Transparent healthcare that strengthens your tribe — clinically and financially.
Vestra Tribal Care is a Native-owned healthcare consulting and management company. We partner with tribal nations to reduce costs, recover revenue, and build self-sustaining health systems — strengthening what you've already built, and helping launch what's next.
Your program is being asked to do more with less.
Providers and staff are stretched by documentation, referrals, and billing. Patients face delays or leave the service area for care. IHS and 638 funding cycles create uncertainty — and too often, outside consultants add another layer of work instead of removing it.
Clinic operations gaps
Staffing models, workflows, and provider productivity that haven't been measured against current needs.
Reimbursement left on the table
Medicaid, Medicare, and third-party revenue that isn't fully structured or captured at the program level.
PRC overspend
Purchased and referred care costs reducible through better routing, specialty access, and coordination.
340B & pharmacy underperformance
Programs not fully aligned with eligible savings, contract pharmacy opportunity, or prescribing optimization.
We strengthen what you already have. We don't replace it.
A comprehensive, results-driven model tailored to the cultural, medical, financial, and operational needs of each tribe — grounded in tribal sovereignty and full transparency.
Seamless integration
Our account team works hand-in-hand with tribal leadership and existing partners to improve efficiency and outcomes.
Transparent operations
No hidden fees or cost spreads. Every dollar spent directly benefits the tribe and enhances patient care.
Customized solutions
Comprehensive medical care, specialty programs, and cost-saving strategies scaled to each community.
Provider of choice
A concierge-like model that prioritizes patient well-being and satisfaction at every touchpoint.
Real numbers from real tribal programs.
By targeting high-cost conditions and improving access to quality care, our clients see lower spending and fewer avoidable visits in every major category — year over year.
Case study: Native American Casino & Resort, Louisiana
Facing escalating costs for a historically high-risk population, this employer replaced its longstanding clinic and pharmacy operator with Vestra. Through direct contracting, surgical bundles, onsite clinic and pharmacy optimization, care management, and 340B strategy, they expanded member benefits while cutting spend.
30.6% PEPY reduction in total healthcare spend in under two years · $4,328 PMPY savings for clinic-attributed patients vs. community.
Red Berry Health System — Comanche Nation
In April 2026, the Comanche Nation opened Red Berry Health System in Lawton, Oklahoma — the Nation's first tribally operated clinic and a milestone in health self-determination. Vestra Tribal Care won the competitive RFP and serves as the consulting and management partner guiding the launch, from planning and staffing to clinical training and long-term expansion.
One partner, built for the full care continuum.
A concierge-like medical management model providing easy access to specially trained providers, care managers, and navigators at pivotal points in the care process.
The Focused Assessment
A clear, independent picture of where your program stands and where value may be getting missed — the practical first step before any bigger decision.
Focused Assessment
A 30-day, fixed-fee engagement scoped to a priority area. We review performance, identify gaps, and quantify the opportunity.
Review the findings
You receive a clear written report with findings, estimated financial impact, and practical next steps. Your leadership decides. No pressure.
Turn findings into action
If bigger opportunities surface, we can support implementation or run operations directly — delivered by Vestra Tribal, with single-point accountability.
Guidance for every stage of healthcare transformation.
Whether you're starting from scratch, taking over IHS services under 638, expanding programs, or optimizing operations — we guide you step by step.
Organizing and launching new healthcare programs from the ground up.
Seamlessly transitioning and managing IHS services under self-determination.
Increasing access and improving outcomes across existing services.
Building comprehensive, sustainable healthcare networks.
Ensuring efficient, cost-effective, high-performing systems.
Vestra Telespecialty
A game-changing way to expand specialist access while bolstering financial sustainability — built specifically for tribal health programs.
- Reduce PRC spend on routine specialist referrals through timely, cost-effective telemedicine consults.
- Generate new revenue by billing third-party payers for specialist visits and pharmacy fills.
- Concierge coordination routes specialist-generated prescriptions and ancillary services back through the tribal program.
- Better continuity and patient satisfaction, with notes integrated into your EHR.
Rooted in lived experience in Indian Country.
Daniel Boudreaux, MHA
A healthcare executive and tribal health system strategist with over two decades of experience, Daniel focuses on tribal sovereignty, financial sustainability, and expanding access to care. He began his career in critical care — ICU and emergency medicine — before moving into leadership, grounding his work in real patient-care needs and system efficiency.
As CEO and co-founder of Vestra Health and Vestra Tribal Care, Daniel leads efforts to expand tribal healthcare systems through strategic policy alignment and financial optimization — including Title I and Title V compact expansion, Medicaid and OMB rate maximization, and 340B program optimization — helping tribes capture higher reimbursements and reinvest in their communities.
Johnathen Worth, MBA
Johnathen works closely with tribal nations to develop and expand healthcare systems that are sustainable, community-driven, and grounded in tribal sovereignty. With over 14 years of healthcare management and operational leadership — including 8 years focused within tribal and Urban Indian healthcare systems — he brings deep expertise in strategic planning, revenue cycle development, credentialing, and system compliance.
At Vestra Tribal Care, he helps tribes launch and optimize 638 clinics, strengthen payer relationships, and implement cost-saving, revenue-generating strategies — including full optimization of 340B programs and high-performance care delivery models.
Nick Heinen, MD
A board-certified family medicine physician with a Doctor of Medicine from LSU School of Medicine, Dr. Heinen has worked alongside tribal communities for over 15 years. He specializes in tribal health revenue cycle management, directing tribal health facilities, and building financial models tailored to Native communities.
His understanding of tribal healthcare sovereignty, self-governance, and federal funding mechanisms helps tribes develop sustainable, independent healthcare systems — including the launch of Red Berry Health System with the Comanche Nation.
Staying current across Indian Country.
The latest press releases and announcements from the Indian Health Service.
From the Indian Health Service
Answers for tribal leadership.
The questions we hear most often from councils and health directors.
What exactly does Vestra Tribal Care do?
Do you replace our current leadership, staff, or existing partners?
We're not ready for a big commitment. What's the smallest way to start?
What does the Focused Assessment include, and what do we get at the end?
How are you paid, and is your pricing transparent?
Who owns and controls the clinic, our data, and the decisions?
How does this work with our existing IHS funding and our 638 / self-governance status?
How do you actually reduce our costs and generate revenue?
What services can you provide or help us build?
Can you help us start a clinic from scratch or take over IHS services under 638?
What is the Telespecialty program?
Are you really Native-owned, and why does it matter?
How do we get started?
Build a healthier future together.
Tell us where your program stands today. We'll show you where value may be getting missed — with no long-term commitment.