The Indian Health Service has made its choice. After years of weighing the future of RPMS, IHS has selected Oracle Health (formerly Cerner) as the platform that will replace the Resource and Patient Management System across I/T/U Indian health facilities. IHS has...
Foundations First: What 100 Tribal Economic Development Leaders Told Us About the Year Ahead | Author: Jake Robinson
In March, nearly 100 Tribal economic development leaders joined our session at the NCAIED Reservation Economic Summit for a 3-hour workshop on Tribal business expansion, optimization, and governance. Tribal Nations from every corner of Indian Country, ranging from...
Rural Health Transformation: A Generational Opportunity for Tribal Nations
Across Indian Country and rural America, a significant shift is underway, one that has the potential to reshape how healthcare is delivered, accessed, and sustained for decades to come. The Centers for Medicare & Medicaid Services (CMS) Rural Health Transformation...
From Policy to Practice: Advancing PRC Systems to Meet Tribal Needs | From the Desk of Eric Metcalf
For many Tribal Nations, Purchased/Referred Care (PRC) plays a critical role in ensuring access to specialty and emergent services that fall outside the scope of tribally operated health clinics. While PRC is a federally funded program, its success depends heavily on...
Navigating the Big Beautiful Bill: Unlock Housing, Healthcare, and Economic Growth
The Big Beautiful Bill (BBB) is one of the largest federal investment packages passed in recent years, touching nearly every sector of government, infrastructure, and public services. While the bill does not target Tribal Nations exclusively, its provisions could...
Why Sovereignty Depends on Implementation
In Tribal communities across the country, strategic plans are crafted with care, grounded in cultural values, and designed to meet urgent and long-term community needs. These plans often represent a shared vision, shaped by elders, elected leaders, program staff, and...
Clear Roles, Stronger Economies: How Ethics Codes Support Tribal Business Success
In Tribal Nations across the United States, economic development is a vehicle for sovereignty, self-reliance, and future prosperity. However, when business operations become entangled with political dynamics, what begins as a strategy for growth can quickly...
NNAHRA 2025 Annual Conference: Join Blue Stone Strategy Partners
We’re proud to announce that Blue Stone Strategy Partners will be attending the 2025 NNAHRA Annual Conference, the leading forum for Tribal Human Resources professionals committed to building stronger, more resilient Tribal Nations. Across Indian Country, many Tribes...
Paddling Together: How Tribal Leadership Collaboration is Strengthening Native Economics in 2025
In Native cultures across North America, the canoe has long symbolized more than transportation. It represents journey, unity, and collective purpose. Today, as economic tides shift unpredictably in 2025, Tribal Nations are once again paddling together, uniting...
50 Years of Self-Determination: The Legacy and Future of the ISDEAA | From the Desk of Eric Metcalf
A Law That Changed Everything Fifty years ago, the Indian Self-Determination and Education Assistance Act (ISDEAA) marked a monumental turning point in federal Indian policy. Prior to its passage in 1975, U.S. policy was dominated by assimilation, relocation, and...
Native Communities are Rural America From the Desk of Chief Melanie Benjamin
As concerns continue to rise about the future of rural America—its economy, healthcare access, housing availability, and job opportunities, a critical truth remains too often overlooked: Native American communities are not just a part of rural America. In many places,...
Securing Our Future: A Call for Exercising Tribal Sovereignty By Chief Melanie Benjamin
Securing Our Future: A Call for Exercising Tribal Sovereignty By Chief Melanie Benjamin, Chief Executive of the Mille Lacs Band of Ojibwe (2000 - 2024) For over two decades, I had the honor of serving as the Chief Executive of the Mille Lacs Band of Ojibwe (2000 -...











