Missouri is facing a shortage of primary care doctors, and the strain could grow as more people soon gain health insurance under the federal health care law.
The state had just under 74 active patient care primary care doctors per 100,000 residents, according to 2010 figures from the Association of American Medical Colleges. That ranked Missouri 35th in the nation and put it behind the national per capita average of more than 79 active primary care doctors per 100,000 residents.
Thirty-five MU Health Care employees will see their hours reduced in the coming year. At Boone Hospital Center, seven employees’ hours will be cut, while 13 full- and part-time employees will lose their jobs.
In Boone Hospital’s case, the layoffs came in a system-wide package. The hospital’s parent company, St. Louis-based BJC Healthcare, recently announced it is cutting 160 jobs from its hospitals. This is the first time BJC has ever made system-wide layoffs. June Fowler, vice president for corporate and public communications at the company, said several factors led to the layoffs.
“BJC is experiencing reductions in our reimbursement for the healthcare services that we provide,” Fowler said. “We’ve also seen a decrease in inpatient hospitalizations.”
Although the Missouri legislative session has ended, the discussion on what to do with the state’s Medicaid program continues.
The Affordable Care Act asks states to expand their Medicaid eligibility to cover those who earn up to 138 percent of the federal poverty level. That’s about $30,000 for a family of four. Missouri’s Republican-majority legislature has refused to expand Medicaid, calling it a broken system. Now, both the state House and Senate have established interim committees to study ways to reform Medicaid.
Missouri state lawmakers launched an interim committee Thursday to examine the issue of Medicaid reform. Governor Jay Nixon pushed heavily for the legislature to expand Medicaid this session, and accept hundreds of millions of federal dollars to do so. But Republican legislators were worried about the long-term costs of the move, and no measure was passed. Missouri House Speaker Tim Jones, a Republican member who started the committee, says accepting the federal money wouldn’t fix the problems that are inherent to the Medicaid system.
This week on KBIA’s talk show Intersection, host Ryan Famuliner sat down with State Sen. Kurt Schaefer (R-Columbia), Rep. Caleb Rowden (R-Columbia) and Rep. Chris Kelly (D-Columbia) to discuss the legislative session that ended on Friday. One of the main things on the show’s agenda was, of course, Medicaid expansion – or lack thereof.
Famuliner asked the panelists why the expansion failed to pass.
Rain is drizzling on the roughly 40 people standing in line outside the Good Samaritan Care Clinic in rural Mountain View, Missouri. Some have been standing for hours. At 5:30 pm, the clinic doors swing open, and the patients flood into a clean, bare bones waiting room.
Health and Human Services Secretary Kathleen Sebelius today announced another round of funding to help Americans enroll in the Affordable Care Act's new online health insurance marketplace.
About $150 million is now available for community health centers nationwide to hire and train employees who would provide in-person help for the public about their insurance options in the marketplace, which is set to open for enrollment on Oct. 1.
Listen here for an interview with Stan Hudson, a health literacy expert and associate director of the Center for Health Policy at MU about the Marketplace Navigators program.
Many Missourians will likely need help navigating the Affordable Care Act's new health insurance marketplace that's set to go online by Oct. 1, but one analyst says there might not be enough time or federal funding to train those who can help.