Showing Tag: "missouri" (Show all posts)

Missouri shows very small change in uninsured rate in latest Gallup survey

Posted by Timothy McBride on Wednesday, August 6, 2014, In : ACA 

Gallup has released its latest results from its survey of how the Affordable Care Act (ACA) is faring nationwide, and it shows rather stunning (though in most cases likely unsurprising to health policy analysts) results of how this grand policy change is rolling out state by state.  Their main finding is that in states that implemented most of the features of the ACA the drop in the uninsured rate (which was already lower in the states that chose to implement the core mechanisms of the ACA) w...
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UPDATE: Layoffs continue in Missouri-near 1,000 layoffs in health sector since April 2013?

Posted by Timothy McBride on Friday, June 27, 2014, In : ACA 
In an earlier post, I laid out data I have been accumulating from press reports on job layoffs in the health care sector, mostly affecting hospitals and health systems.  Today (6/27), 60 more layoffs were announced in Springfield (MO) by Ozarks Community Hospital.  

Thus I am updating the table I presented earlier (attached here), which shows almost 1,000 jobs affected in Missouri 
(including layoffs, jobs eliminated that are vacant but will not be refilled, and jobs where hours will be reduced...
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Job Layoffs in Health Care Sector Continue to Plague Missouri

Posted by Timothy McBride on Sunday, June 22, 2014, In : ACA 
Missouri continues to be plagued by job layoffs in the health care sector.  Though it is admittedly hard to track these job layoffs specifically without exact details (reports I have on these are based on press reports which are notoriously lacking in detail, for good reasons) -- and it could be that some of the job layoffs have not been reported at all publicly, this post will be based on what I have been able to find in the news over the period April 2013 to June 2014.

Over that period as th...
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Additional comment on Patrick Ishmael's commentary

Posted by Timothy McBride on Saturday, March 8, 2014, In : ACA 

Earlier I commented on Patrick Ishmael's comments on Medicaid in Missouri posted on Forbes website.  In my previous comments I dealt with several of the issues he raises in that commentary, except the last one.  At the end of his piece he makes this comment:

"Keep in mind that this enrollment conversation doesn’t even touch on the abysmal Medicaid health outcome record that Avik Roy, Michael Cannon and others have talked about for years. That’s no small matter. Combine the outcomes problem...


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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...
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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...

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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...
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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:/...
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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