Every year, thousands of Native Americans are going without the health care they’re entitled to or are risking costly medical bills for treatment that should be covered. A new report by KFF Health News focuses on the Purchased/Referred Care program in which patients seek outside treatment that IHS doesn’t offer. The report says the PRC program denied more than $550 million in payment requests from outside medical facilities in 2022, putting patients on the hook financially. Some tribes with resources are able to establish tribally-run care. Others are working on tribal health insurance programs. We’ll get a look at the problem facing those relying on IHS, and what can be done to solve it.