Dan Margolies

Health Editor

Dan Margolies is editor in charge of health news at KCUR.  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

Peggy Lowe / KCUR

Updated at 2:34 p.m.

At least six of Kansas' 105 counties issued marriage licenses to same-sex couples on Thursday, a day after  the U.S. Supreme Court let take effect an order overturning  a ban state officials had feverishly hoped to keep in place.

Flickr, Creative Commons

  Updated 2:51 p.m. Nov. 25

The whirlwind of gay marriage decisions in Missouri and Kansas has left same-sex couples, court watchers and even reporters a bit breathless.

In an effort to keep us all up-to-date with these quick-moving issues, KCUR has pieced together this timeline, which highlights significant legal developments in both Missouri and Kansas in the state and federal courts. The list is not exhaustive but represents our best attempt to make sense of the rush of events while offering a look back at some of our coverage.

Jeremy Bernfeld / KCUR

Updated, 5:10 p.m. Friday:

The Jackson County Recorder of Deeds began issuing marriage licenses to same-sex couples Friday afternoon after a federal judge in Kansas City struck down Missouri's same-sex marriage ban.

Jackson County officials had told couples seeking marriage licenses they would have to wait because the judge's order had been stayed. But  Jackson County Executive Mike Sanders directed the Recorder of Deeds office to begin issuing licenses to same-sex couples Friday afternoon.

Kansans voted to retain two Kansas Supreme Court justices under fire for their decision to overturn the death sentences of two brothers in one of the most notorious murder cases in the state’s history.

The two, Justice Eric S. Rosen and Justice Lee A. Johnson, were appointed to the court by former Democratic Gov. Kathleen Sebelius.

Kansas Supreme Court justices are appointed by the governor but stand for retention by voters at the end of their six-year terms.

CJ Janovy / KCUR

A federal judge today struck down Kansas’ law and constitutional amendment banning same-sex marriage, ruling they violated the 14th Amendment of the U.S. Constitution and handing a major victory to same-sex marriage proponents.

Only three Kansas City area hospitals received grades of A in the latest hospital safety report card issued by The Leapfrog Group, a nonprofit group founded by large employers that aims to improve hospital quality and safety.

The three — Belton Regional Medical Center, Research Medical Center and Shawnee Mission Medical Center — were among 19 area hospitals surveyed by Leapfrog. Five of the hospitals received grades of B and the rest got C’s.

A lawsuit alleging that one of the for-profit companies running KanCare ordered employees to shift KanCare members away from high-cost providers has put a renewed spotlight on the program, one of the Brownback administration’s signature achievements.

In the lawsuit filed this week in federal court in Kansas City, Kan., a former official of the company, Sunflower State Health Plan Inc., claimed she was fired after she objected to the directive, saying it was unethical and possibly illegal.

File photo

A man who was admitted Monday to The University of Kansas Hospital suffering from diarrhea and who worked recently near Africa's west coast does not have Ebola, the hospital said Tuesday afternoon. 

Results of blood tests showed the patient has not contracted the virus, which has killed more than 4,000 people in the West African nations of Liberia, Sierra Leone and Guinea. 

At a news conference, KU Hospital's chief medical officer, Dr. Lee Norman,  said preliminary tests on the patient were negative. 

File photo

The University of Kansas Hospital says a patient who recently worked as a medic on a ship off the coast of West Africa came to the hospital early Monday morning feeling sick and is being tested for Ebola.

The hospital said the patient was at "low to moderate risk" of Ebola but the hospital was taking no chances.

In a statement, it said the patient was met by staff wearing personal protection equipment and following guidelines established by the Centers for Disease Control and Prevention.

Kaiser Health News

 

Twenty hospitals in the Kansas City area will be penalized by Medicare starting Oct. 1 for excessive readmissions, although eight of them will be hit with lower fines than in Medicare’s previous round of penalties.

Saint Luke’s East Hospital in Lee’s Summit will get hit with the biggest fine, 2.08 percent of its Medicare reimbursements, according to an analysis by Kaiser Health News of data released this week by the Centers for Medicare & Medicaid Services (CMS).

A Missouri consumers group has sued the U.S. Department of Health and Human Services over its alleged failure to disclose health insurance rates insurers propose to charge in Missouri in 2015.  

The lawsuit, filed Tuesday in federal court in St. Louis by the Consumers Council of Missouri, comes just six weeks before the enrollment period for coverage under the Affordable Care Act begins on Nov. 15.

Academic institutions in Missouri and Kansas were awarded federal grants of more than $1.2 million to train mental health providers, the Department of Health and Human Services announced Monday.

The grants were among $99 million disbursed by HHS under the Obama administration’s “Now Is the Time” plan aimed at reducing gun violence, increasing access to mental health services and making schools safer, according to a department news release.

The Kansas Supreme Court has ordered that the name of the Democratic candidate for U.S. Senate in Kansas be removed from the ballot. 

The Democrat, Chad Taylor, announced he was dropping out of the race two weeks ago, but Kansas Secretary of State Kris Kobach said Taylor had failed to meet the requirements of a state law allowing candidates to drop out.

Samuel U. Rodgers Health Center

 

Twenty-five health centers in Missouri and 16 in Kansas have been awarded $9.6 million in federal funds to expand primary care services.

The funding is part of $295 million awarded to 1,195 health centers nationwide under the Affordable Care Act, or Obamacare.

The money is to be used to hire new staff, help the clinics stay open longer and provide services such as oral health, mental and behavioral health, pharmacy and vision services.

Grant Gerlock / Harvest Public Media

Products sold at Missouri farmers markets will be exempt from sales taxes following a veto override by the Republican-led Legislature.

The bill was among a slew of last-minute tax-exemption measures that Gov. Jay Nixon, a Democrat, had vetoed earlier this year as fiscally irresponsible. Republicans said some merely clarified state policy and others helped the state remain economically competitive.

Cynthia Page / Flickr--CC

A respiratory ailment that sent some 500 children to Children’s Mercy Hospital in Kansas City appears to be tapering off.

The enterovirus D68 can cause mild to severe respiratory illness. At its peak several weeks ago, Children’s Mercy was seeing 30 patients a day. That number has now fallen to about 15 a day, says hospital spokesman Jake Jacobson.

Cookie M / Flickr--CC

Missouri is the 16th most obese state in the nation, according to a report released Thursday.

At No. 19, Kansas doesn’t fare much better.

The 11th annual report on state obesity rankings by the Trust for America’s Health and the Robert Wood Johnson Foundation says adult obesity rates increased in six states over the past year, with Mississippi and West Virginia topping the scales. More than a third of adults in those two states – 35.1 percent – are obese, according to the report.

University of Kansas Hospital

 

Doctors at the University of Kansas Hospital have teamed up with dozens of other transplant programs to urge delay of a proposal that would change how livers for transplant are distributed around the country.

The proposal, scheduled to be taken up in Chicago in mid-September, would have a profound impact on KU Hospital, which runs one of the top liver transplant programs by volume in the country, and other regional transplant centers.

Wladyslaw / Wikimedia-CC

Kansas improperly billed Medicaid for nearly $11 million in school-based health services, a government watchdog has found.

In a report released Monday, the inspector general for the U.S. Department of Health and Human Services determined that Kansas received $10.75 million in unallowable reimbursements for services provided during the one-year period from July 1, 2009, through June 30, 2010.

Bigstock

Kansas was one of just three states that saw their rates of people without health insurance go up since last year, according to a new survey.

And, if the poll results are accurate, Kansas was the one whose rates went up the most.

The data, collected as part of the Gallup-Healthways Well-Being Index, show that the uninsured population in Kansas rose from 12.5 percent in 2013 to 17.6 percent by midyear 2014 — a whopping increase of 5.1 percentage points.

Elana Gordon / KCUR

 

Kansas City, Mo.-based Cerner Corp., has agreed to acquire the assets of Siemens AG’s healthcare information technology unit for $1.3 billion in cash.

The combined companies will have more than 20,000 employees in 30 countries and $4.5 billion in annual revenue, according to a news release.

Cerner, a major provider of electronic health records, has more than 14,000 employees worldwide — about 9,600 of them in the Kansas City area — and posted nearly $400 million in profits last year.

A subsidiary of Kansas City, Mo.-based software company DST Systems Inc. will pay more than $2 million to settle charges that it fraudulently billed Medicare.

Argus Health Systems Inc. has agreed to pay $2,029,210 to the Office of Inspector General (OIG) for the U.S. Department of Health and Human Services to resolve the case, which involved reimbursement for Medicare Part D drugs.

Medicare Part D subsidizes the costs of prescription drugs and prescription drug insurance premiums for Medicare beneficiaries.

Mike Sherry / Hale Center for Journalism at KCPT

Just days after Prime Healthcare Services agreed to buy two Kansas City-area hospitals, laid-off employees of two other area hospitals owned by Prime sued the company, claiming they were not provided with promised severance benefits.  

The suit seeks class-action status on behalf of other terminated employees. It says 49 workers were let go immediately after Prime bought Providence Medical Center in Kansas City, Kan., and Saint John Hospital in Leavenworth, Kan., from the Sisters of Charity of Leavenworth Health System in April 2013.

As a kid growing up in Grandview, Mo., Michael Thompson began smoking cigarettes at the age of 13. Thirty-four years later, in 1997, he came down with lung cancer.

In 2000, he filed a personal injury suit in Jackson County Circuit Court against the makers of the cigarettes he smoked. A jury awarded him $1 million. A state appeals court later upheld the verdict.

In 2009, Thompson died of throat cancer. His widow and children then filed a wrongful death action in state court against  two of the manufacturers, R.J. Reynolds Tobacco Co. and Philip Morris USA.

St. Joseph Medical Center

 

Prime Healthcare Services, the for-profit California health care company that has agreed to acquire two nonprofit Kansas City area hospitals, is no stranger to controversy.

Among other things, it has faced fierce opposition from the nation’s largest health care labor organization, the Service Employees International Union (SEIU), and has been accused of billing fraud.

Aid for Women, a Kansas City, Kan., clinic that provided abortion services, closed Saturday, leaving only three clinics in the state that provide abortions.

Aid for Women, at 720 Central Ave., was incorporated in 2004. It said on its website that it closed its doors on July 26 and was referring patients to the state’s remaining abortion clinics — two in suburban Kansas City and one in Wichita. The website said the clinic manager and physician had both decided to retire.

Health insurance policyholders in Missouri will receive $14.6 million in rebates from health insurers under a provision of the Affordable Care Act known as the Medical Loss Ratio rule. Kansas policyholders will receive $3.6 million.

The Medical Loss Ratio rule requires insurance companies to spend at least 80 percent of premium dollars on medical care and quality improvement, as opposed to administrative costs like salaries and marketing.

Insurers that don't meet that benchmark have to refund the difference to customers.

A Jackson County judge heard arguments Wednesday on whether the Catholic Diocese of Kansas City-St. Joseph should pay a $1.1 million arbitration award for breach of contract in its ongoing litigation over clergy sex abuse.

The diocese contends the arbitrator, Kansas City lawyer Hollis Hanover, exceeded his authority when he made the award after finding the diocese had violated the terms of a $10 million settlement it reached with 47 sex abuse victims in 2008.

Under the terms of the settlement, the diocese pledged to adopt a variety of child safety measures.

University of Missouri-Kansas City

Steven L. Kanter, a neurosurgeon and vice dean of the University of Pittsburgh School of Medicine, has been named dean of the University of Missouri-Kansas City School of Medicine.

(Note: KCUR is licensed by UMKC.)

Kanter succeeds Betty Drees, who led the medical school for 13 years and will remain on the faculty.

Kanter begins his work as dean on Oct. 1. He will also teach one of his specialties, medical informatics, which deals with the analysis of troves of medical data through the use of information technology.

Ian D. Keating / Flickr -- Creative Commons

 

The Annie E. Casey Foundation, a child advocacy group, released its annual Kids Count report on Tuesday, and Kansas ranked 15th overall and Missouri 29th. The report assesses overall child well-being based on four broad categories: economic well-being, education, health, and family and community.

Both Kansas and Missouri saw their indicators for education and health improve while their indicators for economic well-being and family and community mostly worsened.

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