Showing category "Missouri" (Show all posts)

Growth in Missouri Medicaid 3.5% since ACA began

Posted by Timothy McBride on Wednesday, May 6, 2015, In : Missouri 
As others who follow trends in Missouri Medicaid enrollment know, Missouri is a state that has shown sluggish growth in Medicaid enrollment over the last year, even while other states have seen significant growth -- including states that have also not expanded Medicaid (experiencing the so-called "Woodwork" effect).  In fact, for several months, the growth in Medicaid in Missouri was flat or negative, and Missouri had one of the slowest rates of growth in Medicaid in the country.

It appears fr...
Continue reading ...
 

Backlog facing Missouri Medicaid nearly erased

Posted by Timothy McBride on Wednesday, May 6, 2015, In : Missouri 

There is good news for Missouri’s Medicaid program.  In the last few months, the program (called MOHealthNET in Missouri) has really turned the corner on a challenge the program faced in the recent year – a backlog in processing applications to the program.  However, in the last 4-5 months, concerted efforts by state workers, working hard with many around the state has led to a huge drop in the backlog.

As this figure shows, the number of days it is taking for an applicant to Medicaid to...


Continue reading ...
 

Missouri Medicaid enrollment dropping

Posted by Timothy McBride on Monday, September 1, 2014, In : Missouri 

An article in today’s St. Louis Post-Dispatch points to a serious issue facing Missouri’s Medicaid program.  As the article points out, enrollment in the Medicaid program (called MOHealthNET in Missouri) has been dropping in the state for several months.  As reported by the Centers for Medicare and Medicaid Services (CMS) in their latest reports, with data through July, Medicaid enrollment is down -4.4% in Missouri since last year (from about 866,000 to about 830,000). This is the second ...


Continue reading ...
 

Missouri's Medicaid eligibility determinations continue to drop, April 2014

Posted by Timothy McBride on Thursday, June 5, 2014, In : Missouri 

A new report out from CMS indicates that applications for Medicaid in Missouri continued to drop in April, relative to March, from 829,585 to 806,639, a drop of -2.8%.  This means Missouri remains an outlier, with a drop of -4.7% in Medicaid determinations since before the open enrollment period started for the Affordable Care Act (ACA) as the report shows -- the drop in Missouri is the second lowest in the country, second only to Wyoming since before the open enrollment period.

As I reported ...

Continue reading ...
 

Missouri's Medicaid Enrollment Dropping, And Unemployment Declines do not Explain the Drop

Posted by Timothy McBride on Sunday, June 1, 2014, In : Missouri 

A recent release from the Center on Medicare and Medicaid Services shows that across the U.S. Medicaid enrollment grew by 5.8 million from right before the open enrollment period (July-September 2013) to March 2014, a growth rate of almost 10%.  However, as would be expected most of this growth occurred in states that chose to expand Medicaid coverage.  Nevertheless, even the remaining states have experienced growth of over 640 thousand (or about 2.6%).

However, the report highlights a perplex...


Continue reading ...
 

The Great Lamping-Silvey debate continues (this time on Twitter!)

Posted by Timothy McBride on Saturday, May 24, 2014, In : Missouri 
Those of us in Missouri, and who follow the Medicaid expansion debate closely, know that a couple key turning points that happened (in public at least) were when, first, a handful of Republican Senators (led by Sen. John Lamping) took to the floor right after their Spring break and declared their solid opposition to the Medicaid expansion, and vowed to fight this even to the point of filibusters. Shortly after that, one of Sen. Lamping's colleagues, Sen. Ryan. Silvey took to the floor and eng...
Continue reading ...
 

Crunch Time: Is it time for Gov. Nixon to behave like Gov. Brewer?

Posted by Timothy McBride on Monday, April 28, 2014, In : Missouri 
So there is less than three weeks left in the Legislative session. The Missouri Legislature has yet to give Governor Jay Nixon the leading initiative he has asked for the last two years, much to his credit. As a result, the state is losing billions of dollars, losing thousands of jobs, and low-income people still don't have the coverage they need.

Maybe it is time for Gov. Nixon (who after all has always had a huge positive popularity rating) to adopt the strategy that Republican Gov. Jan Brew...
Continue reading ...
 

Perplexing State Policy Decision: Tax Cut Yes, Medicaid Expansion: No?

Posted by Timothy McBride on Thursday, April 17, 2014, In : Missouri 

Today (April 16th, 2014), the state of Missouri Legislature passed a $620 million tax cut with an annual price tag.

What is rather flabber-gasting about this decision is that this Legislature has been dragging its heels for two years on another decision: to expand Medicaid to about 300,000 low-income uninsured Missourians.  By recent reports, the legislation working its way through the Legislature is not as likely to pass.

Now someone needs to explain to this economist why:

  • the Legislature would...

Continue reading ...
 

Response to Forbes/Show-Me Take on Missouri Medicaid Situation

Posted by Timothy McBride on Saturday, March 8, 2014, In : Missouri 
Given that we are in the middle of the implementation of the Affordable Care Act (ACA), and a full verdict on what is happening will not really be known for a short while, it is a prudent idea to wait before making definitive comments on what is happening out in the field.  The reality is that the "data" on the implementation of the ACA is still coming in, and none of us can be 100% sure at this point what is happening.  

However, a commentary by Patrick Ishmael (of Missouri's Show-Me Institut...
Continue reading ...
 

Reports of Job Losses in Missouri Health Care Sector Continue

Posted by Timothy McBride on Monday, June 17, 2013, In : Missouri 
This past week two major health systems in Missouri announced job cutbacks: the BJC health system in St. Louis (announcing 160 layoffs for the first time in their history), and the University of Missouri Health Care system (announcing reduced hours for 35 employees, and that they will not fill 90 positions).  

If I have kept track correctly this is the fourth time in the last two months cutbacks, affecting jobs.  The PDF document posted above lists each job loss, with references.

Although it is...
Continue reading ...
 

Equal Access for EGGS (but not for the Uninsured?)

Posted by Timothy McBride on Thursday, May 16, 2013, In : Missouri 
Well, one of the pictures below depicts items that gained a lot of attention and led to passage of legislation in the Missouri Legislature this session (which ends tomorrow).

On the top are hundreds of uninsured persons (and there are at last count about 877,000 uninsured persons in Missouri). On the bottom are pictures of Turkey, Duck and Goose EGGS. 

You guessed it! House Bill542 passed, which has this important change in it: "Section 196.311 RSMo, (6) "Eggs" means [eggs in the shell from] t...

Continue reading ...
 

Missouri Obamacare Myths #2: Medicaid Expansion Costs Money

Posted by Timothy McBride on Monday, March 18, 2013, In : Missouri 
Earlier I described the proposal by Missouri Governor Jay Nixon to expand the Medicaid (MOHealthNet) program in Missouri to cover about 260,000 persons in 2014, according to the state's estimates [ http://dss.mo.gov/mhd/oversight/pdf/130129-healthcare-expansion.pdf ].

It has often been said in response to this proposal that expansion of Medicaid would not be affordable to Missouri.  For example, Rep. Jay Barnes said "Missouri taxpayers cannot afford a straight Medicaid expansion." [ http://www...

Continue reading ...
 

Missouri Obamacare Myths: Myth #1, Corollary

Posted by Timothy McBride on Thursday, March 7, 2013, In : Missouri 
Yesterday I wrote about the myth that the primary vote taken in August 2010 (called Proposition C), which has been characterized by some people as an overwhelming vote by the state of Missouri "against Obamacare" cannot be characterized that way because in fact the proposition was a vote on a very narrow part of the law -- only the individual mandate provision.  That is well-known to be the least popular provision of Obamacare, so it is in fact no surprise that a proposition against it was pa...
Continue reading ...
 

Missouri Obamacare Myths: Myth #1

Posted by Timothy McBride on Wednesday, March 6, 2013, In : Missouri 

For many months now, I have been hearing many myths about Obamacare in Missouri, which compels me to deal with them.  The first one I want to deal with is this one:

Speaker Timothy Jones is one of many that say this.  For instance, Jones told a reporter earlier this year: "that Missouri voters have repeatedly come out against the federal Affordable Care Act. The Missouri Health Care Freedom Act, also known as Prop C, which passed with more than 70 percent in a statewide vote in 2010." http:/...
Continue reading ...
 
 

About Me


Timothy McBride Timothy D. McBride, Ph.D. is a Professor at the Brown School, Washington University in St. Louis. Here you can find musings on health policy and other issues. Opinions are my own, and not those of my employer. Contact: mcbridetd@gmail.com