Kansas News Service

The Kansas News Service produces essential enterprise reporting, diving deep and connecting the dots in tracking the policies, issues and and events that affect the health of Kansans and their communities. The team is based at KCUR and collaborates with public media stations and other news outlets across Kansas.

Kansas News Service stories and photos may be republished at no cost with proper attribution and a link back to kcur.org.

The Kansas News Service is made possible by a group of funding organizations, led by the Kansas Health Foundation. Other funders include United Methodist Health Ministry Fund, Sunflower Foundation, REACH Healthcare Foundation and the Health Care Foundation of Greater Kansas City.

Ways to Connect

Megan Wingerter / Heartland Health Monitor

It isn’t far from the gleaming bank buildings and high-end hotels to the rent-to-own stores and corner shops that stock more chips than fruit.

A visitor getting off the highway in downtown Kansas City, Kansas, would pass by a Hilton Garden Inn and several high-rise buildings bearing the names of financial companies.

Listen to Jerry Jones, executive director of the Community Health Council of Wyandotte County, talk about the Kirwan report

File Photo / Kansas News Service

This story was updated at 6:04 p.m. 

Kansas is seeking a private partner to operate Osawatomie State Hospital under a proposal that would allow the contractor to shift more than half the hospital’s beds to other parts of eastern Kansas.

Jim McLean / Heartland Health Monitor

An analysis of KanCare performed by a former Republican governor’s think tank found that the switch to managed care Medicaid in Kansas has delivered on cost-cutting promises but not on quality of care.

Leavitt Partners, a policy consulting shop founded by former Utah Gov. Michael Leavitt, performed the analysis between May and October by interviewing KanCare providers and reviewing federal and state data.

Some Americans Elect To ‘Opt Out’ Of Obamacare

Nov 17, 2016
HealthCare.gov

This story was originally published by Kaiser Health News and is reprinted with permission.

Steven Lopez has gone without health insurance for 15 years, and the Affordable Care Act hasn’t changed his mind. Once again this year he will forgo coverage, he said, even though it means another tax penalty.

Last tax season, the 51-year-old information technology professional and his family paid a mandatory penalty of nearly $1,000, he said. That’s because they found it preferable to the $400 to $500 monthly cost of an Obamacare health plan.

File Photo / Kansas News Service

Medicaid expansion advocates in Kansas say they’ll move forward with legislation despite national election results that signal a repeal of Obamacare.

But they are a lot less optimistic about their chances than they were before last week.

Click here to read about a Kansas City family's growing anxiety about Obamacare's repeal

Alex Smith / Heartland Health Monitor

Last week’s election results stunned a lot of people who get health insurance coverage through the Affordable Care Act.

President-elect Donald Trump and the Republican-controlled Congress say they want to scrap the law, but what might replace it remains unknown.

That has left many Missouri and Kansas families in limbo, unsure what will become of their medical care.

Andy Marso / KHI News Service

The leader of a mental health crisis center in Kansas City told legislators Tuesday that the amount of money his facility is saving Kansas hospitals, prisons and jails is nearly double its total budget.

Randy Callstrom is president and CEO of Wyandot Inc., a community mental health center that took over the former Rainbow Mental Health Facility state hospital in 2014.

State of Kansas official portrait

This story was updated at 12:04 to include the comments of Kline's attorney. 

Former Kansas Attorney General Phill Kline has lost his quixotic lawsuit against the justices of the Kansas Supreme Court who suspended his law license three years ago.

A federal judge on Monday tossed the case, ruling that it presented a political question and therefore had to be dismissed.

U.S. District Judge Greg Kays also held that longstanding legal doctrine bars an attorney from challenging the results of a state disciplinary hearing in federal court.

The University of Kansas Hospital

The University of Kansas Hospital is opening an obstetrics and gynecology clinic in the center of Kansas City, Kansas, to address a shortage of providers there. 

The clinic, slated to open Tuesday at 21 N. 12th St., will be the second such clinic operated by KU Hospital in Wyandotte County and its sixth in the metro area.

Over the last decade or so, KU’s OB-GYN clinics  largely have focused on improving access to women’s subspecialty services. The new clinic, however, will seek to meet the needs of women who lack access to basic obstetrical care.

Andy Marso / Heartland Health Monitor

Roy Alcorn shot pool with friends last week as sunlight streamed through the open door of a small building at Equi-Venture Farms.

A month earlier, Alcorn was living at Osawatomie State Hospital 24 hours a day, seven days a week.

Alcorn’s new arrangement is part of a pilot program spearheaded by Ben Swinnen, executive director of Topeka-based Equi-Venture, and Tim Keck, head of the Kansas Department for Aging and Disability Services.

Obamacare 'Replacement' Might Look Familiar

Nov 10, 2016
PBS News Hour

This story was originally published by Kaiser Health News and is reprinted with permission. 

The Affordable Care Act transformed the medical system, expanding coverage to millions, injecting billions in tax revenue, changing insurance rules and launching ambitious experiments in quality and efficiency.

Andy Marso / Heartland Health Monitor

For Ashlyn Harcrow, the sound of the train whistle brings up all kinds of thoughts she’d like to avoid.

Harcrow, 24, has been living at the Topeka Rescue Mission since July. The nonprofit homeless shelter has helped her stabilize as she recovers from domestic violence and tries to improve her mental health amid post-traumatic stress disorder, depression and anxiety.

But the mission, at 600 N. Kansas Ave., is right next to the tracks. As trains rumble through north Topeka, they remind Harcrow that she’s thought about using those tracks to take her own life.

Mike Sherry / Heartland Health Monitor

It’s the serviceman who beats himself up about being unable to save a dying buddy. Or the truck driver who follows orders to run over children in the road, because they might be placed there to facilitate an ambush of a convoy.

While it has been more than half a century since the United States began celebrating Veterans Day, the national holiday the nation observes Friday, it has only been in the recent past that military mental health professionals have parsed out what they consider to be a significant after-effect of service.

Just over half of Kansas voters say they would be less likely to vote for an elected official who favors eliminating state funding for Planned Parenthood, according to a new survey of 817 Kansas voters.

Thirty-two percent say they would be more likely to vote for such an official, 10 percent say it wouldn’t make a difference and 5 percent say they are not sure.

Courtesy photo - Creative Commons

“There’s no question the law has worked well in some areas and it’s still struggling in others.”

That’s the response from former Secretary of Health and Human Services and Kansas Gov. Kathleen Sebelius to a question about the signature initiative of the Obama administration.

“We definitely need in the future to have more competition in the states,” Sebelius said in a telephone interview with KCUR 89.3 on Thursday.

File photo

A public letter by the head of the Kansas Department for Aging and Disability Services praising KanCare’s effect on Kansans with disabilities has drawn a string of rebuttals from people who provide disability services.

Tim Keck’s letter was published Oct. 24 on the Wichita Eagle editorial page.

Sarah Mullinax

A University of Kansas scientist has been named one of the first recipients of an $825,000 fellowship for her work in developing a protein designed to thwart antibiotic resistance.

Joanna Slusky, 37, who heads the Slusky Lab at KU and specializes in outer membrane proteins, is one of five inventors nationwide recognized by the Gordon and Betty Moore Foundation in Palo Alto, California.

Photo by Kansas Action for Children

Babies in midsize Kansas counties were more likely to die before their first birthdays than those in counties with larger or smaller populations, according to the 2016 Kids Count report.

The annual report, produced by the Annie E. Casey Foundation, compares states and counties on a variety of measures related to children’s health, financial well-being and educational prospects. In some cases, the most recent data was from 2015, while in others it was from 2014.

Heartland Health Monitor file photo

Open enrollment for health insurance through the Affordable Care Act starts Tuesday. People in Kansas and across the country will be able to log in to the online marketplace, healthcare.gov, and purchase plans for 2017 with federal subsidies based on income.

Kansas families who buy health insurance through the online marketplace for 2017 could pay $20,000 or more if they have serious medical problems, according to federal data.

Most families likely won’t pay that much because they qualify for subsidies, but the information shows that even low-premium plans can become costly.

KHI News Service photo

When politicians talk about government’s role in caring for the nation’s seniors, they usually limit their comments to shoring up Social Security and Medicare. There’s little mention of elder abuse, end-of-life issues or how best to help families cope with a loved one’s dementia.

“That’s common, and there are reasons for it,” says Kathy Greenlee, assistant secretary for aging at the U.S. Department for Health and Human Services from 2009 to the end of July of this year.

Andy Marso / Heartland Health Monitor

As communities across Kansas struggle to accommodate an influx of people with mental illness in their criminal justice systems, religious leaders are calling for a new approach in Lawrence.

A group called Justice Matters, which represents 23 congregations, released a report this week called “Restorative Justice at Home.” The report contains several recommendations to beef up Douglas County’s mental health treatment options as an alternative to a proposed expansion of the county jail.

BigStock Images

At first, the man appears drunk.

He’s walking along an on-ramp from Lackman Road onto I-435 in Lenexa, Kansas. At 1 p.m., traffic is heavy.

The man doesn’t react well when a police officer arrives.

“He takes a few swings at the officer. They’re obviously not Mike Tyson swings, but they’re swings nonetheless, where if something happened right there it could very easily spill over from the shoulder onto the highway where somebody would really get hurt,” Lenexa police Capt. Wade Borchers said, recounting an incident from earlier this year that involved another officer.

A Kansas City, Kansas, home health care agency and its owner will pay $1.8 million to settle allegations that it paid kickbacks in return for referrals of Medicaid patients to the agency.

Best Choice Home Health Care Agency Inc. and its owner, Reginald B. King, will pay the federal government just over $1 million and the state of Kansas $788,220 to resolve the case, according to court documents unsealed on Monday.

HealthCare.gov

Kansans who get their health insurance through the federal Affordable Care Act website can’t buy yet — but they can look.

The U.S. Department of Health and Human Services has opened what agency officials call a “window shopping” option on healthcare.gov, ahead of the official Nov. 1 open enrollment start date.

A green button on the site’s homepage allows users to “Preview 2017 Plans and Prices” by entering their ZIP code and some personal information.

File Photo

The state of Kansas incurred nearly $300,000 in legal fees in just three months to defend a lawsuit brought by Planned Parenthood challenging the state’s decision to boot the organization from the Medicaid program.

Invoices obtained by KCUR show that outside law firms representing the state billed it $282,477 in legal fees and $2,725 in expenses between May 29 and Aug. 31.

File photo

Judy Talbot is trying to get her daughter out of a state facility for Kansans with intellectual and developmental disabilities. Zack Zbeeb is trying to get his son into one.

But both ultimately have the same goal: to do a “medication washout” to determine whether the prescription drugs their autistic kids take are helping to control their recent dangerous psychotic episodes or actually causing them.

Zbeeb, from Wichita, wants his 15-year-old son to be weaned off his medications at a place like Parsons State Hospital and Training Center.

File photo

Nine months after Osawatomie State Hospital lost its federal payments, all rooms are back online after renovations and the state is looking at partnerships to address some of its long-term struggles.

The state hospital — one of two in Kansas for patients with severe mental health issues — has shown progress on several problems that led to the loss of Medicare payments, though it isn’t clear when it could receive federal payments again. 

Andy Marso / Heartland Health Monitor

The employees of Cornerstone Supports gathered last week at a house in Olathe with their clients — adults with intellectual and developmental disabilities — to plan their last day together.

Cornerstone, based in Olathe, will close later this month, and its 19 clients will have to find other companies to help them with daily tasks so they can stay in their own homes.

The regular gatherings at the Olathe house where three Cornerstone clients live will end Oct. 28.

“We should do something,” said Brandon Thompson, one of the clients.

American Hospital Association/Health Research and Educational Trust

As part of a federal quality improvement effort, Kansas hospitals are reducing the odds that patients will get certain types of infections.

And while that effort provides information on hospital quality throughout the state, finding information about the quality of care at individual hospitals remains a challenge.

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