Indian people in Montana have long confronted barriers that prevent them from accessing needed care. The Northwest Federation of Community Organizations conducted research to determine what these barriers are and how commonly people encounter them. Research staff conducted a review of data, articles, and research studies and conducted in-depth interviews with 46 Missoula residents. This research shows that barriers are both formidable and common.

This report provides an accurate picture of the uninsured, addressing common misperceptions of this population. The report then provides policy recommendations for comprehensive reform that will make health insurance accessible to all Washington residents.

Communities across Washington support their nonprofit health care institutions. They do so, however, with the understanding that in return, these institutions will provide specific community health benefits. This report looks at non-profit nursing homes across Washington to determine whether or not they are providing an adequate community benefit. It goes on to suggest that all non-profit nursing homes should have a plan to offer community benefits.

This report analyzes nursing facilities in Washington and answers the question of whether facilities are put at a financial disadvantage by serving families who cannot afford to pay high out-of-pocket costs. Additionally, this report investigates the way Medicaid reimbursement rates are set and the effect private paying residents have on those rates.

This report analyzes the savings that nonprofit health care facilities receive due to financing through the WHCFA. Next, the report reviews what the various health care facilities that have borrowed money through the WHCFA claimed to have done with the savings. Finally, the report addresses what WHCFA has done to enforce the savings requirement.