Impact Unfiltered

In this episode of Impact Unfiltered, host Stuart sits down at the Self-Governance Conference with Sherylene Yazzie, Executive Director of the Navajo Department of Health. A companion to the conversation with Navajo Nation President Buu Nygren, this dialogue centers on Yazzie’s guiding phrase: “Navajo healing Navajo.”She explains why sovereignty and healing are the same project, shares outcomes from the YHC detox facility in Phoenix — where more than 200 Navajo people have entered care — and lays out a vision for preventive health rooted in farming, agriculture, medicinal plants, running, and fasting. With strategies for reaching the next generation on the platforms they use, and a closing reflection on the traditional Navajo morning practice of asking the sun to burn away negativity, this episode is a master class in tradition-rooted leadership.1. Background and Role Yazzie has served over 20 years in public service. As Executive Director, she leads health strategy for the Navajo Nation, spanning 27,000 square miles and nearly half a million members.2. Navajo Healing NavajoHealing begins with individuals taking ownership. Decades of programming led people to believe solutions only come from hospitals, but Yazzie calls for a return to traditional and communal ways.“Our people have been programmed to think our solutions are at the hospital — and forgotten our medicinal ways, our traditional ways, our communal ways.”3. Self-Governance and HealingSelf-governance empowers sovereignty; Navajo healing Navajo empowers identity. The scale of the Nation demands monumental change.4. Phoenix Detox FacilityThe YHC facility exists because of self-governance. Over 200 Navajo people have been healed. The goal is not just recovery but creating productive citizens whose example ripples to younger generations.5. Preventive HealthYazzie’s priority is preventive health: medicinal communities, farming, and traditional practices. She emphasizes reprogramming how people think and behave, returning to pre-contact self-reliance.6. Why She Does This WorkDriven by passion for elders, children, and all relatives, Yazzie says:“I make a difference in someone’s life, even if it’s just one person — that means so much to me.”7. Expanding Behavioral HealthThe Nation has five agencies with facilities, but none accredited for detox. Yazzie’s plan is to elevate standards across all five, mirroring the YHC model closer to home.8. Tradition as Preventive HealthHealing through farming, agriculture, medicinal plants, running, and fasting. The Navajo Nation is a food desert; water and infrastructure are catalysts for change.9. Reaching the Next GenerationYouth live on phones and social media. Yazzie sees opportunity in podcasts, radio-style repetition, and cultural content. Language gaps are real — translating Navajo into English loses meaning.“How do we reach the younger generation who don’t understand our Navajo language?”10. Empower Yourself FirstHer message: you can do anything you want, but empowerment begins with yourself.11. The Sun as MedicineA traditional morning practice: bless yourself with the sun, asking it to burn away negativity.“Ask the sun. It has that much power. It will magically burn all of that negativity from you.”12. Closing Remarks and GratitudeThe episode closes with recognition of Sherylene Yazzie’s leadership, appreciation for her integration of tradition and health, and encouragement to continue scaling the YHC model across the Nation.

In this episode of Impact Unfiltered, host Stuart sits down at the Self-Governance Conference with Dr. Buu Nygren, President of the Navajo Nation, joined by Sherylene Yazzie, Director of Health. Together they explore the realities of running healthcare across 27,000 square miles for more than 200,000 residents — a hybrid landscape of 638 self-governance corporations and IHS-run hospitals.Nygren shares his personal vision: he wants Navajo people to live long, healthy lives again, the way his great-grandmother lived to 109. He details how the Nation responded to a 2023 fraud crisis by purchasing its own three-story residential treatment facility in Phoenix, reflects on advanced appropriations, transportation infrastructure, and the Gila River model he hopes to scale tenfold. With candid insights into behavioral health recovery and sovereignty in action, this episode is a guide to what it would take to “shock the system” through full tribal self-governance.1. Background and Role Nygren leads healthcare strategy for the Navajo Nation, joined by Health Director Sherylene Yazzie. Together they oversee services for 200,000+ residents across 17.5 million acres.2. Federal Partnerships and Advanced Appropriations Strong ties with HHS Secretary Kennedy ensure reliable funding. Advocacy for advanced appropriations keeps facilities open even during budget uncertainty. The Navajo system blends corporations like Utah Navajo Health System, Sage Memorial, and Tuba City Healthcare with IHS facilities such as Chinle, Shiprock, Kayenta, and Gallup.“The relationships we’ve developed with Secretary Kennedy and his advocacy to make sure we continue to have advanced appropriations…”3. The Scale Problem Covering 27,000 square miles, ambulance response is slowed by poor roads. Nygren met with DOT officials about washboard roads and potholes that delay emergency care. Healthcare must be thought of holistically alongside transportation.4. The Vision: Long, Healthy Lives Again Centenarians were once common. Today, diabetes and hypertension cut lives short. Nygren’s goal is holistic wellness — traditional prayers, culture, and faith alongside modern care.“I want Navajo people to live long healthy lives again.”5. Confronting Addiction Alcoholism and drug abuse remain the biggest behavioral health challenges. In 2023, fraudulent Phoenix “treatment” operations exploited Navajo people, warehousing them in tents and supplying alcohol. Arizona AG Kris Mayes prosecuted many of those firms.“Trying to make sure these people know that their lives are valuable.”6. The Phoenix Residential Treatment Facility The Nation purchased a 30,000-square-foot facility downtown. About 200 people have entered care; 50 have graduated. Managed by Axiom, it impressed AG Mayes on her tour. Next steps include detox and transitional housing, with long-term plans to bring care home to Navajo.7. Scaling Self-Governance: Learning from Gila River Gila River is the model for true self-governance. Nygren’s challenge is scaling that model 10–20x for Navajo. Sovereignty means running programs directly and capturing federal dollars. Tribally built facilities should be funded through 105(l) leases.“If we did what Gila River or some of the other nations have done, I think we would shock the system.”8. Closing Remarks and Gratitude The episode closes with recognition of President Nygren and his leadership team, appreciation for their commitment to bringing funding and control back to tribes, and encouragement for the Navajo Nation’s continued self-governance journey.

In this episode of Impact Unfiltered, host Stewart sits down at the Self-Governance Conference with Geoff Strommer, an Indian law attorney with 35 years representing tribes, tribal governments, and tribal organizations. His work spans legislation, litigation, and negotiation, with fingerprints on nearly every major stage of the self-governance arc.Geoff explains what it takes — agency by agency, statute by statute, dollar by dollar — to move authority from the federal government to tribal governments. He details how Alaska’s 27 co-signers built the strongest model of tribal cohesion in the country, why 105(l) leases are a once-in-a-generation game changer for tribal infrastructure, and how a recent New York district court win could expand self-governance into water and sewer treatment facilities. With stories of tribes like Jamestown S’Klallam filling rural healthcare voids the private market can’t sustain, this episode is a working tour of how policy becomes lived reality.1. Background and Role Geoff has spent 35 years representing tribes on self-governance, shaping legislation, litigation, and negotiation.2. Why It’s a Fight Inch by Inch The original Indian Self-Determination Act faced resistance from IHS and BIA. Every step required litigation and amendments to force compliance.3. The Eight-Generation View Tribal leaders plan far ahead. Long shots from decades ago have become today’s reality, proving persistence pays off.4. Alignment Among Tribes Early friction gave way to cohesion. Since the late 1980s, tribes have worked together despite differences.“It’s working together that has made it work.”5. The Alaska Model In 1992, Alaska tribes asked for one demonstration slot instead of competing. Today, 27 co-signers negotiate together, covering the entire state’s IHS system.6. The National Picture Cohesion has strengthened. Tension between self-governance and Title I contracting tribes has narrowed. About 65–70% of tribes participate in some form.7. The Two Biggest Wins 105(l) leases grew from $400K in 2016 to nearly $900M today. Contract support costs, after decades of litigation, are now fully funded. Together, they transformed tribal finances and facilities.8. The Untapped 105(l) Opportunity Only 25–30% of tribes use 105(l). A recent court win could expand leases to water and sewer treatment — a breakthrough for infrastructure.9. The Reality of Rural Infrastructure Some communities still lack water and sewage systems. Residents carry waste in buckets and melt snow for drinking water — in the U.S., in 2026.10. Cutting Red Tape Self-governance aimed to eliminate meaningless reporting. Simplification remains a priority.11. What’s Next Move contract support costs and 105(l) funds to mandatory appropriations. Expand self-governance into Fish and Wildlife, National Parks, and other agencies. Jamestown S’Klallam already manages the Dungeness National Wildlife Refuge.“They are more culturally connected to those lands than anybody else in this country, and they’re better stewards of them.”12. What He Wants Everyone to Know Self-governance works. The more authority transferred, the better tribes perform.“Tribes are operating some of the largest, most sophisticated public health systems. Because they are truly the last public health system in this country.”13. Tribes as Rural Healthcare Anchors Rural healthcare is collapsing. Tribes step in as anchors. Jamestown S’Klallam built a clinic serving four counties, cutting travel from two hours to 15 minutes.14. Closing Remarks and Gratitude The episode closes with recognition of Geoff Strommer’s 35 years of work, appreciation for the legal infrastructure he helped build, and encouragement for tribes to keep fighting for every square inch.

In this episode of Impact Unfiltered, host Stuart sits down at the Self-Governance Conference with Richard Peterson, President of the Central Council of the Tlingit & Haida Indian Tribes of Alaska. Serving his sixth term, Peterson leads the oldest federally recognized tribe in Alaska, representing nearly 39,000 citizens across Southeast Alaska.Peterson shares the story behind his tribe’s historic co-stewardship agreement with the U.S. Forest Service over the Mendenhall Glacier — a site that sees 1.6 million visitors annually and now hosts Tlingit cultural ambassadors who challenge the federal narrative that “Tlingit didn’t have anything to do with glaciers.” Migration stories and 9,000-year-old DNA prove otherwise. He also walks through the 48-acre education campus and tribal college being built outside Juneau, the philosophy of building allyship through inclusive culture, and an unforgettable lesson from a Tongass elder: it’s the wind that makes the trees strong.1. Background and Role Peterson leads Tlingit & Haida, recognized in 1935, now Alaska’s largest tribe.2. Tlingit & Haida at a Glance Born out of a lawsuit by the Alaska Native Brotherhood and Sisterhood, the tribe covers many communities in Southeast Alaska. Alaska has 229 federally recognized tribes, with a coastline larger than the lower 48 combined.3. The Mendenhall Glacier Agreement The visitor center sits on Auke Territory. After years of advocacy, cultural ambassadors now greet visitors, correcting federal narratives and showing living ties to the land.“People go there and they want to see the fauna, the flora, the animals. I think you want to see the first people, the real people of the land.”4. Allyship Through Visibility Economic impact matters, but visibility is the bigger win. Tlingit culture is inclusive, welcoming allies.5. The Education Campus and Tribal College A 48-acre site in Juneau will consolidate language immersion, Head Starts, daycare, and expand into K–12 and a tribal college. A new MOU with University of Alaska Southeast supports indigenous studies. The college will be inclusive, open to non-Native students.6. Why Allyship Matters Peterson, half Native and half non-Native, stresses appreciation over appropriation. Allies are essential to ensure tribes don’t “just go away.”7. Healthy Tribes, Healthy Communities The vision is to graduate from co-stewardship to full tribal stewardship. Partnerships with Juneau have strengthened, shown in joint responses to flooding.“Healthy tribes make healthy communities.”8. The Biggest Uphill Battle Often the hardest challenge is self-imposed limits — how tribes see and talk about themselves shapes what’s possible.9. Sage Wisdom: Lean Into Values Mentors remind: “Our people always remember who shows up.” Cultural values remain the cornerstone.10. The Closing Seed: Strength of Tribes Peterson emphasizes sovereignty, culture, and values are not less than anyone else’s.“We come from incredible strong histories as the first Peoples of Turtle Island.”11. Leadership Lessons: Tongass Trees and the Wind Surround yourself with strong leaders. An elder taught that Tongass trees are strong because of the winds.“It’s through adversity that we get strong.”12. Closing Remarks and Gratitude The episode closes with recognition of Richard Peterson’s leadership, appreciation for Tlingit & Haida’s inclusive allyship, and gratitude expressed in “Gunalchéesh.”

In this episode of Impact Unfiltered, host Philippe sits down at the Tribal Self-Governance Conference with Jeremy Charles, a Cherokee filmmaker based in Tulsa, Oklahoma, and founder of Pursuit Films. For 12 years, he has worked with tribal nations across Indian Country, creating documentaries that highlight sovereignty, culture, and capacity-building.Jeremy shares his philosophy of “storytelling with sovereignty in mind” — building Native capacity to tell Native stories, with sovereignty as the resolution to conflicts at the heart of every narrative. He explains why mainstream audiences are finally listening, the barriers that kept Native filmmakers out of the industry for generations, and how Pursuit Films created the For Our People documentary series to translate dense policy into stories that touch the heart. With reflections on relationship-building, the extra context needed when telling tribal stories, and a clear-eyed thesis that impact follows capacity, this episode is a guide for anyone trying to build authentic Native media.1. Background and Role Jeremy is a Cherokee filmmaker based in Tulsa. He founded Pursuit Films in 2014 and has spent 12 years producing documentaries with tribal self-governance organizations.2. Storytelling With Sovereignty in Mind His conference session framed sovereignty as the resolution to many conflicts facing Indian Country.“Sovereignty leads to positive outcomes… sovereignty is a solution to a lot of challenges.”3. Indian Country’s Complicated History With the Camera For generations, Native peoples were denied the platform to tell their own stories. Only in the last 15–20 years has storytelling capacity grown.“If you are a Gila River citizen, your people should be telling your story.”4. Why Mainstream Is Finally Listening For years, the question was: “Who’s the audience?” Recent shows and documentaries proved the audience exists. With nearly 600 federally recognized tribes, each a distinct culture, Native peoples are now eager to share because people are finally listening.5. Building Capacity in Native Filmmaking Jeremy came up before the digital revolution, when film gear was prohibitively expensive. Today, technology has democratized access. Pursuit Films focuses on putting cameras in young people’s hands and developing storytelling instincts. Technical skills are easier; creativity takes longer.6. The For Our People Documentary Series Working with Tribal Self-Governance for four years, Pursuit Films created a platform to translate policy into relatable stories. Producing at least four films annually, the series premieres at the conference. Subjects see themselves on screen, take the stage, and inspire other tribes.“All these policies have real outcomes and real people’s lives. If we can tell those stories, then more people will listen to the nuances.”7. Storytelling for Tribal Nations Requires Extra ContextMainstream audiences often lack background, so tribal documentaries must provide history up front. Trust takes longer to build, requiring more relationship work and patience.8. Impact Follows Capacity Impact comes after capacity is built. As more artists join, the platform develops naturally.“If you have a great story, people will listen to it and it will break through the noise.”9. How to Connect Learn more at pursuitfilms.com and tribalselfgov.org.10. Closing Remarks and GratitudeThe episode closes with recognition of Jeremy Charles’s work in Native storytelling, appreciation for the capacity he is building across Indian Country, and encouragement to continue making more stories — the great ones will rise.

In this episode of Impact Unfiltered, host Stewart speaks with Jessica Schneider, an Alaska Native leader from a remote Arctic Circle village of 670 people. She serves on her tribal council as secretary and chairs behavioral health social services for the Maniilaq Association Health Board.Jessica discusses the behavioral health crisis facing Alaska Native youth — the nation’s highest suicide rates, especially among young males during the seasonal transition. She shares the loss of her son at 17 to a traumatic brain injury, and how that tragedy fuels her advocacy. Together, they explore life in a fly-in-only village 549 miles from Anchorage, the new fiber optic cable that will unlock telehealth, and intergenerational programs that could close the isolation gap. With personal reflections and a closing on Joshua 1:9 — the verse that carried her through her hardest years — this episode highlights resilience, faith, and leadership in rural Alaska.1. Background and Role Jessica represents her community on the tribal board, serves as secretary, and chairs behavioral health social services for Maniilaq.2. Why Congress and Federal Funding Matter Grants often fund only narrow items like transportation. Rural Alaska’s costs make standard amounts insufficient.“The more we fight for it from Congress, the more voices we can have for our people.”3. The Youth Behavioral Health Crisis Alaska Native youth face the nation’s highest suicide rates, especially young males during seasonal transition. Girls attempt but rarely complete.4. A Personal Loss That Shapes the Mission Jessica’s son was injured at 16 by a traumatic brain injury and passed away after his 17th birthday in 2016.“He had his final birthday… and he was never the same.”5. Isolation and Rural Reality Her village has no road system; travel is by plane year-round or snow machine in winter. Kotzebue is the hub; Anchorage is 549 miles away. A new fiber optic cable will finally unlock reliable telehealth.6. Telehealth Post-COVID Remote work and telemedicine adopted during COVID remain. Outcomes are positive, but each expansion requires funding real positions.7. Intergenerational and Community Programming Summer solstice softball tournaments, elder involvement, and multipurpose tribal facilities close cultural gaps. Bible camps and church conferences draw youth, but Jessica sees need for winter and spring camps.“They’re our next leaders. We have to walk with them.”8. Subsistence and Culture Camp Culture camp centers on harvesting and subsistence: fishing for whitefish, pike, sheefish, char, and grayling. The Western Arctic Caribou Herd is in decline, and members now need licenses where they previously did not.“Times are getting tough.”9. Capacity and Administration Challenges Tribal administration requires educated staff for finance and compliance. Small tribes often rely on consultants for audits, draining resources.“It just comes down to who’s in the office.”10. Faith, Calling, and Joshua 1:9 Jessica shares Joshua 1:9 — “Be strong and courageous… for the Lord your God is with you wherever you go.” The verse carried her through her hardest years as a young single parent. Stewart gently challenges her that today may be the day to fully step into leadership.11. Closing Remarks and Gratitude The episode closes with recognition of Jessica Schneider’s heart for youth and her tribe, appreciation for her vulnerability, and encouragement to continue advocating for Alaska Native youth at the federal level.

Welcome to another episode of Impact Unfiltered, where host Stewart sits down at the Self-Governance Conference with Lloyd Miller — an Indian law attorney and lobbyist who has practiced since 1979. With three U.S. Supreme Court victories and his fingerprints on nearly every major piece of tribal self-governance legislation, Miller offers a living history of how sovereignty moved from vision to reality.He walks through the 1988 Indian Self-Determination Act amendments, the pivotal 1994 reforms, and today’s expansion into HHS. Along the way, he shares what 45 years of this work has taught him about persistence, the long view, and why tribally-run services consistently outperform federal delivery. With reflections on the Maine tribes case that inspired his career, the moral weight of the federal trust responsibility, and Martin Luther King’s “bending the arc,” this episode is a master class in the patient work of changing systems.1. Background and Role Indian law attorney and lobbyist since 1979, Miller joined his firm after a federal clerkship and never left — all the firm does is tribal work. He has three Supreme Court victories and was a lobbyist for the 1988 amendments that launched self-governance.2. The Acme of Self-Governance Self-governance conferences once drew small gatherings; today they are major events. Miller calls this moment “the acme of tribal self-governance.”3. A Brief History: 1988 and 1994 The 1988 enactment began as an experiment at Interior, later expanded to IHS. In 1994, amendments shifted power, allowing tribes to sue when agencies failed to comply. Expansion followed rapidly, improving healthcare, social services, and child welfare.4. Why Tribes Outperform IHSIHS historically failed to bill Medicare or Medicaid effectively. Tribes invested in billing infrastructure, growing collections dramatically. Some now generate twice as much from third-party sources as from federal appropriations.5. The Dignity of Billing and Coding Tribal billers and coders know their work protects entire hospitals. Engagement is high because the work directly serves their communities.6. Breaking Silos Self-governance principles have expanded beyond healthcare. A Trump-era employment law modeled on self-governance brought a dozen agencies into the fold. Discussions continue about pulling more HHS departments into the model, despite bureaucratic resistance.7. The Madness of Grant Buckets Tribes once had to report on dozens of separate grants, creating duplication and inefficiency. Self-governance allows holistic reporting, freeing tribes from redundant oversight.8. Why Lloyd Does This WorkInspired by Tom Tureen and the Maine tribes case, Miller saw law as a way to vindicate historic injustice.“Being able to vindicate that kind of historic injustice was God’s work, in law.”9. Two Pieces of Advice Have the long view — Supreme Court victories can take decades. Never give up — if courts fail, go to Congress; if Congress stalls, return to the courts.10. The Vision of Sovereignty Tribal governance now stands on equal footing with states and the federal government. It will never be perfect, but the arc is bending. Miller cites Martin Luther King’s vision of justice.11. Identity and Trust ResponsibilityFor Indian people, cultural and spiritual identity is paramount. Federal services are prepaid obligations under broken treaties.“Every treaty was broken. Every treaty made promises. The United States has this land, all of it indigenous. They owe the tribes — it’s prepaid healthcare, prepaid social services.”12. Closing Remarks and GratitudeThe episode closes with recognition of Lloyd Miller’s 45 years of work, appreciation for the history he shares with younger advocates, and encouragement to maintain the long view and never give up.

Welcome to another episode of Impact Unfiltered, where we dive into honest conversations with leaders creating real change in healthcare and beyond. In this session, host Stuart sits down with Dr. Randy Smith — an enrolled member of the Choctaw Nation of Oklahoma who serves as Executive over Health and Human Services for the Kiowa Tribe and CEO of Kiowa Health Services in western Oklahoma. He also holds a PhD in leadership and is a former rural college president.Dr. Smith shares how the Kiowa Tribe is launching its own primary care clinic and pharmacy — a venture projected to generate more revenue than the casino. He explains why tribally-run healthcare consistently outperforms IHS on service and billing, and why a rural EMS system is next. Together, they explore the rural “brain drain” hollowing out small communities, why tribes are uniquely positioned to anchor them, and Dr. Smith’s belief that leadership — passion, follow-through, and removing obstacles — is the single limiting factor on everything else.1. Background and Role Choctaw Nation member, Kiowa Tribe executive, CEO of Kiowa Health Services, PhD in leadership, and former rural college president.2. Launching a Tribal Clinic and Pharmacy Kiowa’s new clinic and pharmacy will serve Native and non-Native patients, extend hours, and generate more revenue than gaming.3. Diversifying Beyond Casino Revenue Tribes need multiple revenue streams. Healthcare, EMS, and rural services create sustainable growth.4. Stepping Into the Rural Healthcare Gap Rural hospitals struggle; tribally-run clinics bridge gaps and expand access.“We all make those rural communities sustainable long term.”5. Stopping the Rural Brain DrainTribes stabilize rural communities through healthcare, education, broadband, and workforce development.“If we can help stabilize our rural communities… we’re going to stop that outflow of migration.”6. Leadership as the Limiting Factor Strong leadership drives projects forward. Without it, even great ideas stall.7. Where Leadership Comes From Parents, coaches, and teachers shaped Dr. Smith’s values. Athletics taught resilience and teamwork.“Nothing can constitute for failure in the home.”8. The Leader’s Real Job Set tone, vision, and culture. Remove obstacles. Build workplaces people want to return to.“A good leader gets to set that tone every day.”9. Benchmarking and Celebrating Wins Track progress and celebrate milestones.“When you score a touchdown, you get to celebrate in the end zone.”10. The Follow-Through Problem Indian country often struggles to finish projects. Dr. Smith calls for completion.“Let’s see these things through to completion.”11. Borrowing Confidence from a Trusted Coach Leaders sometimes need guidance. Great players need great coaches. Dr. Smith offers himself as a resource.12. Closing Remarks and Gratitude Recognition of Dr. Smith’s vision, appreciation for his offer to help other tribes, and encouragement for rural tribes to step into leadership.

Welcome to Impact Unfiltered, where we dive into honest conversations with leaders creating real change in healthcare. In this episode, recorded at the Tribal Self-Governance Conference, host Stewart sits down with Jerilyn Church, CEO of the Great Plains Tribal Leaders Health Board, serving 18 tribes across North Dakota, South Dakota, Nebraska, and Iowa.Jerilyn shares how her organization grew from 88 to nearly 600 employees after assuming management of the former Sioux San Clinic — now Oyate Health Center — one of the largest tribal ambulatory healthcare centers in the Great Plains. Tune in for a conversation about sovereignty, scale, and the belief that anything is possible when you believe in yourself first.1. Background and Role Jerilyn has led the Health Board since 2012, transforming it into a regional backbone for public health, a direct healthcare provider, and a strong policy advocate.2. What the Organization DoesSupports tribal public health infrastructure.Runs an epidemiology center for infectious disease response.Provides data for evidence-based healthcare decisions.Advocates for tribes in federal consultation.3. Coordinating Across 18 Tribes Each tribe has unique needs. Standing Rock, for example, spans two states and two Medicaid systems. The Health Board’s submission system routes requests efficiently, but complexity remains.4. Oyate Health Center The Oyate Health Center, serving Sioux tribes, moved into a new facility in 2023 but is already at capacity. It delivers primary care, pharmacy, lab, radiology, optometry, and dental services, spending nearly $20 million annually on purchased care. Jerilyn’s vision is to expand specialty services in-house.5. Defining Success Success means fewer relatives needing renal care, lower suicide rates, and stronger trust in healthcare providers and tribal leadership.6. Self-Governance and Sovereignty The Great Plains region has been slow to adopt self-governance. Jerilyn argues treaty obligations can be fulfilled through tribal control: “There is probably no greater expression of sovereignty than taking those same resources and saying, we’re going to drive what our healthcare looks like.”7. Building a Blueprint Plans include internships, externships, and a residency program with partners like Monument Health and Johns Hopkins. The Oyate model could serve as a blueprint for other tribes, with technology bridging specialty care gaps.8. Honest Assessment Jerilyn estimates the region is only 10% of the way toward its goals. Her advice: start with listening. “No one loves our community like we do.”9. Leadership and Vision Jerilyn is proud of her team’s growth from 88 to nearly 600 employees. She credits her grandparents for instilling values of education and giving back. Vision, she says, is the “secret sauce” of organizational growth.10. Closing Seed Her final message is simple: believe in yourself. “If you have that core belief that you can make a difference, that your talent is needed, then anything’s possible.”11. Gratitude The episode closes with recognition of Jerilyn’s leadership, appreciation for her team, and encouragement for tribes considering self-governance to study the Great Plains blueprint.

Welcome to Impact Unfiltered! In today’s episode, we’re diving deep into the heart of community health with Dr. Bernard Davis, founder and CEO of RAO Community Health, a dynamic organization serving Charlotte and beyond. Hosted by Philippe, this conversation unpacks Dr. Davis’s journey from disease intervention specialist to visionary leader, highlighting RAO’s holistic, patient-centered approach to sexual health and beyond.You’ll hear about RAO’s range of services—from HIV care, PrEP, and housing support to innovative doula and physical activity programs—designed to wrap care around patients and break down barriers like stigma, transportation, and housing insecurity. Dr. Davis shares defining moments from his career that shaped his vision, speaks candidly about the challenges facing marginalized communities and nonprofits in today’s changing funding landscape, and outlines his aspirational vision for RAO as a “franchised” model of compassionate care.Packed with honest insights and bold ideas, this episode is an inspiring look at the power of community-driven impact, patient advocacy, and adaptive leadership. Whether you’re looking for fresh approaches in healthcare or just want to be uplifted by stories of real change, you won’t want to miss this one.

Welcome to another episode of Impact Unfiltered, where we dive deep into honest conversations with leaders creating real change in healthcare and beyond. In this session, host Philippe sits down with Joseph Small, Senior Manager for Community Engagement at Care Access, a Boston-based global health research company. Joseph Small shares his personal journey from decades in educational publishing to driving grassroots health awareness in underserved and marginalized communities, including communities of color and Indigenous groups across North America.Together, they discuss the critical importance of access—how Care Access is bridging gaps in healthcare by bringing clinical trials and free health screenings directly to communities in need. With moving stories of impact, including how a personal loss fuels Joseph Small’s passion, this episode shines a light on why early detection and community-driven outreach can be life changing. Plus, Joseph Small offers insightful advice on legacy, leadership, and the importance of being your own health advocate.Tune in for a conversation about innovation, equity, and the powerful drive to ensure healthcare truly reaches everyone.

Welcome back to Impact Unfiltered! In this episode, host Philippe is joined by Nanette Starr, MPH, Director of Policy and Planning for the California Consortium of Urban Indian Health. Nanette shares her personal journey from tribal epidemiology to advocating for Native health in California’s urban centers. You’ll hear about the origins and importance of urban Indian health organizations, the innovative ways they serve their communities, and the unique challenges Native people face in accessing care. Nanette also offers insights on leadership, cultural healing, and making a real impact. This is an inspiring, honest conversation you won’t want to miss.1. Introduction to the Episode and GuestNanette Starr’s background: Choctaw nation, career in tribal and urban Indian healthOverview of work experience:California Consortium of Urban Indian Health (CCUIH)Tribal epidemiology centers in California, Portland, and AlaskaRole during COVID under Governor Newsom and rural county public health2. Urban Indian Health Centers vs. Tribal Health FacilitiesStructure of the Indian healthcare system (three prongs):Indian Health Service (IHS)Tribal health programsUrban Indian Organizations (UIOs)Historical context:Federal Indian Relocation Act and its aftermathCreation of urban Indian communities and organizationsGrowth and function of UIOs:Resource and referral originsInter-tribal make-up and community focusNumber and type of organizations in California (10 UIOs)Range of healthcare services (outpatient, inpatient, dental, screenings, etc.)Community activities and ceremonies (e.g., healing for veterans)3. The Concept of “Impact”Nanette’s perspective on “impact” in her roleThe importance of enabling service access rather than self-attributionThe need for visibility and acknowledgment of urban Native communitiesDispelling myths about Native healthcare and demographicsImportance of community presence in urban areas4. Examples of Consortium Impact and AdvocacyOrganizational structure and leadership at CCUIHCase study: Advocacy to save the Indian Health Program in California budget cutsCollaboration with tribal and urban leadersImportance of education and communication with policy makersBroader themes of health equity, trust responsibility, and ongoing presence5. Team Alignment and Community OutreachStrategies for staying connected to member needs:Social media (Instagram, Facebook)Community presence and listening (showing up in spaces)Regular communication with member organizations (calls, texts, ad hoc meetings)Importance of direct feedback from UIO leaders and CEOsExample of rapid response:Social media campaign regarding potential Medi-Cal cuts and misinformationCoordinated efforts to clarify timelines and eligibility6. Innovative Tools, Partnerships, and Expanding AccessSpecific innovations by member organizations:Mobile mammography van in Santa BarbaraTelehealth as a strategy for broader access, especially for vulnerable populationsThe “Redline” resource hotline for assistance and supportCollaborations and partnerships:Involvement in numerous steering committees focused on health equityResource sharing through California Primary Care Association7. Leadership and Legacy: Advice for Emerging LeadersProfessional advice to younger self and new leaders:Recognizing that systems may not change overnight; working within and understanding existing frameworksBalancing passion with practical, informed approaches8. Evolving Perspectives on LeadershipInfluence of Nanette’s mentor and boss, Virginia HedrickLeading with humility and community groundingImportance of advocacy, listening, and making inclusive, nonpartisan decisions9. Getting Involved, Resources, and Upcoming InitiativesEncouragement for community feedback and involvementAnnouncement of recent and future initiatives:Native-led messaging workshop and workbook release for community advocacy

Welcome to Impact Unfiltered! In this episode, we sit down with Nancy Mangieri, Chief of Public Health Services for the Salt River Pima Maricopa Indian Community. Nancy shares how her team uses beloved community puppets—like Rain—to deliver important health messages, from vaccine awareness to water safety, in culturally meaningful ways.We explore the power of community partnerships, the importance of trust in public health, and the impact of empowering Native American leadership in healthcare. Tune in for inspiring stories, creative outreach ideas, and practical advice for making a difference in your community.1. Introduction to Nancy Mangieri and Her RoleNancy’s current position as Chief of Public Health Services for the Salt River Pima Maricopa Indian Community in Scottsdale, ArizonaHer professional background in nursing, public health, and leadership2. Introduction to the Public Health PuppetsDescription and purpose of Rain, the puppet guest, including her traditional dress and symbolic roleBrief overview of the other puppets: River (Rain’s younger brother) and Blue (the nonverbal, imaginative friend)Significance of Blue as a character for nonverbal community members3. Understanding Impact in the CommunityNancy’s definition of “impact” — reaching the intended audience and influencing behavior changeThe importance of providing new options, messages, or solutions to drive positive change4. Storytelling with the Puppets: Community Engagement and MessagingPuppets as community celebrities and their presence on billboardsRange of public health topics addressed through puppet messaging:Vaccination promotionPet health and responsible pet ownershipWater safety and sun safetyNutrition and traditional foodsCollaborative creation of the puppet clubhouse by carpentry interns as a community-driven effort5. Teamwork and PartnershipsThe project’s foundation within the public health departmentCollaboration with IT (for filming), carpentry, and volunteersCommunity-wide support and involvement in puppet activitiesParticipation in community events—retirement parties, parades, and health messaging at public gatherings6. Program Expansion, Tools, and InnovationsBuilding a library of puppet videos for various public health topics, like flu vaccinationIntent to share puppet content and programming with other tribes or expand reach beyond the current communityRecognition and training support from the Intertribal Council of Arizona (funding, program evaluation training)Use of program evaluation and community surveys to refine and guide puppet messaging7. Leadership Reflections and Lessons LearnedAdvice to younger self and those entering the public health field:Explore the broad impact potential of public/population healthAcknowledgment that most health outcomes are shaped in the community, not in clinicsThe rewarding nature of influencing population health8. Value of Native Community Leadership and Sustainable Public HealthRecognition of the talent and resourcefulness within the Native communityImportance of developing Native leaders within public health for long-term sustainabilityExample of team member Haley Bodmer transitioning from medical assistant to impactful disease investigator within the community9. How to Connect and Learn MoreProviding the public health education contact line for further information or to see photos of Rain and the other puppetsEncouragement for listeners to reach out and engage10. Looking to the Future and Final TakeawaysOngoing and upcoming activities, with advice to stay involved directly with the communityEmphasis on building trust through face-to-face engagement and authentic relationshipsParting words on the importance of listening, learning, and being present in community work

Welcome back to Impact Unfiltered! In this episode, we sit down with Lacey Wynn, Vice President of Tribal Health Programs at the National Indian Health Board (NIHB). Lacey shares her journey from working within her own tribal health department to leading national initiatives, shining a light on the crucial role NIHB plays in advocating for tribal voices at the federal level.We explore the challenges and solutions unique to tribal health, from the importance of culturally-driven programs and workforce development to Lacey’s call for true partnership and listening from allies and funders. Lacey also discusses vital upcoming NIHB projects focused on addressing maternal mortality and empowering Indigenous youth leaders. Tune in for honest insights and inspiration on creating healthier tribal communities—and, in turn, a healthier America.1. Introduction to the EpisodeIntroduction of guest: Lacey Wynn2. Lacey Wynn’s Role and BackgroundCurrent position: Vice President of Tribal Health Programs at NIHBDistinction between policy and programmatic sides at NIHBOverview of responsibilities: overseeing programs related to chronic disease, behavioral health, infrastructure, and workforce for tribal health departments3. History and Purpose of NIHBOrigins in the 1970s to ensure government-to-government consultations, as required by treatiesAdvocacy for tribal consultations with the federal governmentExpansion into capacity-building for tribal health departments (e.g., 638 compacting, working with IHS)4. Lacey Wynn’s Personal Motivation and ExperienceLicensed clinical social worker with personal experience living on reservation and using tribal healthcareObserving firsthand the lack of services and resources in her communityLink between tribal health and the overall health of AmericaFocus on addressing health disparities in tribal communities5. Meaningful Areas of Impact Within Tribal CommunitiesRaising awareness of lack of resources and adversities faced by tribesEmphasizing the reciprocal nature of supporting tribal health and its impact on national healthHistorical context of cultural suppression (e.g., outlawing of Indigenous religion and culture until the 1970s)Indigenous contributions to health and wellness (e.g., mindfulness, traditional medicine, early rising)Current efforts to reclaim and share traditional health practices6. NIHB Programmatic Approach and Community AlignmentBuilding capacity rather than delivering direct servicesAdvocacy at the national level based on community inputConducting capacity assessments to inform funding requestsCommitment to community-driven, bottom-up approaches7. Opportunities and Challenges for Tribal SupportImportance of developing an Indigenous workforce (education pathways, healthcare careers)Need for culturally competent care within communitiesImportance of listening and “walking alongside” tribal communities rather than leading or directing8. Partnerships, Innovation, and Funding StrategiesTraditional reliance on federal funding and issues with federal relationshipsThe need for creative approaches to resource allocation and fundingRole of allies, tribal leaders, and community members in thinking “outside the box”Encouragement for philanthropic involvement and strategic partnerships with organizations like NIHB9. Advice and Reflections for Emerging LeadersEmpowerment message: youth and community members have the power to create changeOvercoming feelings of powerlessness in under-resourced or oppressed communitiesConfidence in the collective and individual voices within the community10. Upcoming Initiatives and Focus AreasFocus on maternal health: addressing high maternal mortality rates among Indigenous womenOngoing and upcoming initiatives: mortality review in 2026, workforce development, youth advisory board, scholars programRecent scholars' accomplishments (e.g., educational booklets on vaccines)

In this episode of Impact Unfiltered, we sit down with Monique Castro, a citizen of the Navajo Nation and Chicana, as well as the CEO and founder of Indigenous Circle of Wellness. Raised in Los Angeles on Tongva lands, Monique shares her journey from community mental health to creating her own therapy practice that truly reflects her values and cultural identity. The conversation explores how Indigenous Circle of Wellness impacts communities through authentic, culturally centered mental health services, workshops, and an innovative Tribal Indigenous Employee Assistance Program (EAP) launching soon. Monique offers insight into leadership, personal growth, and the power of staying aligned with your core values to create meaningful, sustainable change. Whether you're a leader in healthcare, business, or community work, this is an inspiring episode about vision, impact, and wellness from the inside out.1. Introduction & Guest BackgroundMonique’s cultural heritage: Citizen of the Navajo Nation and Chicana, born in Los Angeles, with family roots in Arizona and New Mexico.Overview of professional roles:CEO and Founder of Indigenous Circle of Wellness (ICW), a psychotherapy practice in California.Licensed Marriage and Family Therapist.Certified Professional Coach, particularly working with executive leaders on sustainable leadership and wellness.2. Journey to Founding Indigenous Circle of WellnessChallenges in finding suitable private practices; led to creation of own practice.Vision to serve the community and work collaboratively with a team rather than solo practice.Growth of the organization:Expansion to a team of 10 professionals including therapists, support staff, and contractors.3. Conceptualizing and Measuring “Impact”Monique’s perspective: Impact as the ripple effect within communities and the reach of services.ICW’s commitment to community, team-building, and generational thriving.Use of teletherapy to broaden geographical reach initially in California with plans for national expansion.4. Organizational Mission, Vision, and AlignmentImportance of core value alignment for team cohesion and community impact.Transparency with both staff and clients regarding mission and values.Encouraging staff to identify personal values and connect them to the organization’s overarching goal of “thriving futures.”5. Innovation in Health Systems and Service DeliveryThe uniqueness of ICW as a Native-owned and operated private practice, staying authentic to cultural roots rather than adhering strictly to Western psychology norms.Broader scope of services beyond psychotherapy, including:WorkshopsPresentationsConsulting services6. Expanding Community ImpactStrategic partnerships and collaborative work with organizations, tribes, and leaders nationwide.Using “one-to-many” services (such as workshops and training) to amplify impact.Example: Monique conducting workshops and presentations at conferences.7. Upcoming Innovations: Tribal Indigenous EAP ProgramIntroduction to Employee Assistance Programs (EAP) and the lack of culturally appropriate models for Indigenous and Native communities.ICW’s pilot of a culturally relevant Tribal Indigenous EAP, with services including:TherapyWellness coachingProfessional developmentWorkshops and trainingsWellness circles8. Leadership, Legacy, and Advice for Young LeadersReflection on Monique’s journey as a first-generation college student and her advice to her younger self (and emerging leaders):Confidence that success will exceed expectations.Encouragement to pursue dreams even beyond what seems imaginable.9. Ways to Connect with ICWICW’s website and social media presence (Instagram, Facebook, TikTok).How to contact via email: [email protected]. Closing ThoughtsEncouragement for listeners to persist in their impactful work, despite challenges.Emphasis on self-care for leaders and ripple effect on community wellness.

Welcome back to Impact Unfiltered, the podcast where we dive into candid conversations with leaders who are transforming healthcare, business, and community. In this episode, hosts Gabe and Philippe sit down with Mason Emert, the tribal epidemiologist for the Choctaw Nation of Oklahoma and a medical student at Oklahoma State University. Mason shares his journey from pandemic emergency response into tribal public health, highlighting the immense progress the Choctaw Nation has made in building and expanding its healthcare system. He offers an insider look at disease surveillance, community health initiatives, and the vital role of tribal sovereignty in shaping healthcare access and equity for Native and non-Native residents alike. Mason’s story is not just one of professional passion—it’s about faithful leadership, innovation, and the collective power of working together to create lasting impact.1. Introduction and Guest BackgroundIntroduction of guest Mason Emert: tribal epidemiologist at Choctaw Nation of Oklahoma, National Advisory Council appointee, and second-year medical student.2. Day-to-Day Role in Tribal Public HealthExplanation of duties as tribal epidemiologist.The Choctaw Nation’s public health department: recent development and system-building.Evaluating and improving public health systems and using data to inform new programs.3. Journey Into Public HealthMason’s initial lack of interest in public health.Impactful experience during COVID-19 as a disease investigator in Oklahoma and California.4. Defining and Demonstrating ImpactMason’s definition of “impact”: legacy, contributions to community and individuals.Ways Choctaw Nation has achieved meaningful impact:Public health advisories (disease awareness: tick-borne, mosquito-borne, measles).Encouraging protective community health actions.5. Community Needs Assessment and Responsive Health InitiativesUsing data to identify healthcare gaps for tribal and non-tribal residents.Disease surveillance informing public awareness and resource allocation.6. Access: Services for Tribal and Non-Tribal MembersChoctaw Nation clinic access rules: primarily for Native Americans with a CDIB card.Certain services/programs (e.g., employee health) extended to non-tribal spouses and dependents.7. Health System Structure and InnovationsHistoric context: Choctaw Nation’s pioneering hospital, funded and operated independently.Two community clinics in partnership with Oklahoma State University open to all.Range of health, public health, and social services.Mention of extensive partnerships and continuous resource expansion.8. Opportunities and Strategic Vision for the FutureThe importance of tribal data sovereignty and public health authority.Role as a sovereign entity in disease surveillance and system development.Ensuring resources benefit both Native and non-Native community members.9. Influences on Leadership and MotivationInfluence of current tribal leadership in expanding health services.Emphasis on servant leadership and working alongside community members.10. Core Values and Pillars of Tribal HealthcareChoctaw Nation’s foundational values: faith, family, and culture.Vision and motto: “Together we're more.”Importance of community unity (“together is unity in healthcare”).11. Insights on Tribal Healthcare LeadershipExamples: Vaccination programs and partnerships for community-wide immunization.The unique nation-to-nation relationship with other government entities.12. How Listeners Can Engage or Learn MoreResources and contact options: Choctaw Nation website, National Indian Health Board (NIHB).Encouragement to connect with local tribal officers for more information.13. Future Developments and Exciting InitiativesOngoing collaboration with NIHB to enhance disease surveillance.Efforts to connect to the electronic case reporting network, improving data quality and actionable insights for the Choctaw Nation.

Welcome back to Impact Unfiltered, the show where bold ideas and honest dialogue fuel real change in healthcare, business, and our communities. In this episode, host Philippe sits down with Keahana Lambert—an Eastern Band Cherokee leader with nearly three decades of experience in public health and law enforcement. Keahana shares her passion for healing generational trauma, nurturing resilience, and prioritizing holistic wellness rooted in Cherokee culture. From the revitalization of language and legacy, to innovative healthcare programs serving both tribal and non-tribal community members, Kiana gives us an inside look at how her team empowers people to move from surviving to truly thriving. Plus, hear about the powerful community initiatives uplifting mental health, and the lessons she hopes to pass on to the next generation of leaders. This is a conversation about impact—unfiltered, inspiring, and deeply moving.1. Introduction and BackgroundKeahana’s background:Eastern Band Cherokee heritageRole as mother, grandmother, and public servant27 years in public health and law enforcement with the tribe2. Community Context and Current IssuesImportance of healing from trauma in tribal communitiesEmphasis on resilience and moving towards thriving, not just surviving3. The Meaning and Impact of “Impact”Definition of impact: influence and change, both negative and positiveHistorical negative impacts: colonization, assimilation, Indian Removal ActPositive impacts: revitalization of language and cultureExample: Tribal language academy and cultural education for children4. Organizational and Healthcare AlignmentThe tribe’s Health Improvement Plan (SIPP)Community-driven program development (e.g., Cherokee Choices)Responsive programming based on community needs (yoga, mental health, substance abuse, dietary health)Holistic, patient-centered healthcare approach5. The Tribal Health System StructureSovereignty and self-governance in healthcare:Departed from IHS (Indian Health Service) modelCustom-designed health services to meet local needsRange of services offered:Minor surgical procedures, inpatient & outpatient careMental health and substance abuse treatment (inpatient and outpatient)Residential treatment center (Kanvwotiyi)6. Cultural Integration in HealthcareIncorporation of Cherokee language, values, and beliefs into all health programsHistorical cultural practices (shared wealth, communal care for children)Contrast with modern challenges (homelessness, foster care)7. Expansion and Community InclusionOpen access to health programs for all local residents, not just tribal membersRationale: Ensuring overall community health benefits everyone8. Leadership, Legacy, and Advice for Future GenerationsEncouragement for emerging leaders:Emphasizing the value and purpose of every individualAdvocating for standing up and finding one's voiceObstacles faced by Indigenous communities in broader society9. Effective Support and Collaboration in Tribal LeadershipImportance of leadership buy-in and understandingTrauma education programs:Teaching about brain function, nervous system regulation, and trauma recovery (moving from survival mode to thinking mode)Programs delivered in workshops, aiming for personal and community balance (tohi)10. Outreach and Invitation for CollaborationContact information for support, training, and collaborative opportunitiesWillingness to provide workshops and resources to other communities11. Message to Other Tribal Professionals and LeadersReminder: "We're still here" – resilience and survivalAdvocacy for understanding trauma, shifting the lens from blaming to understanding12. Community Events and Upcoming InitiativesAnnouncement of the “From Darkness Into Hope” suicide awareness eventPurpose: honor lost community members, raise awareness around mental health resourcesHighlights: cultural ceremonies, service information booths, food, and community gathering

Welcome to Impact Unfiltered! In this episode, hosts Philippe and Gabe sit down with Cassandra Stouder, an Indigenous wellness consultant whose story is one of resilience, service, and authentic leadership. Cass shares her background as Navajo and Seminole, her experiences overcoming childhood adversity, and how those challenges now fuel her mission to support wellness in Indigenous communities nationwide. Through candid conversation, Cass highlights the importance of vulnerability, cultural wisdom, and using personal history as medicine for others. Tune in for a powerful, honest discussion about healing, empowerment, and what it means to make a real impact.1. Introduction to the Podcast and GuestIntroduction of guest Cassandra Stouder ("Cass"), including clarification of her name’s pronunciation.2. Cassandra Stouder’s Background and HeritageCass shares details about her tribal affiliations: Dine (Navajo) on her mother’s side and Seminole on her father’s.Her upbringing in Teso, Arizona, and current residence in Prescott Valley.Her work as an independent consultant specializing in Indigenous wellness across the nation.3. The Nature of Indigenous Wellness WorkDescription of what wellness in Indigenous communities looks like—tailored to individuals, families, and larger groups.Reflection on gratitude for the relationships and lessons learned from working with diverse demographics and needs.4. Personal Journey and Connection to PurposeCass explains the story behind her Indigenous name ("the woman who joined them in a war") and its evolving meaning.How her life experiences led her to wellness and fitness as ways to help herself and others.The metaphor of "joining in the war" as a method of confronting real community issues side by side with others.5. Overcoming Adverse Childhood Experiences (ACEs)Cass shares her history of trauma: exposure to alcohol at a young age, various forms of abuse, and near-death experience as a teen.The impact of these adversities on her perspective and drive to help others heal.The importance of vulnerability and honest storytelling in breaking stigma and encouraging others to reach out.6. Reframing Stigma and Building Self-WorthDiscussion on the labels and stigmas often placed on Indigenous women and how Cass actively chooses to forge her own path instead.Emphasis on creating positive change despite personal and systemic obstacles, and inspiring the same in her family and community.7. Family Influences and Life LessonsThe formative influence of her mother—a hard-working, single parent—and her older sister, who had a brain injury leading to cerebral palsy.Life lessons learned from her sister’s presence and experience, particularly around empathy, communication, and being of service.8. Healing, Spirituality, and Indigenous TeachingsThe role of cultural teachings, ceremonies, and connections to the Earth in Cass’s healing and wellness journey.Continued search for purpose and service in connection with ancestral prayers and the concept of the "next seven generations."9. Encouragement for Others in Healing and ExpressionCass urges listeners to honor their experiences and speak their truths for self and community healing.She gives practical examples of expressing struggle and finding medicine in Indigenous practices, movement, and storytelling.10. Closing Reflections and Inspirational MessageRecap of Cass’s philosophy: embracing gratitude, personal power, and purpose despite adversity.

Welcome back to Impact Unfiltered, the podcast where we dive deep into the stories of leaders who are making real waves in healthcare, business, and community. In this special episode, part of our Tribal Impact Series recorded live from Self Governance 2025, host Phillippe sits down with Dr. Joseph Nicholas Heinen and Daniel Boudreaux of Vestra Tribal Care. Together, they unpack the unique challenges and opportunities facing Indigenous communities when it comes to healthcare access and quality.Dr. Heinen, a family practice physician with nearly 15 years' experience working alongside tribal nations, shares how Vestra Tribal Care helps tribes open and expand on-site clinics—whether for casinos, tribal clinics, or community centers—tailoring solutions to each community’s unique needs. Daniel Boudreaux, CEO and co-owner, highlights the importance of continuity and holistic support for both tribal members and employees, addressing common misconceptions and emphasizing the power of tribes becoming healthcare leaders in their communities.Tune in for candid conversations on the impact of deploying customized healthcare solutions for Indigenous populations, the joy and fulfillment that comes from service, and the long-term returns that resonate well beyond the clinic’s walls. Whether you’re working in Native health or just curious about innovative care models, this episode is packed with bold ideas and honest dialogue—unfiltered.1. Introduction to the Podcast and SeriesIntroduction to the special “Tribal Impact Series Live from Self Governance in 2025.”Emphasis on elevating Indigenous voices and sources of impact.2. Guest Introduction: Dr. Joseph Nicholas HeinenOverview of Vestra Tribal Care as a native-owned company.Purpose: Opening and expanding on-site clinics for casinos and tribal 638 clinics.3. Importance of Conferences and Events (Self Governance 2025)Dr. Heinen’s motivation for attending the event: sharing knowledge about starting and expanding clinics.Role of presentations in educating tribes about potential healthcare benefits.4. Defining Impact – Personal and Professional PerspectivesDr. Heinen’s view: Impact as improving healthcare quality in rural tribal areas.Benefits of quality improvement: lowering costs, enhancing family and community health.Personal reward of helping those in need.5. Vestra Tribal Care’s Approach and OfferingsMeeting tribes where they are: flexible consulting and support options.Assisting with new clinic startups, expansion, and securing funding or grants.Helping tribes add new service lines or start clinics from scratch.6. Guest Introduction: Daniel BoudreauxIntroduction to Daniel Boudreaux, CEO and co-owner of Vestra Tribal Care.His role: Overseeing operations for on-site and tribal clinics, consulting, and healthcare operations.7. Operational Connections with Tribes and Indigenous CareWorking exclusively with tribes: 638 clinics, casino employee clinics, self-funded plans.Integrating healthcare operations for continuity and maximizing tribal health benefits.8. Event Purpose and AdvocacyDaniel’s role as a speaker: Educating on differences between employee clinics and tribal clinics.Addressing common misconceptions around tribal and employee clinic offerings.Goal: Helping tribes improve access for employees, members, and surrounding communities.9. Impact According to Daniel BoudreauxLeveraging resources to improve care quality for underserved communities.Aspiration for tribes to become healthcare leaders within their communities.10. Vestra Tribal Care’s Value PropositionDistinction from other consultants: Ability to execute on strategic roadmaps.Emphasis on customized solutions tailored to individual tribal needs.Full-spectrum partnership: From consultation to launch and ongoing support.11. Closing Remarks and Calls to ActionReinforcement of Vestra’s commitment to being comprehensive and personalized in supporting tribal healthcare growth.

Welcome back to Impact Unfiltered—the podcast highlighting bold leaders transforming healthcare, business, and their communities.Today, we’re joined by Dr. Marty Lofgren, Medical Director of the Absentee Shawnee Health System. From his roots on the Cheyenne River Sioux Tribe reservation to leading a Native health system in Oklahoma, Dr. Lofgren shares his journey and the impact of community-focused care.We talk about expanding pharmacy access, promoting wellness through small initiatives like “100 miles in 100 days,” and the challenges facing Native healthcare today. Dr. Lofgren also reflects on leadership, legacy, and building systems rooted in connection.If you’re passionate about making a difference in healthcare or interested in the ways tribal health leaders are paving new paths, you won’t want to miss this episode. Let's jump into our conversation with Dr. Marty Lofgren.1. Introduction to the Podcast and GuestSetting the tone: Emphasis on honest dialogue and authentic stories of impact.Introduction of Dr. Marty Lofgren, Medical Director of Absentee Shawnee Health System.2. Dr. Marty Lofgren’s Background and RoleCareer progression: Work experience in private clinics, the VA, Air Force Base, and eventually joining the Absentee Shawnee Health System in Oklahoma.Scope of current role: Overseeing a medical clinic with about 100 providers and over 400 staff, managing multiple healthcare departments.3. Motivation for Entering Tribal Leadership and Community HealthInfluence of rural and Native American healthcare disparities.Personal mission to provide higher quality healthcare to tribal members.Commitment to making the tribal health system superior to external systems.4. Defining and Embodying “Impact” in HealthcareThe importance of both small and large interventions in healthcare.Emphasis on comprehensive care (physical, mental, and support).5. Ongoing Initiatives and Examples of Impact100 Mile Challenge: Encouraging increased physical activity among staff and patients, leading to tangible health benefits (weight loss, cholesterol, diabetes markers, mental health).Becoming a 340B pharmacy: Expanding pharmacy services to all patients and employees, increasing healthcare access, and reinvesting savings into system improvements.6. Community Outreach and Alignment with Patient NeedsCommitment to community outreach.Efforts to snowball positive outcomes from programs like the 100 Mile Challenge.7. Lessons for Other Tribal Health LeadersDr. Lofgren’s humility: Preference for learning from peers rather than viewing himself as a model.The importance of networking, learning, and developing new programs from shared experiences.8. Opportunities for Improvement and Future OutlookAdvances in healthcare and the ongoing basics of care.Need for increased federal funding for Native American health.9. Reflections on Leadership and LegacyAdvice for emerging tribal health leaders: Act on leadership opportunities sooner; fulfillment in helping others through leadership.Value of creating programs that meet community needs.10. Defining the Pillars of Health System SuccessHealth system as a multi-faceted pillar: Patient care, community, and tribal support.The importance of a “many pillars” approach—holistic and integrated system support.11. Holistic and Accessible Healthcare ModelStriving for a “one stop shop” healthcare system by providing a full suite of services (specialty care, behavioral health, pediatric/adolescent clinics).Continuous expansion to meet evolving patient needs.Emphasis on saying “yes” and being solutions-oriented.12. Invitation to Support and Get InvolvedEncouragement for listeners to get involved by taking actionable steps in their own communities.Reinforcing the importance of daily commitment, expanding services, and community involvement.13. Closing RemarksInvitation to reflect on and carry forward the episode’s key themes of impact, leadership, and community-focused healthcare.

On this episode of Impact Unfiltered, we shine a spotlight on impactful leadership and legacy in Native American communities. Recorded live from the Self Governance 2025 conference—the 50-year celebration of tribal self-determination—host Phillippe welcomes Wallace Apland, Chief Financial Officer of the Ho Chunk Nation Department of Health. Wally shares how his unique role stretches far beyond managing budgets, as he helps tribal members access vital healthcare benefits and supports holistic community wellness. With engaging personal stories and insights from years of experience, Wally reflects on the power of self-governance, the importance of mentorship for future leaders, and the life-changing impact of giving tribal members access to quality healthcare. Tune in for an inspiring conversation about innovation, perseverance, and the enduring ripple effect of positive change in tribal country.1. Podcast and Series IntroductionFocus on real conversations with leaders in healthcare, business, and communityIntroduction of the special series on leadership and legacy in Native American/Tribal communities2. Guest IntroductionIntroduction of Wallace Apland (Wally)Current role: Chief Financial Officer, Ho Chunk Nation Department of HealthResponsibilities: Overseeing all health operations, departments (pharmacy, medical, optical, dental), budgets, cash flow, financial software3. Wallace Apland’s Role in CommunityClarification of dynamic CFO dutiesOversight of third-party revenue streams and primary payersCollaboration with benefits coordinators (Medicaid, ACA, unique tribal programs)Connection to tribal members through information sharing about benefitsImpact on tribal members, such as informing about available benefits for individuals and families4. Multifaceted Nature of the RoleWearing multiple hats beyond the CFO positionLong tenure (13 years) and transition from consultant to permanent roleGrowth and expansion of healthcare services:Increased number of clinics, staff (doctors, nurses), and specialty services (pediatrics, pharmacies, complexity lab)Over 22,000 encounters per yearPride in tribe’s trust and health program’s sustainability5. Reflections on the Self Governance ConferenceMotivations: Education about Title 5 tribe status and networkingImportance of attending for hands-on connections, learning concepts, and accessing insider expertiseBenefits of presenters and networking:Technical experts, free legal advice, access to federal officialsValue in gaining actionable insights, small steps leading to innovation and project growth6. Surprises at the ConferenceObservations on participation:Continued strong presence of federal agency representatives despite current media/politicsSpecific mention of federal officials and their accessibility7. The Meaning of Impact and LegacyWallace’s definition of impact: Taking away influence or learning, especially from expert panelsImportance of understanding federal statutes (such as 340B pharmacies)Leadership and succession:Need to bring younger/new individuals to these conferences for exposure and networkingExample: Bringing new executive director and controller to the eventDiverse opportunities at the conference (industry vendors, new security/data solutions)8. Personal Story: Work’s Impact on Tribal MembersFulfillment from seeing tribal members access health insuranceWallace’s role in maximizing tribal members’ access to health benefits9. Discussion on "Return on Healthcare"Emphasis on measuring impact by health outcomes of the tribal nation/communityBroader vision: health improvement leading to stronger, healthier communities10. Tribal Sponsorship InitiativesFocus on tribal sponsorship for health insurance for members lacking meansEfforts to connect members with Medicare, Medicaid, and ACA coverageGoal: Empowered tribal members, long-term health improvement11. Closing RemarksWallace’s willingness to share more in the future

Welcome to another episode of Impact Unfiltered! In today’s show, Philippe sits down with Morgan Honea, a seasoned healthcare leader based in Denver, Colorado. Morgan brings over 25 years of experience spanning nonprofit public health, rural healthcare, data and technology, and health systems innovation. Together, they dive into why our current fee-for-service healthcare system just isn’t working, especially for underserved and rural communities, and explore new models centered around direct pay and patient-first care.Morgan shares stories from his early days on a rural mission trip, experiences running health centers and health information exchanges, and what drives him and his team to rethink what healthcare could look like—where the community’s needs set the priorities, and cost and transparency aren’t barriers to care.Whether you’re a disruptor, a provider, or just someone who’s tired of the status quo, you’ll find inspiration and practical tips here about impacting your community, navigating the industry, and never being afraid to break the mold. Strap in for an honest, hopeful conversation about changing healthcare from the ground up!1. Podcast Introduction and Guest WelcomeBrief preamble highlighting the show’s theme: real conversations with leaders driving change in healthcare, business, and community2. Morgan Honea Professional Journey in Healthcare25 years in the healthcare industry, primarily in the nonprofit sectorExperience in public health, federally qualified health centers, and healthcare technologyLeadership roles, including running a health information exchange in ColoradoUnique perspective from multiple roles: employer, provider, payer, and patient3. Defining Impact in Healthcare & Medical Suite’s MissionThe team’s focus on the impact for individuals and communitiesSpecial emphasis on rural and underserved communitiesChallenges in healthcare delivery outside major metropolitan areasImportance of localizing healthcare and using team expertise to show communities 4. Community Engagement and Needs AlignmentCommitment to listening first: every community has unique prioritiesCollaboration with stakeholders like school districts, municipal governments, and local employersAvoiding assumptions; starting with community-led goalsEnsuring solutions are genuinely driven by local needs5. Innovation and Service Delivery Outside the Fee-for-Service ModelSkepticism about the word "innovation" within fee-for-serviceAdvocating for direct pay models to remove constraints on providersAdvantages of direct pay: longer provider-patient interactions, appropriate use of data, tailored careEmphasizing primary care as critical to 80% of healthcare outcomesAddressing social determinants of health and the importance of zip code in outcomes6. Practical Examples and PartnershipsUse of data-driven approaches for aligning services to patient/community needsPartnerships and tools for direct pay care, including virtual and telehealth servicesMention of various companies and initiatives (e.g., Nexus Health Connect, Actuate Care, Smith Medical ambulatory surgery center)Highlight: transparent pricing on procedures, e.g., appendectomy at Smith Medical7. Advice for Emerging Leaders in HealthcareImportance of being ambitious and mission-drivenThe value of questioning traditional paths and methods in healthcareEncouragement to take risks and innovate outside the system when necessary8. How to Get Involved & Access ResourcesInformation on organizations and websites for further learning (Nexus Health Connect, Actuate Care, Smith Medical)Solutions for direct primary care, virtual care, and direct-pay proceduresPlans for a new general agency to educate brokers and empower more individuals and employers9. Closing Remarks and AppreciationEncouragement and optimism for the future of healthcare reform

Welcome to another episode of Impact Unfiltered, where we're diving deep into real stories of leadership and impact in healthcare and community development. In this episode, we sit down with Cameron Chase, the health director for the Tunica-Biloxi Tribe of Louisiana. Cameron shares his journey from global health work to tribal leadership, highlighting the unique challenges and triumphs of building resilient healthcare systems in rural and Native communities.1. Introduction to the Podcast and EpisodeIntroduction of guest: Cameron Chase, Health Director, Tunica Biloxi Tribe of Louisiana.2. Cameron Chase’s Role and Daily ResponsibilitiesOverview of Cameron’s position as Health Director.Description of proactive vs. reactive approaches in healthcare.The public health approach beyond clinical care.Emphasis on prevention, education, and enabling the community to actualize their goals.3. Background of the Tunica Biloxi TribeHistory and federal recognition of the Tunica Biloxi Tribe.Discussion of fragmentation and merging of multiple bands/tribes.Historical context: forced removal and the impact of colonization.Gaining federal recognition through the “Tunica Treasure” artifacts.Commitment to nation-building and serving the broader Central Louisiana community.4. Cameron Chase’s Background and Pathway into Tribal Health LeadershipPersonal background: non-Native, broad international and healthcare experience.Inspiration from working with indigenous communities in Guatemala.Experience at the tribal epidemiology center and transition to Tunica Biloxi.Building new health services and clinics for the tribe.Focus on services beyond healthcare: social services, justice, housing, and reentry programs.Leadership style rooted in collaboration and teamwork.5. Understanding and Defining Impact in Tribal HealthcareBroader definition of impact—extending beyond the present and considering legacy.The concept of “seventh generation” thinking and planning for future generations.Importance of creating resilient systems rooted in public health approaches.The unique resilience of Native American communities.6. Community-Driven Initiatives and Long-Term ProjectsEmphasis on resilience within both the tribe and the state of Louisiana.Inclusive services for both tribal citizens and the wider local community.Addressing chronic diseases, diabetes, and access to expensive medications (GLP-1s).Use of federal programs (340B) to increase access for the uninsured and underinsured.Development of programs: homeless shelter, juvenile healing, wellness, domestic violence, and substance abuse initiatives.Evaluation of impact through community health needs assessments and ongoing measurement.7. Current State of Tribal Healthcare & Vision for the FutureAcknowledgement of challenges due to historical and systemic oppression.Impacts of federal and state budget cuts and the importance of resilience and strategic planning.Rural healthcare challenges and disparities in access.Collaboration with the state to serve underserved populations, especially Medicaid recipients.Commitment to not reducing services for Native citizens while expanding access to non-citizens.Innovative partnerships and leveraging state resources.8. Legacy Leadership and Advice for Emerging LeadersThe power of collaboration and teamwork in leadership.Importance of patience and understanding that meaningful change takes time.Personal anecdotes about the slow pace of progress in healthcare and research.Encouragement to young leaders to view their work as a long-term quest.9. Ways to Get Involved and Learn MoreRecommendation to look for local opportunities to support change.The importance of self-education about Native American history and the ongoing impact of colonization.Information on how to contact and support the Tunica Biloxi Tribe, including visiting their website and engaging with local initiatives.

Welcome to another episode of Impact Unfiltered, where we spotlight voices making real change. In this special “Tribal Impact” series, host Philippe sits down with Dr. Setu Vora, Chief Medical Officer for the Mashantucket Pequot Tribal Nation in Connecticut. Dr. Vora shines a light on the tribe’s innovative, holistic approach to healthcare a journey that spans over three decades. He walks us through the evolution of Pequot Healthcare, a tribally owned system that not only serves its own community with independent health plans and in-house pharmacy services, but also extends support to other small businesses and tribal nations. Together, Philippe and Dr. Vora discuss the impact of accessible, quality care, the power of self-governance, and what it means to create lasting value in healthcare, both for the tribe and beyond. Whether you’re interested in health innovation, tribal self-determination, or building systems that put people first, this episode delivers inspiring insights on making an impact where it matters most.1-Introduction and Podcast Overview  - Dr. Setu Vora's professional role as Chief Medical Officer of Mashantucket Pequot Healthcare.2. Background on the Mashantucket Pequot Tribal Nation and Its Healthcare System  - The tribe as innovators in both gaming and non-gaming enterprises.  - The tribe’s strategic objective: prioritizing health for tribal families and communities.  - Establishment and evolution of Pequot Healthcare over 30+ years.      - Independent, tribally-owned third-party administration for self-funded health plans.3. Dr. Setu Vora’s Role and Mission  - Responsibilities as Chief Medical Officer: steward and resource for the tribal council’s health objectives.  - Focus on delivering better value health and applying this mission to both tribal and non-tribal clients.  - Emphasis on delivering quality, safety, and a better experience at a lower total cost.4. Pharmacy Services and Pandemic Response  - Explanation of PBM Solutions' offerings (by Phillippe) related to pharmacy programs, assistance programs, TPA setup, and pharmacy buildouts.  - Mashantucket Pequot’s large in-house pharmacy team (10+ pharmacists).  - Key role of the clinical pharmacy team during the COVID-19 pandemic:      - Leading vaccination programs across the tribal nation.      - Establishment and operation of one of Connecticut’s largest mass vaccination sites in partnership with state and local healthcare systems.5. Engagement at the Tribal Self-Governance Conference  - Explanation of the tribe becoming a Title V tribal nation and transition from Title I contracting.  - Self-governance compact with the Indian Health Service achieved in October 2022.  - Greater engagement at the national level, including sponsorship and leadership at the conference.  - Councilor Michelle Scott’s role in health and human services and her contribution as an opening speaker.  - Importance of legal counsel in unlocking self-governance advantages.6. Conference Takeaways and Reflections  - Value of networking and meeting other innovators at the conference.  - Recognition of entrenched healthcare systems and the challenge of delivering value in those systems.7. Meaning of Impact in Tribal Health Context  - Dr. Vora’s vision for impact: improving tribal community access to care, empowerment, and leadership in health solutions.  - Extending services and solutions to other tribal nations and self-funded American businesses.8. Measuring Success: Return on Health (RoH) vs. Return on Investment (ROI)  - First focus is on RoH: patient well-being, outcomes, and experience.  - Designing systems to achieve RoH typically brings ROI, achieving better care at lower cost.9. Closing and Final Thoughts  - Dr. Vora’s call to action: Find and collaborate with likeminded individuals to tackle healthcare cost drivers and barriers to care.  - Emphasis on partnerships and alliances for sustained progress.