Dan Margolies

Editor, Heartland Health Monitor

Dan Margolies is editor of Heartland Health Monitor, a reporting collaboration among KCUR, KHI News Service in Topeka, KCPT television in Kansas City, Mo., and Kansas Public Radio in Lawrence, Kan. Dan joined KCUR in April 2014. In a long and varied journalism career, he has worked as a reporter for the Kansas City Business Journal, The Kansas City Star and Reuters. In a previous life, he was a lawyer. He has also worked as a media insurance underwriter and project development director for a video production firm.

Dan was born in Brooklyn, N.Y. and moved to Kansas City with his family when he was eight years old. He majored in philosophy at Washington University in St. Louis and holds law and journalism degrees from Boston University. He has been an avid public radio listener for as long as he can remember – which these days isn’t very long…

Ways To Connect

Chris Potter / StockMonkeys.com

Doctors in Kansas City rake in more money from pharmaceutical companies than physicians in any other U.S. city, according to a survey by BetterDoctor.com.

The San Francisco-based company, a web and mobile-based physician search service, found that Kansas City doctors were paid an average of $2,945 by drug makers, the most in the nation.

Tyler, Texas, physicians were just behind, at $2,679, while Dallas doctors took in the next biggest amount – although, at $1,574, they were paid little more than half the KC average. No. 8 were Columbia, Missouri, physicians, who received average payments of nearly $841.

Laura Spencer

Chris Selby reads his work at poetry slams, where he goes by the name TOASTER — he says that’s slang for “awkward and old-fashioned.”

He’s seen several people close to him deal with the challenges of cancer, and he wrote this poem after the breakup of a toxic relationship a friend diagnosed as “emotional cancer.”

Dan Verbeck / KCUR

A federal appeals court has upheld the convictions and sentences of three men found guilty of torching the landmark Hereford House restaurant in October 2008.

The 8th U.S. Court of Appeals on Thursday rejected the claims of restaurant co-owner Rodney J. Anderson and his two co-defendants, Vincent Pisciotta, and Mark A. Sorrentino.

In September 2013, a federal judge sentenced Anderson, a well-known civic leader, to 15 years in prison. Pisciotta received a 20-year sentence and Sorrentino a 15-year sentence.

Andy Marso / Heartland Health Monitor

Kansas health authorities say four additional people have tested positive for tuberculosis out of 70 tested last week at Olathe Northwest High School. 

The tests were conducted after a student came down with the infection last month. More than 300 people were tested shortly afterward and 27 tested positive for the disease.

The latest tests were done after officials found additional people who may have had contact with the student.

Being infected isn’t the same as having the disease, whose symptoms include fever, night sweats, coughing and weight loss.

Chris Potter / StockMonkeys.com

Missouri claimed nearly $35 million in unallowable Medicaid reimbursements after failing to comply with requirements under Medicaid’s drug rebate program, an audit released Tuesday found.

All 50 states and the District of Columbia cover prescription drugs under the program, which helps offset the costs of outpatient prescription drugs for Medicaid patients.

Updated, 4:27 p.m.

A federal appeals court ruled Tuesday that Hustler magazine publisher Larry Flynt has the right to intervene in two cases challenging Missouri’s execution protocol.

Flynt had sought to unseal judicial records in the cases, but a federal judge found that Flynt’s “generalized interest” did not justify intervention.

In reversing that decision, the 8th U.S. Circuit Court of Appeals ruled that the judge applied the wrong legal standard.

Dan Margolies / Heartland Health Monitor

Seft Hunter became chief operating officer last year of Communities Creating Opportunity, a faith-based organization that addresses poverty-related issues. As part of its campaign to promote health access and equity, CCO, working with the REACH Healthcare Foundation and other groups, has been mapping medical “hot spots” in the metropolitan area in an effort to better manage residents’ chronic conditions, improve access to health care and reduce emergency room visits.

When it comes to standard measures of health, Kansas is a laggard. Whether we’re talking about obesity rates, incidence of diabetes, acute or chronic diseases, or childhood mortality, the Sunflower State typically ranks in the bottom half of state health rankings – and in recent years it’s been sinking even lower.

That’s bad enough. But there are vast disparities within the state itself. Averages only give a rough-and-ready sense of the state’s overall health picture; dig deeper – down to the county level – and you’ll find that some counties actually perform quite well while others perform poorly.

Noah Jeppson / Flickr--CC

Thousands of Missouri residents who may have been exposed to asbestos in the Jackson County Courthouse over more than three decades will now get their day in court.

The Missouri Court of Appeals on Tuesday overturned a lower court’s decision declining to certify a class consisting of Missourians who worked at the courthouse during and after the courthouse’s renovation in 1983 and 1984.

Blue Bell Creamery

The foodborne listeria outbreak that sickened five patients and contributed to the deaths of three at Via Christi Hospital St. Francis in Wichita was traced to a production line at Blue Bell Creameries' ice cream plant in Brenham, Texas.

Kansas health officials say that they initially matched the listeria found in two patients at Via Christi with listeria found in an ice cream product food sample in South Carolina. Around the same time, Texas health officials and the Centers for Disease Control and Prevention had traced the South Carolina listeria to the plant in Brenham.

Three Kansans have died from an outbreak of listeriosis, the Kansas Department of Health and Environment announced Friday.

Five Kansans became ill between January 2014 and January 2015 after a majority of them ate Blue Bell Creameries ice cream products at the same hospital, KDHE said. The five patients had been hospitalized for unrelated causes. KSN-TV in Wichita reported on Friday that the ice cream was shipped to Via Christi Hospital in Wichita. 

A federal judge has thrown out Centene Corp.’s abuse-of-process claim against a former employee who alleged she was fired after complaining about the managed care company’s business practices. 

Centene is the parent company of Sunflower State Health Plan Inc., one of three for-profit companies managing KanCare, Kansas’ privatized version of Medicaid.

An Overland Park business has been ensnared in a crackdown on compounding pharmacies that make products containing a drug used to boost lactation in breastfeeding women.

The Food and Drug Administration last month issued a warning letter to Perry Drug Inc. citing it for compounding drug products containing domperidone, a drug not approved by the FDA.

Although domperidone is approved in several countries to treat gastric disorders, it is not approved anywhere to enhance breast milk production.

An Olathe high school student has contracted tuberculosis and is being treated, state and local health officials said Wednesday.

The student, who was not identified, attends Olathe Northwest High School. Health officials said in a news release that the student was complying with isolation procedures.

Elana Gordon / KCUR

Kansas City-based health IT giant Cerner Corp. has won a $170 million, 10-year contract to provide its medications management system to hospitals in New South Wales, Australia.

The winning bid was first reported last week by Pulse+IT magazine, a health IT publication in Australia.

The magazine said that, while the value of the contract was not disclosed, the New South Wales government had allocated $170 million for the program. It said the aim was to improve medication safety from supply through prescribing and administration.

Three local health sciences schools are partnering to do research on musculoskeletal disorders in what they described as the first collaborative effort of its kind among the three.

Elana Gordon / KCUR

The Defense Department has dropped one of the bidders on its 10-year, $11 billion contract to update its electronic health record system, Modern Healthcare reports.

The publication says the department eliminated PricewaterhouseCoopers and its bid partners from contention.

Gallup is out with a new poll showing falling uninsured rates in every state but one: Kansas.

Although not statistically significant, the Sunflower State’s 1.9 point increase makes it the only state in the country to witness an uptick.

File photo

More than 389,000 Kansans and nearly 2 million Missourians were affected by last month’s massive cyberattack on Anthem Inc., the nation’s second largest health insurer, figures released by the company show.

“This data breach is so far-reaching that it impacts nearly one-third of our state’s population,” Missouri Department of Insurance Director John M. Huff said in a statement Monday.

Centers for Disease Control and Prevention

 

The Centers for Disease Control and Prevention provided more details Friday about a new virus that may have contributed to the death of an eastern Kansas resident late last spring.

The Bourbon virus is named after the county where the man, who was in his 50s, received multiple tick bites while working on his property. Several days later he developed nausea, weakness and diarrhea. Eleven days after he was bitten, he suffered multiple organ failure and died of cardiac arrest.

University of Missouri-Kansas City

Truman Medical Centers will have access to a treasure trove of health data as part of an unusual three-way collaboration with Cerner Corp. and the University of Missouri-Kansas City.

The project, announced Wednesday, will allow Truman to draw on medical information amassed by Cerner over the last 15 years from more than 47 million patients. The data is scrubbed of personal identifying information.

HHS.gov

Sylvia Matthews Burwell succeeded former Kansas Gov. Kathleen Sebelius as Secretary of the U.S. Department of Health and Human Services in June 2014. Before that she was Director of the Office of Management and Budget. She has also served as president of the Walmart Foundation and of the Global Development Program of the Bill and Melinda Gates Foundation.

St. Joseph Medical Center

 

The owner of St. Joseph Medical Center and St. Mary’s Medical Center has agreed to set aside $20 million from its pending sale of those hospitals for charitable care.

In a news release Wednesday, Missouri Attorney General Chris Koster said that non-profit Ascension Health agreed to the set-aside after concerns raised by his office that the money be made available for acute indigent care.

HCA Midwest Health has agreed to pay the Health Care Foundation of Greater Kansas City $15 million to settle part of a long-running dispute with the foundation over HCA’s charitable obligations.

The agreement is the latest development in a lawsuit filed in 2009 by the foundation, which was created from the proceeds of the sale of Health Midwest to HCA in 2003.

The lawsuit concerns whether HCA met its contractual obligations following its purchase of Health Midwest to provide at least $653 million in charity and uncompensated care over 10 years.  

Matt Hodapp / KCUR

Democrat Kansas Sen. David Haley from Wyandotte County provides an insider perspective on the historic 2015 legislative session underway in Topeka. 

Heartland Health Editor, Dan Margolies, fills in for host Sam Zeff.

(Disclaimer: We apologize for any clicks in the audio file. Our recording equipment has been experiencing some technical difficulties.)

Guests:

An Oklahoma City-based hospice with offices in Kansas City, Mo., and in Kansas will pay $4 million to settle allegations that it improperly admitted patients to increase its Medicare reimbursements.

Good Shepherd Hospice Inc. and four affiliates agreed to the settlement with the federal government on Friday. The government had intervened in a False Claims Act case originally brought by two whistleblowers, both former employees of Good Shepherd.

Steven Depolo / Flickr--CC

With measles making a comeback in the United States after it was thought to have been eradicated 15 years ago, a new analysis finds that fewer than 90 percent of preschoolers nationwide have received the recommended vaccination against measles, mumps and rubella.

Both Kansas and Missouri fell below the 90 percent threshold for preschooler vaccinations, the baseline goal set by Healthy People 2020, a federal interagency task force.

Todd Feeback / Hale Center for Journalism at KCPT

U.S. Surgeon General Vivek Murthy was in town Thursday as part of a “listening tour,” meeting with community leaders, physicians and others to discuss public health concerns. Among the topics they addressed were childhood obesity, violence, prescription drug abuse and access to health care. Murthy, a Harvard-trained physician, was confirmed as the nation’s top public health official in December after the position had been vacant for more than a year. He met with reporters this morning. Here are excerpts from his remarks:

Immunization

Bigstock

Even as prospects appear bleak for Medicaid expansion in Missouri, a new report says the state would save $81 million right off the bat and $100 million annually later on if it expands the program.

The report by the Missouri Budget Project, a nonpartisan think tank in St. Louis, says the savings would come from money the state currently spends on Medicaid services provided to pregnant women, mental health patients and prisoners in need of medical care.

Humana Insurance has agreed to pay a $161,800 fine for misleading policyholders, the Missouri Department of Insurance said Tuesday.

It’s the second time in less than a year that the department has slapped Humana with a penalty.

The latest fine stems from notices Humana sent to 1,618 policyholders, according to the department. The notices stated that, due to Missouri legislation, Humana was required to terminate their policies on Dec. 31, 2013, and replace them with new ones with 2014 benefits under the Affordable Care Act.

There is no such Missouri legislation.

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