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

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

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.

Skirmish Between Biden and Red States Over Medicaid Leaves Enrollees in the Balance

The Biden administration is getting rid of several policies implemented by Trump-era appointees that restricted enrollment. Federal officials now say states can no longer charge premiums to low-income residents enrolled in Medicaid and have ruled out work requirements.

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.

How the Tiny-Home Movement Is Providing More Than Just a Roof to Homeless People

Cities and nonprofits across the country are building communities of tiny homes to safely house people amid covid and cold winters. Proponents say tiny homes give people dignity and privacy, but some advocates for homeless people say they don’t go far enough.

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.

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The covid-19 pandemic exposed how state and local governments’ severely outdated technology can hinder unemployment benefits, food stamps, Medicaid, vaccine registrations, and the flow of other critical information.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?

States Were Sharing Covid Test Kits. Then Omicron Hit.

The omicron variant upended a system in which states shared rapid covid tests with those that needed them more. Cooperation has turned into competition as states run out of supplies, limit which organizations get them, or hold on to expired kits as a last resort.

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.

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.

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.