Missouri Archives

KHN’s ‘What the Health?’: Congress Shelves Covid Funding for Now

The Biden administration’s request for billions more in funding to fight covid-19 hit a snag on Capitol Hill this week, as Democrats objected to Republican demands that money allocated to states but not yet spent be reclaimed. Meanwhile, the big annual spending bill about to cross the finish line addresses other health policy changes, such as giving the FDA authority to regulate “synthetic” nicotine. Joanne Kenen of the Johns Hopkins Bloomberg School of Public Health and Politico, Rachel Cohrs of Stat, and Jessie Hellmann of Modern Healthcare join KHN’s Julie Rovner to discuss these issues and more. Plus, for extra credit, the panelists recommend their favorite health policy stories of the week they think you should read, too.

March 10, 2022

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

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.

By Bram Sable-Smith and Phil Galewitz

Feb. 18, 2022

A stethoscope rests on top of a sheet of health insurance paperwork.

Why Millions on Medicaid Are at Risk of Losing Coverage in the Months Ahead

State Medicaid agencies for months have been preparing for the end of a federal mandate that has prevented states from removing people from the safety-net program during the pandemic.

By Rachana Pradhan

Feb. 14, 2022

Missouri state Sen. Mike Moon speaks in his office.

COVID-19

Missouri’s War on Public Health Shows Extent of National Rift

A public health official who said he was anti-abortion and anti-mandate for masks and covid vaccines did not pass the purity test of a Missouri senator who opposes covid public health restrictions. The senator killed the official’s nomination to be state health director, highlighting how hands may be tied in the nationwide fight against infectious diseases.

By Lauren Weber

Feb. 8, 2022

Bounties and Bonuses Leave Small Hospitals Behind in Staffing Wars

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.

By Bram Sable-Smith

Feb. 7, 2022

COVID-19

The Advice to Vaccinate and Test Isn’t Much Help to Parents With Kids Under 5

Many parents of children too young for vaccines are exhausted. Some feel isolated and even forgotten by those who just want to move on even as omicron continues to sweep through parts of the country.

By Bram Sable-Smith

Feb. 2, 2022

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

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?

By Bram Sable-Smith

Feb. 1, 2022

A sign shows the name of Frontier Health & Rehabilitation, a nursing home in St. Charles, Missouri.

COVID-19

With a Vaccine Mandate Looming, Nursing Homes Face More Staffing Problems

Missouri has the worst covid-19 vaccination rate for nursing home health care workers in the nation. There, the federal mandate for workers to get vaccinated — upheld by the U.S. Supreme Court — reveals the problems that operators have hiring staff, keeping them, and providing decent care.

By Eric Berger

Jan. 25, 2022

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

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.

By Bram Sable-Smith

Jan. 25, 2022

Bill of the Month

The Doctor Didn’t Show Up, but the Hospital ER Still Charged $1,012

A St. Louis-area toddler burned his hand on the stove, and his mom took him to the ER on the advice of her pediatrician. He wasn’t seen by a doctor, and the dressing on the wound wasn’t changed. The bill was more than a thousand dollars.

By Noam N. Levey

Jan. 24, 2022

Dr. Christian Ramers speaking with a colleague

COVID-19

Patient, Beware: Some States Still Pushing Ineffective Covid Antibody Treatments

The top 12 states using antibody therapies produced by Regeneron and Lilly — which research shows don’t work against the omicron variant — include several Southern states with some of the nation’s lowest vaccination rates, but also California, which ranks among the top 20 for fully vaccinated residents.

By JoNel Aleccia

Jan. 21, 2022

Navigating Aging

As Covid Hits Nursing Homes’ Finances, Town Residents Fight to Save Alzheimer’s Facility

Fear of covid has kept some adults from moving to nursing homes, and many facilities are in trouble financially. When Nevada, Missouri, officials announced they were planning to close a home specializing in dementia care, members of the community rose up in protest.

By Judith Graham

Jan. 4, 2022

KHN On Air

Journalists Discuss Omicron, Public Health, Culturally Competent Care

KHN and California Healthline staff made the rounds on national and local media this week to discuss their stories. Here’s a collection of their appearances.

Dec. 11, 2021

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

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?

By Bram Sable-Smith

Dec. 3, 2021

Missouri’s Thin Dental Safety Net Stretched Amid Medicaid Expansion

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.

By Bram Sable-Smith

Nov. 16, 2021

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

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.

By Bram Sable-Smith

Oct. 29, 2021

‘Are You Going to Keep Me Safe?’ Hospital Workers Sound Alarm on Rising Violence

Health care workers already bore the brunt of workplace violence in the U.S. Now, tensions from an exhausting pandemic are spilling over into hospitals.

By Bram Sable-Smith and Andy Miller

Oct. 11, 2021

COVID-19

Covid Is Killing Rural Americans at Twice the Rate of Urbanites

The pandemic is devastating rural America, where lower vaccination rates are compounding the already limited medical care.

By Lauren Weber

Sept. 30, 2021

Low Wages and Pandemic Gut Staffing Support for Those With Disabilities

Group homes and facilities that serve people with intellectual and developmental disabilities were hurting for staffers before the pandemic. Now the nationwide job crunch and pandemic pressures are making it even worse.

By Andy Miller

Sept. 24, 2021

Biosimilar Drugs Are Cheaper Than Biologics. Are They Similar Enough to Switch?

Biologic drugs, made from living organisms, and the cheaper biosimilar drugs that mimic them are more complex than chemical drugs and their generic counterparts. The Food and Drug Administration says biosimilars are as safe and effective as the biologics, and doctors agree — but they are cautious about changing the treatment regimen of patients doing well.

By Michelle Andrews

Sept. 23, 2021

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