Your AWS account. Your encryption keys. Your tribal sovereignty.
Tarevo is the sovereign EHR operating system built for tribal health departments, THFQHCs, Urban Indian programs, and 638 contract holders. Proven on the live Skokomish Tribal Health deployment — the first tribal health organization running OpenEMR on customer-owned AWS infrastructure.
Last updated 2026-07-10 · Built on the Skokomish reference deployment
Featured Case Study
Skokomish Tribal Health
First tribal health organization running OpenEMR on sovereign, customer-owned AWS infrastructure — BAA signed, deployment live.
Sovereign
AWS account + KMS keys
Built for your segment
Tribal health, Urban Indian, and 638 contract fit — by design.
Tarevo is not a generic EHR retrofit. The sovereignty model, the revenue cycle, and the deployment posture are designed around how tribal health organizations actually procure, fund, and operate.
Tribal Health & THFQHC
Title V / Title VI grant alignment, IHS reporting workflows, and the sovereignty model IHS-funded sites are required to evaluate before procurement. The Skokomish reference deployment is live.
Urban Indian Organizations
Title V Urban Indian funding path with HIPAA + 42 CFR Part 2 obligations. Sovereignty architecture lets an Urban Indian org hold its own keys without standing up a separate cloud team.
638 Contract & Self-Determination
Under P.L. 93-638, your data stays in your tribe's infrastructure, not a vendor's. Delegated, revocable IAM means Tarevo leaves when the engagement ends — your records never do.
The relevant feature cluster
RCM, MIPS, and sovereignty — the three that move the needle.
Tribal health does not need every EHR bell and whistle. It needs the three capabilities that determine whether the program is financially sustainable, federally compliant, and sovereign.
Revenue Cycle Management
Real-time eligibility at point of care, electronic claims, and ERA auto-posting — critical for IHS / Medicaid / Medicare / private-pay mix where a single missed eligibility check can mean the difference between a paid claim and a denied one.
MIPS & Value-Based Care
Built-in MIPS tracking, reporting, and submission. Federal compliance without hiring a dedicated team — so your CHRs, NPs, and physicians stay focused on patient care instead of quarterly reporting scrambles.
Tribal Data Sovereignty
Your AWS account. Your KMS keys. Delegated, revocable IAM. The infrastructure model IHS, FQHC, and sovereignty-conscious procurement officers require — proven on the Skokomish sovereign deployment.
Multi-provider, multi-site
One sovereign instance. Every clinic in your program.
Skokomish Tribal Health runs a single Tarevo deployment that spans every clinic in the program — multi-provider scheduling, centralized reporting, per-provider workflows, and consolidated billing against IHS, Medicaid, Medicare, and private payers. No per-seat fees. No per-clinic infrastructure.
5–20+
Providers per deployment
50 States
Multi-site, multi-state ready
1
Sovereign instance per tribe
$199/mo
Flat full-stack pricing
Sovereign infrastructure
The architecture tribal procurement officers ask about first.
Every Tarevo deployment runs in your AWS account — not ours, not a shared multi-tenant cluster. KMS keys stay in your account. Delegated IAM is revocable on a single API call. When the engagement ends, your data stays where it is.
- OpenEMR on AWS Fargate — HIPAA-compliant, scalable, yours
- Delegated IAM access — revocable at any time, no hostage infrastructure
- Encryption keys stored in your AWS KMS — zero vendor key access
- IHS, Title V / Title VI, and 42 CFR Part 2 posture documented
Infrastructure model
Talk to the team
Schedule a Discovery Call
Tribal health procurement is not a 30-minute demo. It is a multi-stakeholder conversation — health director, IT, finance, and the tribal council or board. We will walk through your current stack, the sovereignty proof, and the reference deployment at Skokomish on a call that respects that process.
- Walkthrough of your current IHS / grant reporting stack vs Tarevo
- Sovereignty proof — your AWS account, your KMS keys, our delegated access
- Reference contact with the active Skokomish Tribal Health deployment
- Migration plan that respects your tribal procurement and contracting timeline
Prefer email? tarevo@polsia.app