Bram Sable-Smith

Visit kff.org to read Bram's bio.

brams@kff.org
@besables

Patients’ Perilous Months-Long Waiting for Medicaid Coverage Is a Sign of What’s to Come

KFF Health News Original

The pandemic crisis has overwhelmed understaffed state Medicaid agencies, already delaying access to the insurance program in Missouri. As the public health emergency ends, low-income people nationwide could find it even harder to have coverage.

Missouri Tried to Fix Its Doctor Shortage. Now the Fix May Need Fixing.

KFF Health News Original

Five states have created “assistant physician” licenses that allow medical school graduates to practice without completing residency training. But a federal indictment in Missouri of one assistant physician has some original supporters trying to rein in the medical specialty.

Missouri Takes Months to Process Medicaid Applications — Longer Than Law Allows

KFF Health News Original

Missouri has more people waiting to have their Medicaid applications processed than it has approved since the expansion of the federal-state health insurance program. Although most states process Medicaid applications within a week, Missouri is taking, on average, more than two months. Patient advocates fear that means people will stay uninsured longer, leading them to postpone care or get stuck with high medical bills.

Bounties and Bonuses Leave Small Hospitals Behind in Staffing Wars

KFF Health News Original

A hospital in Wisconsin sued to keep seven employees from taking jobs with a competitor. A health system in South Dakota is offering nurses $40,000 signing bonuses. Facilities with fewer resources are finding it difficult or impossible to compete for health care workers.

Faxes and Snail Mail: Will Pandemic-Era Flaws Unleash Improved Health Technology?

KFF Health News Original

The covid-19 pandemic exposed how state and local governments’ severely outdated technology can hinder unemployment benefits, food stamps, Medicaid, vaccine registrations, and the flow of other critical information. Now, with hefty federal pandemic relief and unexpected tax windfalls, states may finally have the chance to revamp their information technology for health care and social services. But can they?

I Write About America’s Absurd Health Care System. Then I Got Caught Up in It.

KFF Health News Original

A KHN reporter had written for years about the people left behind by the absurdly complex and expensive U.S. health care system. Then he found himself navigating that maze as he tried to get his insulin prescription filled.

A Tale of Two Medicaid Expansions: Oklahoma Jumps In, While Missouri Lags

KFF Health News Original

Voters in Missouri and Oklahoma approved Medicaid expansion to begin in 2021. But while Oklahoma has enrolled over 200,000 people so far, Missouri has enrolled fewer than 20,000. Why are two such similar states handling the public insurance rollout so differently?

Missouri’s Thin Dental Safety Net Stretched Amid Medicaid Expansion

KFF Health News Original

An estimated 275,000 Missouri adults can get dental insurance now as the state has expanded who is eligible for Medicaid. But with so few dentists participating in the program, the state’s already-backlogged dental clinics are facing a glut of new clients.

If Congress Adds Dental Coverage to Medicare, Should All Seniors Get It?

KFF Health News Original

Health equity advocates see a once-in-a-generation opportunity to provide a dental benefit to millions of older Americans as Congress considers expanding Medicare services. But complicating that push is a debate over how many of the more than 60 million Medicare recipients should receive dental coverage.

Mini-Biographies Help Clinicians Connect With Patients

KFF Health News Original

Some Veterans Affairs hospitals around the country use writers to record patients’ life stories, then place a short biography in each vet’s medical record. The My Life, My Story program gives clinicians another way to get to know their patients.