Medicaid

NPR Story
9:22 am
Thu August 15, 2013

Mo. Senate Panel Hears From Backers And Opponents Of Medicaid Expansion

Marshall Griffin/St. Louis Public Radio

Originally published on Fri August 16, 2013 1:27 pm

A Missouri Senate interim committee looking into the state's Medicaid system heard from several doctors and other health care providers Wednesday at a hearing in Jefferson City.  

Among those testifying was Thomas Hale, M.D., a St. Louis-based physician working with Sisters of Mercy.  He told the panel that Medicaid needs to be expanded to make up for the pending loss of federal reimbursements to hospitals, known as DSH payments ("dish").

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Health
11:41 am
Thu July 25, 2013

U.S. Senate Report Critical Of Dental Clinic Chains

A federal report recommends that the company that operates Small Smiles dental clinics be booted from the Medicaid program.
Credit Finizio/Flickr--CC

A two-year investigation by the U.S. Senate concludes that so-called dental management companies have provided substandard care to low-income children covered by Medicaid, while over billing the joint federal-state program.

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Health
9:57 am
Fri July 12, 2013

State To Take Public Comment On KanCare Changes

The Brownback Administration wants federal permission to make changes to the new, privatized Medicaid system known as KanCare.  You'll have a chance to comment on the plans next Monday and Tuesday, in Wichita and Topeka.

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Health
10:46 am
Thu July 11, 2013

Committee Explores Medicaid Expansion In Independence

Brian Kinkade of Missouri's Department of Social Services explains Medicaid to a panel in Independence.
Credit Alex Smith / KCUR

Opponents to expanding Medicaid in Missouri worry about costs, but supporters say expansion is needed to help children, the disabled and elderly. The two sides sounded off on July 10 in Independence, Mo.

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Government
9:27 am
Mon June 24, 2013

KanCare Quarterly Report Submitted

The state of Kansas has submitted its first quarterly update on KanCare to the federal government. 

The federal waiver that gives Kansas the authority to experiment with its Medicaid program by privatizing the entire system requires a progress report four times a year. 

The first report covers the period from January first through March 31st.  It shows that a total of more than 344,000 Kansans enrolled in KanCare during the first three months.  At the end of March, however, there were fewer than 324,000 still enrolled—a drop of more than 20,000 people. 

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Health
10:48 am
Wed May 15, 2013

Missouri's Medicaid Director Leaves

The Missouri Department of Social Services issued this memo Tuesday, announcing the departure of Dr. Ian McCaslin as state Medicaid director.
Credit Missouri Department of Social Services

The director of Missouri’s Medicaid program, Dr. Ian McCaslin, has left. 

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Up to Date
6:00 pm
Thu April 18, 2013

Missouri Legislature's Hot-Button Issues

Missouri capital building

Things have been heating up in Jefferson City during this legislative session

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Health
6:57 pm
Wed April 17, 2013

A Review Of Medicaid In Missouri, Part 1: Eligibility Now And Under A Possible Expansion

Credit Elana Gordon / KCUR

Medicaid, the public health insurance program for low income and disabled residents, is no small chunk of change in Missouri. It comprises a huge portion of the state’s budget (more on that in Part 2). It also covers a lot of people: about one in ten residents.

So, to expand or not to expand Medicaid?

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Health
4:40 pm
Tue April 9, 2013

Medicaid Expansion Uncertain In Missouri

Missouri Governor Jay Nixon stopped at the Independence, Mo. Chamber of Commerce in February, to rally support for a Medicaid expansion.
Credit Elana Gordon / KCUR

Last year’s Supreme Court ruling left a key part of the federal health law up to states to decide: whether to expand Medicaid. About half of states have said they’ll go along with an expansion. The rest are undecided or opposed. Leaders in Missouri are still divided on what to do. Missouri’s Governor supports an expansion but he faced one of his toughest crowds yet, when meeting with Senate leadership this week.

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Health
10:03 am
Mon April 1, 2013

KanCare Selection Period Ends Thursday

The clock is ticking for the 380,000 Kansans whose health insurance comes through the Medicaid program now known as KanCare. 

The KanCare program assigned each member to one of three private companies administering the benefits as of the first of the year.  Members who prefer to switch to a different company have to do so no later than this Thursday. 

At a recent educational meeting in Hays, KDHE policy and program analyst Effie Swanson said one reason to switch might be if your doctor is not signed up with your health plan’s network.

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Government
9:57 am
Thu March 28, 2013

Group Delivers 2,700 Signatures Asking Governor To Expand Medicaid

Supporters of expanding Medicaid sign a poster before delivering it to the governor's office.
Stephen Koranda Kansas Public Radio

Supporters of expanding Medicaid delivered nearly 3,000 signatures to Kansas Governor Sam Brownback's office Wednesday, asking him to support an expansion of the state's Medicaid program.

Anna Lambertson is with a coalition of organizations pushing for Medicaid expansion.  She spoke during a rally at the Statehouse.  She said it was good for workers and businesses.

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Government
9:37 am
Wed March 27, 2013

Budget Item Would Assist Kansas Hospitals

bigstock.com

Hospitals in Kansas could lose some federal money if the state doesn't expand Medicaid services under the federal health care law. A lawmaker helping to draft the budget says the state needs to consider assisting those hospitals. 

Many hospitals receive payments to help them cover the costs of medical care for the uninsured. They’re known as disproportionate share hospital payments.   As the federal health care law continues, the focus will move to funding more Medicaid services, meaning the current disproportionate share funds could be reduced or completely eliminated.

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Government
9:30 am
Wed March 27, 2013

Missouri House OKs Budget, Rejects Medicaid Expansion

The Missouri Capitol at night.
Marshall Griffin St. Louis Public Radio

The Missouri House has given first-round approval to the state budget for Fiscal Year 2014, while House Republicans beat back three attempts to expand Medicaid.

The first attempt was made Tuesday morning, in the form of a motion to send House Bill 1 back to committee and add $940 million to it for Medicaid needs.  The motion was made by State Representative Jeff Roorda (D, Barnhart).

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Government
9:47 am
Thu March 14, 2013

Medicaid Expansion Foiled Again

bigstock.com

It was not a good day for backers of Medicaid expansion, as the proposal suffered setbacks on both sides of the Missouri Capitol on Wednesday.

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Health
9:25 am
Thu March 7, 2013

KanCare Tour Rescheduled After Weather Cancellations

A series of informational meetings about KanCare has been rescheduled, after being cancelled due to snow storms last month. 

Meetings for providers will take place March 18th, in Hays; March 19th, in Dodge City, and March 20th, in Wichita.  Each of those sessions will run from one to three in the afternoon.

Meetings for consumers will be held in Hays March 18th, and in Wichita March 20th.  Those events will take place from six to eight in the evening. 

Government
10:08 am
Tue March 5, 2013

Missouri Senate Leaders Deny Medicaid Flip Flop

bigstock.com

The head of the Missouri Senate is denying reports from some conservative bloggers that top Republicans are planning an about-face on Medicaid expansion. 

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Government
9:36 am
Wed February 27, 2013

Missouri Republican Proposes Market-Based Medicaid

bigstock.com

A long-promised Republican alternative to Medicaid expansion was filed in the Missouri House Tuesday.  It’s being touted as “market-based Medicaid."

Under the bill, private insurers would compete to provide coverage for Medicaid recipients, and those recipients could get cash incentives for taking care of their health and avoiding costly medical procedures. 

The bill is sponsored by GOP House Member Jay Barnes of Jefferson City.

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Government
4:56 pm
Mon February 25, 2013

Two Separate Mo. House Committees Reject Medicaid Expansion Efforts

Nearly 100 people crowded into a room at the Mo. Capitol to attend a hearing on HB627, which would have expanded Medicaid to 300,000 Missourians. The bill was voted down 2-5.
Marshall Griffin St. Louis Public Radio

Medicaid expansion is dead for now in the Missouri House.  Two separate House committees voted down efforts on Monday to expand Medicaid to 259-thousand Missourians next year and 41,000 more in later years.

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Health
11:59 am
Mon February 25, 2013

Medicaid Debate Moves To Rural Missouri

There’s a fierce battle raging behind the walls of the Capitol building in Jefferson City; it’s over whether to expand Medicaid in Missouri. Governor Jay Nixon supports the expansion, and is pushing it as “fundamentally a business decision.” He’s gaining ground in some traditionally conservative areas, but the issue is mired in politics.

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Health
2:52 pm
Fri February 22, 2013

Resolution In Kansas House Opposes Medicaid Expansion

Lidor Flickr

Kansas lawmakers are considering a resolution that would underscore the Legislature's opposition to a proposed expansion of Medicaid programs. House Speaker Ray Merrick, a Stilwell Republican, says he doesn't support making the state's health care program bigger.

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Health
5:25 pm
Thu February 7, 2013

Nixon Rallies Key Allies In Push For Medicaid Expansion

From Left to Right: Independence Chamber of Commerce President Franklin “Kim” Kimbrough, Research Medical Center COO Matt Sogard, Independence Chamber of Commerce Chairman Stan Shurmantine, Missouri Governor Jay Nixon, Lee’s Summit Chamber of Commerce Vice President Mark Dickey, Lee’s Summit Chamber of Commerce Government Relations Committee Co-Chair Ken Stremming
Credit Elana Gordon / KCUR

Missouri Governor Jay Nixon is continuing his push to expand the state’s Medicaid program, an optional provision for states under the federal health law. The governor rallied some key allies near Kansas City Thursday afternoon but also pointed to some rather unlikely ones.

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Government
9:33 am
Tue January 29, 2013

Nixon Delivers State Of The State

Courtesy of governor.mo.gov

Missouri Governor Jay Nixon pitched a nearly $26 billion budget to the state of Missouri during Monday’s State of the State Address.  It includes spending increases for K-12 schools, higher education, and the proposed Medicaid expansion he’s been calling for since late November. 

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Health
7:21 am
Tue January 29, 2013

A New Era For 'Free' Clinics

The Kansas City Free Health Clinic’s main location at 3515 Broadway will soon don a new sign out front: Kansas City CARE Clinic. The clinic adopted the name as it prepares for changes to its business model. CARE stands for Care, Access, Research and Education, which leaders say better reflects the clinic's role.
Credit Elana Gordon / KCUR

Armed with more than 100 staff members and 1,000 volunteers, the bustling Kansas City Free Health Clinic in midtown is one of the largest free health clinics in the country, treating upward of 15,000 patients a year. “KC Free,” as it’s commonly called, doesn’t charge fees or bill patients for care. It only sees people who are uninsured.



But this year, all that changes.



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Health
9:10 pm
Mon January 14, 2013

Lower Cost & Better Care: Can KanCare Deliver?

Lidor Flickr

Medicaid is the second-largest program that Kansas operates, next only to education. And costs of the health program for the poor and disabled have been growing at a faster pace than most other programs. A desire to control those costs and improve care is why officials in Governor Sam Brownback’s administration have embarked on a massive plan to overhaul the system.

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Missouri Statehouse
3:51 pm
Wed January 9, 2013

Legislative Session Begins In Missouri

jimmywayne Flickr

Missouri’s 2013 legislative session is underway. Legislative leaders kicked things off by laying out more details on what they want to pass this year.

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Government
9:39 am
Tue January 8, 2013

Missouri State Of The State Date Set

jimmywayne Flickr

Missouri Governor Jay Nixon will deliver his 2013 State of the State Address on January 28th.

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Health
4:12 pm
Thu December 13, 2012

Kansas Medicaid Overhaul Begins Next Month

bigstock.com

KanCare is arguably the biggest change in the history of Medicaid in Kansas. The proposal would privatize the entire program.

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Health
2:18 am
Tue December 11, 2012

Feds Say 'No' To Partial Medicaid Expansion

Arkansas Gov. Mike Beebe speaks about expanding Medicaid during a speech to the Arkansas State Chamber of Commerce in Little Rock, Ark., on Nov. 14. The federal government hasn't set a deadline for states to decide on their Medicaid expansion plans.
Danny Johnston AP

Originally published on Tue December 11, 2012 9:55 am

The Affordable Care Act, as passed by Congress in 2010, assumed that every low-income person would have access to health insurance starting in 2014.

That's when about 17 million Americans — mostly unmarried healthy adults with incomes up to 133 percent of poverty, or about $15,000 a year — would gain access to Medicaid.

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Health
3:29 pm
Fri December 7, 2012

Feds Approve Kansas Medicaid Overhaul

Lidor Flickr

Governor Sam Brownback's administration has been working on a plan to make sweeping changes to Medicaid in Kansas.

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Government
10:06 am
Wed December 5, 2012

Health Advocates Urge Medicaid Expansion In Missouri

Lidor Flickr

People and groups who work with Medicaid clients are urging Missouri lawmakers to expand coverage in next year’s state budget.

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