affordable care act

Health & Wealth Update
4:05 pm
Wed May 8, 2013

Helping Missourians navigate the ACA marketplace will likely be a collaborative effort

Credit jfcherry / Flickr

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.

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Politics
6:07 pm
Tue May 7, 2013

Uncertainty looms over part-time faculty as Affordable Care Act approaches

Academic institutions such as Moberly Area Community College could be affected most by the Affordable Care Act, as many of them rely greatly on part-time faculty members.
Credit KOMU News / Flickr

The Affordable Care Act requires employers to provide health insurance to everyone working more than 30 hours a week starting in 2014. This new regulation presents an issue in the academic world, as many adjunct faculty members across the country are having their working hours cut.

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Health & Wealth Blog
5:21 pm
Fri April 12, 2013

Rural Reads: Redneck reality, Obama's budget and critical access hospitals

Credit Leader Nancy Pelosi / Flickr

Every Friday, KBIA's Health & Wealth Desk talks about the week's most interesting articles and reports on rural health, wealth and society issues. 

'Redneck reality' and rural portrayal in cable television

Entertainment newspaper The A.V. Club muses on A&E's popular reality show Duck Dynasty, saying the show is the 21st century incarnation of old rural-themed sitcoms that once dominated network television. Think Petticoat JunctionThe Beverly Hillbillies, and Hee-Haw. It's an interesting read, but we were especially interested with the author's take on ways the television shows have to negotiate the rural-urban political disparities. 

While the rural-themed programming of days gone by tended to depict the small Southern town as a bucolic haven for good-hearted folk, redneck reality is more apt to acknowledge the social and economic ills of the subcultures it depicts. These shows are sanitized for the protection of viewers with blue-state sensibilities; when they occur at all, political discussions tend to center on generalized platitudes about freedom and family, rather than specifics that might turn off half the potential audience.

 

H/T: The Rural Blog

Did headlines about death rates at rural hospitals tell the wrong story?
The Daily Yonder is killing it with their opinion pieces this week. 

Case in point: A new report made headlines last week, saying death rates are rising at rural, geographically isolated hospitals. But an opinion writer for the Yonder says news reports are not telling the real story of these so-called critical access hospitals:

The patients in the small rural hospital with heart attack, heart failure or pneumonia have become a select population. A large proportion has decided that they are through paying all the human costs of the miracles of modern medicine. They have made the decision to stay in familiar surroundings near home and family. 

The researchers found that 13.3% of the patients at critical access hospitals with one of the three conditions died, compared to 11.4 % of the medical center patients. Given all the terrible tools that modern medical centers have to work with, I’m amazed they only manage a small difference in patient survival over the most basic, little country hospitals in America. 

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Science, Health and Technology
8:58 am
Fri April 12, 2013

Obama's proposed delay in cuts could cool off MO medicaid expansion debate

Credit nomadsoul1 / dreamstime

In his proposed budget, President Barack Obama wants to delay cuts to federal payments to hospitals, keeping the payments intact for an extra year. That could affect the debate over expanding Medicaid in Missouri.

Through what’s called the disproportionate share hospital payments or DSH payments, the federal government gives money to hospitals that provide a lot of free care to patients who are uninsured and can’t afford services. The Affordable Care Act, though, includes significant cuts to DSH payments.

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Health & Wealth
11:37 am
Wed April 10, 2013

Why rural Missouri hospitals are rooting for Medicaid expansion

Credit Images of Money / Flickr

Listen to this week's Health and Wealth Update featuring KSMU's Jennifer Davidson.

The uphill congressional battle to expand Medicaid in Missouri is making rural hospitals that serve areas with high poverty levels really, really nervous. KSMU's Jennifer Davidson has the story.

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Politics
5:39 pm
Wed April 3, 2013

Nixon open to GOP-backed Medicaid plan, but with changes

Credit File photo / KBIA

Governor Jay Nixon says he could support the House Republicans’ alternate Medicaid proposal, but only if some crucial changes are made.  He met with the GOP caucus today to discuss his Medicaid expansion proposal and their plans to reform the system.  Nixon told reporters that any proposal still needs to expand Medicaid to 138 percent of the federal poverty level.

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Health & Wealth Update
1:46 pm
Wed March 27, 2013

Will Missouri's GOP-backed Medicaid expansion get federal approval?

Credit File Photo / KBIA

Listen to this week's Health & Wealth Update.

Missouri’s Republican-led House on Tuesday struck down Democrats’ attempts to include Medicaid expansion in the state’s budget.

If that scenario sounds familiar to you, it’s because these rejections have happened a few times before. On Feb. 25, two House committees rejected Rep. Jake Hummel’s (D-St. Louis) bill to expand Medicaid under the terms of the Affordable Care Act. On March 14, the Senate Appropriations committee voted down the Senate Democrats’ version of the expansion bill.

Rep. Jay Barnes (R-Jefferson City) was in one of the committees that struck down Rep. Hummel's Medicaid expansion proposal. Barnes has since introduced his own version of the expansion -- outlined in House Bill 700

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Health & Wealth Update
4:47 pm
Wed March 20, 2013

The few things we know about Missouri's health insurance marketplace

Credit Libby Burns / KBIA

Listen to a conversation with Health Literacy Missouri's Catina O'Leary about some challenges Missourians might face in the health insurance marketplace, set to be open for enrollment by October.

This is the second in a two-part discussion about health literacy and the healthcare reform.  

Not knowing what the online health insurance marketplace looks like might be problematic for Missourians. 

As part of the Affordable Care Act, Missouri’s uninsured can choose to buy insurance from the state’s health exchange come October. The exchange is an online marketplace where anyone who isn’t already insured will be able to compare and purchase private insurance plans. Some uninsured Missourians would be eligible for help with the cost, too.  

Missouri has missed the deadline to create its own marketplace or start a state-federal partnership. So, the federal government is setting it up. The problem is, even though the marketplace is supposed to be open for enrollment in about six months, no one knows what it looks like yet.

“We’re losing time that could be useful in helping people understand and prepare [for the exchange],” said Catina O’Leary, the director of Health Literacy Missouri, a nonprofit group that’s working to make health care topics more understandable for Missourians. “It would be really great if we could manage people’s expectations and start training on what they’re going to need to know.”

But here's what we know so far: 

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Health & Wealth Update
11:31 am
Wed March 13, 2013

Why health literacy is a crucial part of healthcare reform

Credit Harum Helmy / KBIA News

Listen to this week's Health & Wealth Update.

On this week's Health and Wealth Update, the first part of a discussion about health literacy and the healthcare reform. 

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Science, Health and Technology
10:23 am
Tue March 12, 2013

Forum aims to inform public on Medicaid expansion

Missouri Foundation for Health's Ryan Barker presented and took questions from the Columbia community about the state's Medicaid expansion debate on Monday, March 11, 2013. The forum, held at the ARC in Columbia, is the sixth Barker has held this year.
Harum Helmy KBIA News

The St. Louis-based nonprofit, nonpartisan group Missouri Foundation for Health held a community forum in Columbia at the ARC Monday night about the state’s Medicaid expansion debate. The foundation’s director for health policy Ryan Barker presented the pros and cons of the expansion to an audience of about 45 people, before opening up the floor to questions.

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Science, Health and Technology
9:35 am
Thu March 7, 2013

Healthcare overhaul could change the way farmers access insurance

Marilyn Andersen, who raises angora goats and llamas for wool near Story City, Iowa, is one of many farmers and ranchers entering the individual health insurance marketplace.
Amy Mayer Harvest Public Media

This week, we'll examine the Affordable Care Act's impact on farmers, and hear how one enzyme manufacturer was able to grow its business.

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Agriculture
9:09 am
Thu March 7, 2013

Health insurance unknowns loom for farmers as Affordable Care Act approaches

Marilyn Andersen, who raises angora goats and llamas for wool near Story City, Iowa, is one of many farmers and ranchers entering the individual health insurance marketplace.
Amy Mayer Harvest Public Media

Marilyn Andersen raises angora goats and llamas for wool that she spins and weaves in her studio at Two Cedars Weaving in Story City, Iowa. She also has a part-time job coordinating distribution of local produce through a service called Farm to Folk. Neither effort comes with health insurance.

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Health & Wealth Blog
6:36 pm
Wed February 27, 2013

Sequestration would hit rural hospitals harder than their urban counterparts

Credit 401kcalculator.org

Listen to the report.

Barring a congressional miracle,  Medicare payments to health care providers throughout the country will see a 2 percent reduction come Friday. That amount might not sound like much, but rural hospitals and their surrounding communities are the ones that would feel most of the pinch.

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Politics
6:06 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 Monday to expand Medicaid to 259,000 Missourians next year and 41,000 more in later years.

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Intersection
8:41 pm
Mon February 11, 2013

What Medicaid expansion would mean for Missouri

Watch the show and join the conversation on the Intersection website.

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