of Tribal Nations across the country.
MedWatch and FirstNation had been working on this Joint Tribal Program starting mid-last year and terms were just finalized on Friday, February 1, 2019.
Under the terms of the new FirstWatch Tribal Program, FirstNation and MedWatch will combine the power of the nation’s most efficient tribal claims administrator with the power behind MedWatch’s Triple-URAC accredited Utilization, Case and Disease Management along with a customized suite of tribal services that include but are not limited to:
- Bill Audit Reviews on every tribal claim to verify for accuracy and/or billing errors
- Medical Utilization, Case and Disease Management
- 24/7 Diabetic Monitoring
- Chronic Kidney Disease and ESRD Management
- Substance Abuse and Mental Health Services
- Weight Loss Management & Smoking Cessation Programs
- 24/7 Call-A-Doc Telemedicine Services
“MedWatch and FirstNation have been working on tribal accounts all over the country and we have never seen a more efficient operation designed so perfectly for tribal governments,” said Sally-Ann Polson, President of MedWatch. “This is incredibly exciting because it directly addresses the challenges tribal communities face across the country from a clinical perspective and FirstNation gives us a window into the communities that need us the most with their analytics and claims processing solutions for tribes,” she continued.
“Our top priority is delivering the wholesale cost of medicine to tribal mations and adding vital preventive services that are urgent to the well-being of Native people,” said Dave Archambault, II, Chief Consulting Officer for FirstNation and former Chairman of the Standing Rock Sioux.
Matt Silverstein, CEO of FirstNation, added, “We are ecstatic to be recognized nationally by such an advanced Medical Management company and by working hand in glove with MedWatch, our capacity to service and deliver value to Tribal Healthcare Plans was just given a massive steroid injection. The benefit this program offers to tribes in terms of financial savings and overall health outcomes is now the most robust and efficient in the US by far.”