Skip to main content
Indigenous Healthcare Advancements
Pillar 3: Consulting

Consulting informed by operating.

Most tribal health consultants have never run a clinic. We do. Our consulting draws directly from what we are learning in Los Angeles, Northern California, and every other engagement we take. You get advice from the operator's seat, not the advisor's.

Our difference

We run what we recommend.

Operator-grade feasibility

Our feasibility studies use the same assumptions we apply to our own clinics. If a number does not pencil for us, we will not pretend it pencils for you.

Policy-fluent, not policy-captive

We know 638, ISDEAA, IHCIA, and the current CMS rule sets cold. We also know where the gaps are and where tribal sovereignty gives you options others will not surface.

Delivery, not decks

We ship implementation plans, staffing models, RCM specs, and compliance frameworks your team can run. Not 80-slide strategy decks that sit on a shared drive.

Service lines

Five areas. Deep expertise in each.

638, FQHC, and CAH

Tribal self-determination, federal funding pathways, rural hospital strategy.

We help tribes move into 638 self-determination contracting, stand up FQHC and FQHC Look-Alike programs, and evaluate Critical Access Hospital strategies. Currently executing a 638 transition for a tribal partner in 2026.

Learn more →
Framework in final review

ICHAS cultural care accreditation

The cultural supplement to AAAHC and IHS GPRA.

ICHAS is a 66-standard, 208-element cultural care accreditation framework developed with Richard Moves Camp. It complements existing accreditation bodies with standards for cultural competence, traditional medicine integration, and community accountability.

Learn more →

Market intelligence advisory

Feasibility, market entry, service gap analysis.

We run exploratory market analyses, site selection studies, and competitive positioning for tribal programs. Powered by the IHA Market Intelligence platform, delivered with the three-phase analytical engine we use internally.

Learn more →

Workforce and provider recruitment

Build the clinical team the tribe actually needs.

Provider recruitment, credentialing support, compensation benchmarking with MGMA data, and staffing model design, with active placements across the 2026 dual-site clinic model.

Learn more →

Compliance transformation

From audit-reactive to audit-ready.

Policy suites, standard operating procedures, quality assurance and improvement programs, HIPAA and 42 CFR Part 2 compliance, RPMS training, and standardization across sites. Currently executing a 24-policy standardization suite for a federally recognized tribe in Louisiana.

Learn more →
Method

The 4D Method.

Every IHA consulting engagement runs the 4D Method: Discover, Design, Deliver, Demonstrate. We start with an exploratory phase before any deliverable commitment, so the scope fits the real problem, not a boilerplate SOW.

1

Discover

Exploratory phase, data pulls, stakeholder interviews, scope confirmation.

2

Design

Strategic options, pathway analysis, financial frameworks, decision gates.

3

Deliver

Implementation artifacts, staffing models, policy suites, training materials.

4

Demonstrate

Metrics, reviews, audit readiness, transition handoff.

Have a specific problem?

Tell us what's broken. A 30-minute discovery call decides whether we can help.

Book a discovery call

Not sure yet what you need?

Read the Truth as Medicine podcast archive or our recent writing to see how we think about tribal health.

Explore insights