Heartland Health Monitor is a unique reporting collaboration focused on health issues and their impact in Missouri and Kansas. The partners —— KCUR Public Radio, KCPT Public Television, KHI News Service and Kansas Public Radio —— strive to bring listeners and readers timely, accurate and comprehensive coverage of a topic that leaves no one untouched.

Courtesy Olathe Medical Center

As part of an ambitious $100 million-plus expansion plan, Olathe Medical Center broke ground today on a new $25 million cancer center.

The 25,000-square-foot facility, expected to be completed next year, will consolidate the hospital’s currently fragmented cancer outpatient services in one place.

It’s the latest project in a frenzy of construction at the hospital’s 250-acre medical campus near 151st Street and Interstate 35. The last year has also seen the opening of a new hospice house and the start of construction on a neonatal intensive care unit.


For a handful of triathletes training in a pool at the Jewish Community Center in Overland Park, Kansas, simply swimming laps is too easy.

Instead, they’ve got their legs constricted so their arms do the work of dragging their bodies through the water.

Kansas City, it seems, is an Ironman triathlon training destination for reasons that might surprise the locals. Triathlete Sarah Piampiano says she comes here because the area in late summer is a lot like… Hawaii.

Courtesy John Fales

The president of the Kansas Dental Association said he has stopped taking patients from two of the state’s three KanCare insurance companies because of a 4 percent Medicaid reimbursement cut initiated by Gov. Sam Brownback’s administration.

John Fales, a pediatric dentist from Olathe, said Scion — the dental benefits manager for United HealthCare and Amerigroup — has told him it will implement the cut before it is approved by the federal Centers for Medicare and Medicaid Services.

The recent news that Kansas is now the seventh-fattest state in the nation points toward a future of increased health problems, including cancer. In fact, as smoking rates decline and obesity rates rise, obesity is poised to overtake tobacco as the leading preventable cause of cancer.

John McGrath / Flatland

Four years ago, former Kansas Gov. Kathleen Sebelius returned home as U.S. Secretary of Health and Human Services with a prize the University of Kansas Cancer Center had been seeking for years: certification as a nationally recognized center through the National Cancer Institute (NCI).

But amid the hoopla, KU Cancer Center Director Dr. Roy Jensen declared the NCI designation was “merely a water break and a rest stop” on the way toward earning higher-echelon status from the institute as a “comprehensive” cancer center.

Jim McLean / Heartland Health Monitor

Legislative auditors said Wednesday they can’t confirm that the Medicaid application backlog numbers state officials have reported are correct.

Applications have been backlogged for about a year following the rocky rollout of a new computer system, an administrative decision that funneled all applications through a single state agency and a larger-than-expected influx of applications during the Affordable Care Act open enrollment period.

File photo

Two community mental health centers in Kansas hope a new program will help young people recently diagnosed with schizophrenia avoid its possible complications — a higher risk of unemployment, homelessness and incarceration and lower life expectancy — and achieve goals for school, work and their personal lives. 

HMN Architects and Pixel Foundry

Children’s Mercy Hospital is partnering with Olathe Medical Center to provide pediatric urgent care and specialty clinics at an as-yet unbuilt facility on OMC’s 250-acre campus at 151st Street and Interstate 35.

The partnership is the first between the two hospitals. It will allow OMC to take advantage of Children’s Mercy’s wide range of expertise in treating children, especially those with complex medical conditions.

Andy Marso / Heartland Health Monitor

University of Kansas researchers plan to use a $1.5 million federal grant to help Kansans with disabilities catch up to their non-disabled peers in several health categories.

Jean Hall, director of KU’s Institute for Health and Disability Policy Studies, will lead a team of partners from nonprofit organizations and government agencies to improve physical activity, nutrition and oral health for Kansans with disabilities.

Kansas is one of 19 states to get the grants from the Centers for Disease Control and Prevention.

Stormont Vail Health of Topeka is closing two regional clinics because of financial pressures created by recent cuts in Medicaid reimbursements and the decision by state leaders not to expand the health care program.

Stormont will close Cotton O’Neil clinics in Lyndon and Alma, according to a news release issued Thursday. The Lyndon clinic will close Dec. 31. The clinic in Alma will close Jan. 31, 2017.

Jim McLean / Heartland Health Monitor

Former Kansas Insurance Commissioner Sandy Praeger says members of Congress should set aside partisan differences and fix problems with the Affordable Care Act.

Failing to do so, she warns, could hasten consideration of a single-payer system.

Brad Nading

After a series of hits to their budgets, community mental health centers in Kansas are adjusting through cutbacks, changes in services or a combination of the two.

In Topeka, Valeo Behavioral Health Care plans to limit sessions for uninsured patients. Valeo provided about $2 million in charitable care last year but can’t offer that much this year because of cuts to Medicaid and other revenue streams, CEO Bill Persinger says.

Health Insurance Coverage in the United States: 2015

The uninsured rates in Kansas and Missouri continue to drop.

But they’re declining faster in states that have expanded Medicaid, the health insurance program for low-income families, seniors and people with disabilities.

New data out Tuesday from the U.S. Census Bureau estimates that Kansas’ uninsured rate dropped to 9.1 percent in 2015, down from 10.2 percent the year before and 12.3 percent in 2013.

U.S. Department of Veterans Affairs

Michael Fellman says a chance passerby — or, perhaps, divine intervention — kept him alive when the symptoms of post-traumatic stress disorder became overwhelming.

Fellman, a combat veteran of the Iraq War who spoke Friday at a U.S. Department of Veterans Affairs summit in Topeka about mental health care, said he had planned to die on July 31, 2015.

Alex Smith / KCUR

Mat Smith and Ben Stickler are in training.

The two twenty-somethings from the Kansas City area are working to improve their rankings in the online game League of Legends. Stickler says the strategy and competition remind him of the sports he played growing up.

“You can see yourself getting better,” Stickler says. “You can challenge yourself as you get better. And just play with people that are as well as you and really bond over that.”

Zach Klamann / Heartland Health Monitor

Planned Parenthood Great Plains says it has joined forces with three Planned Parenthood facilities in Arkansas and eastern Oklahoma, giving it a total of 12 health centers in four states.

Formerly known as Planned Parenthood of Kansas and Mid-Missouri, the organization earlier this year expanded into central Oklahoma and took on its current name to reflect its greater geographical reach.

The University of Kansas Hospital and Hays Medical Center announced Wednesday that they have signed a letter of intent to join forces, bringing together the state’s only academic hospital and one of its leading rural hospitals.

The partnership, which was announced at simultaneous news conferences at both hospitals, builds on a relationship established nearly three years ago when the two institutions, along with more than a dozen critical care hospitals, partnered to treat heart and stroke patients in western Kansas.

Trust For America's Health / Robert Wood Johnson Foundation

One of every three adult Kansans was obese in 2015, ranking the state seventh in the country in an annual report. Kansas also was one of only two states where obesity rates increased from the previous year.

Andy Marso / Heartland Health Monitor

Like most moms, Judy Talbot has photos and videos of her daughter on her smartphone.

But some of the images Talbot keeps on her phone show her daughter smacking herself in the face repeatedly or strapped to a bed, writhing against restraints with bruises up and down both legs.

“From her kicking,” Talbot explained.

Talbot’s daughter, Jill, is 32 and has autism and post-traumatic stress disorder.

Donna Ginther / University of Kansas

University of Kansas economist Donna Ginther made waves in 2011 with her studies showing racial disparities in research grant awards, which led the National Institutes of Health to start an initiative to address the issue. She says the problem isn’t necessarily bias on the part of those who award grants but lack of mentors and training for diverse communities.

Ginther recently sat down with KCUR’s Alex Smith to talk about her latest work on the issue, which factors in gender. She and her colleagues looked at NIH R01 grants awarded between 2000 and 2006.

user Mrd7b2 / Wikipedia

Medical information for hundreds of patients has been stolen from an area hospital.

Children’s Mercy Hospital, based in Kansas City, released a statement Wednesday reporting that information for 238 patients was stolen from the locked trunk of an employee’s care.

“We are very sensitive to these families’ concerns and have apologized to them,” the statement read.

The hospital said that the information does not include patients’ addresses, social security numbers or financial information.

McKinnon Motorsports

For anyone who knows Elyse McKinnon, it’s hard to imagine her not tearing down a race track on a motorcycle.

But life without racing is just what the 30-year-old had to consider after a tragic crash in the summer of 2015 left her with a broken back.  

McKinnon and her husband, Chris McKinnon, of Lawrence, Kansas, have been avid motorcyclists since moving to the Midwest from Florida shortly after Elyse graduated from college.

Elyse says her competitive drive prompted her transition from weekend rider to competitive drag racer.

U.S. Centers for Medicare and Medicaid Services

A new analysis from the U.S. Department of Health and Human Services says headlines about anticipated premium increases on the Obamacare health insurance marketplace overlook an important point: Most Americans, including two-thirds of Kansans and three-quarters of Missourians, still will be able to find a plan for $75 a month or less.

Andy Marso / Heartland Health Monitor


Familiar sounds filled the air at Blue Valley Northwest High School’s first football practice of the year.

Rock music playing over the sound system. Whistles blaring. Coaches yelling instructions.

But one sound wasn’t present: helmets colliding.

That’s because the Kansas State High School Activities Association, or KSHSAA, approved new rules last year limiting full-contact football practice.

Andy Marso / Heartland Health Monitor

The director of one of the state’s largest community mental health centers says the head of the agency that oversees the behavioral health system appears to be making an effort to repair damaged relations with providers.

But he says Kansas Department for Aging and Disability Services Secretary Tim Keck has his work cut out for him.

Corbis-Creative Commons

An inmate serving life without parole in a Missouri prison is suing to receive therapy for gender dysphoria disorder.

Jessica Hicklin, a 37-year-old transgender woman, has been diagnosed by multiple doctors with the disorder but has been denied access to hormone therapy to treat the condition, according to Lambda Legal, an LBGT legal organization based in New York. The organization filed the lawsuit Monday in the United States District Court for the Eastern District of Missouri Eastern Division.

Courtesy Nimrod Chapel Jr.

An attorney for the so-called “Medicaid 23” says his clients will appeal their convictions on trespassing charges, even though they face no jail time.

A Cole County, Missouri, jury on Wednesday acquitted 22 clergy members of obstructing government operations but found them guilty of trespassing when they refused to leave the Missouri Senate gallery during a protest in May 2014. The case of the 23rd defendant will be decided later.

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Facing increasing criticism from health care providers about recent cuts in Medicaid reimbursement rates, Gov. Sam Brownback said that he will attempt to restore the cuts by increasing a tax that hospitals pay.

In a statement issued Wednesday afternoon, Brownback said he was forced to order a 4 percent cut in provider reimbursement rates in May after efforts to negotiate an increase in the surcharge failed.

It's a split decision in the trial of the so-called "Medicaid 23," a group of religious leaders who staged a protest in the Missouri Senate more than two years ago over lawmakers' refusal to expand Medicaid.

Twenty-two members of the group were found guilty of trespassing for not leaving the Senate gallery when ordered to do so by Capitol police. But they were found not guilty of obstructing the operations of the Senate. The case of one other member will be decided later.

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The waiting list for Medicaid services for Kansans with physical disabilities has dropped by more than 1,700 since last year but hasn’t budged for those with intellectual or developmental disabilities.

In July, 3,450 Kansans with intellectual or developmental disabilities were waiting for home and community-based services provided through Medicaid, as were 10 Kansans with physical disabilities.