Center for Advancing Health Services Policy & Economics Research

Missouri Medicaid Financing Update State has drawn heavily from reserve funds to finance Medicaid; Expansion spending likely offset entirely

Missouri Medicaid Financing Update
open.substack.com/pub/timothym...

Medicaid expansion reduced uncompensated care costs, may have prevented hospital closures - WashU School of Public Health Free, public dashboards on Missouri hospital visits provide insight into health, health care in the state

Medicaid expansion reduced uncompensated care costs, may have prevented hospital closures

Free, public dashboards on Missouri hospital visits provide insight into health care in MO
from @cahsperiph.bsky.social and WashU School of Public Health
schoolofpublichealth.washu.edu/medicaid-exp...

Update: Missouri Medicaid enrollment, reverifications, applications Expansion population hits record level of 355,465

Update: Missouri Medicaid enrollment, reverifications, applications

Missouri hits record expansion enrollment of 355,465 in August
Analysis by @cahsperiph.bsky.social
timothymcbride.substack.com/p/update-mis...

New search for faculty (all levels, ranks) in the School of Public Health at WashU

Outstanding faculty sought with diverse perspectives, particularly focus on our Innovation Research Networks, rural health; food policy; diabetes.
Also Assoc Deans for Research & Practice
apply.interfolio.com/173629

WashU Public Health hosts panel on building resilient food systems - WashU School of Public Health Experts on biodiversity, food security, nutrition policy discuss ways to jointly promote sustainable agriculture, improved nutrition.

WashU Public Health hosts panel on building resilient food systems
- WashU School of Public Health schoolofpublichealth.washu.edu/washu-public...

The future of food in a changing climate - WashU School of Public Health FARM Food Futures Forum will address how to transform food systems to support human, planetary health

The future of food in a changing climate
- WashU School of Public Health schoolofpublichealth.washu.edu/the-future-o...

Health Insurance Coverage in Rural and Urban Areas in the U.S., 2023 Research Alert from the Rural Health Research Gateway for: Health Insurance Coverage in Rural and Urban Areas in the U.S., 2023

New Brief from RUPRI Center for Rural Health Policy on
Health Insurance Coverage in Rural and Urban Areas in the U.S., 2023

[lead authors also at WashU, affiliated with CAHSPER]
www.ruralhealthresearch.org/alerts/679?u...

St. Louis medical experts push back on Trump's claims linking Tylenol and autism Many in the St. Louis medical community are pushing back on President Donald Trump's remarks that acetaminophen can cause autism.

St. Louis medical experts push back on Trump's claims linking Tylenol and autism
www.ksdk.com/video/news/h...

Policy, Biodiversity, and the Future of Food:
panel led by WashU School of Public Health Dean Sandro Galea

Opportunities - WashU School of Public Health SPH faculty positions The call for faculty positions at WashU School of Public Health has reopened. We are seeking outstanding faculty at all levels who reflect a diverse range of disciplines and pers...

Call for faculty positions at WashU School of Public Health

We are seeking outstanding faculty at all levels. Also accepting applications for the positions of Associate Dean for Research and Associate Dean of Practice. More information:
schoolofpublichealth.washu.edu/about/opport...

MO Medicaid Expansion 4 years later: reflections on the impact Medicaid expansion went into effect July 2021, first enrolled October 2021. What do we know about its impacts?

MO Medicaid Expansion 4 years later: reflections on the impact

Medicaid expansion went into effect July 2021, first enrolled October 2021. What do we know about its impacts?
open.substack.com/pub/timothym...

NEW:
Dashboards show payor mix in Missouri hospitals, 2016-2024 with breakdowns by payors (e.g., private, Medicaid, Medicare)

Center for Advancing Health Services, Policy & Economics Research | Washington University in St. Louis cahsper.wustl.edu/new-dashboar...

Missouri Medicaid Update: State Completes Year-Long Renewal Process States are required to complete annual renewals to confirm recipients are still eligible. The process is now complete. A summary of the outcomes shows 28% of recipients lost coverage

Missouri Medicaid Update:
State Completes Year-Long Renewal Process

28% of recipients lost coverage over June 2024-May 2025 period
@cahsperiph.bsky.social analysis:
open.substack.com/pub/timothym...

Building momentum: School of Public Health marks milestones The School of Public Health at Washington University in St. Louis is rapidly expanding with new people, spaces and initiatives. In August, faculty and staff gathered to begin shaping the school’s stra...

WashU's new School of Public Health is accelerating its growth, with new faculty, staff, and students under the leadership of Dean Sandro Galea, over 100 faculty, over 100 staff, and almost 200 students
source.washu.edu/2025/09/buil...

Neuropsychiatric Disorders Among Adult Emergency Department Patients With Intellectual and Developmental Disabilities | Psychiatric Services Objective: This study aimed to compare rates of psychiatric and neurologic diagnoses on emergency department (ED) visit records of adults with versus without intellectual and developmental disabilitie...

Neuropsychiatric Disorders Among Adult Emergency Department Patients With Intellectual and Developmental Disabilities | Psychiatric Services

New paper by @cahsperiph.bsky.social faculty Kenton Johnson and @haroldpollack.bsky.social
psychiatryonline.org/doi/10.1176/...

Selected news clips on health policy, 9/1 Selected recent news clips on health policy and economics

Selected news clips on health policy, 9/1 timothymcbride.substack.com/p/selected-n...

DeSoto Memorial Hospital in talks to sell, no formal offer yet DeSoto County's only hospital is considering a sale. DeSoto Memorial said seven organizations have expressed interest in a deal, though no formal proposal has been made.

DeSoto Memorial Hospital in talks to sell, no formal offer yet

with comments from @cahsperiph.bsky.social Co-Director
www.fox4now.com/arcadia/deso...

FACT FOCUS: Rural hospitals are expected to lose money from Trump's bill, despite RFK Jr.'s promise Rural hospitals are bracing for financial losses due to President Trump's tax and spending cut bill.

FACT FOCUS:
Medicaid cuts from GOP tax bill threaten rural hospitals

| AP News
with commentss from @cahsperiph.bsky.social Co-Director
apnews.com/article/rura...

A $50B rural health fund was negotiated with hospitals in mind. Experts are split on whether it will help them at all. The fund was created to help Republicans secure critical votes for their reconciliation bill. But experts aren't quite sure how it'll work, creating a $50 billion dollar question with major ramificati...

A $50B rural health fund was negotiated with hospitals in mind. Experts are split on whether it will help them at all.

Healthcare Dive

with comments from @cahsperiph.bsky.social Co-Director
www.healthcaredive.com/news/a-50b-r...

When hospitals and insurers fight, patients get caught in the middle About 90,000 people spent months in limbo as central Missouri's major medical provider fought over insurance contracts. These disputes between insurers and hospitals are a recurring problem.

NPR: When hospitals and insurers fight, patients get caught in the middle

with comments from @cahsperiph.bsky.social Co-Director
www.npr.org/sections/sho...

A $50B rural health fund was negotiated with hospitals in mind. Experts are split on whether it will help them at all. The fund was created to help Republicans secure critical votes for their reconciliation bill. But experts aren't quite sure how it'll work, creating a $50 billion dollar question with major ramificati...

A $50B rural health fund was negotiated with hospitals in mind. Experts are split on whether it will help them at all. | Healthcare Dive

With comments from @cahsperiph.bsky.social Co-Director
www.healthcaredive.com/news/a-50b-r...

Updated:
MISSOURI Medicaid DASHBOARD
with JULY 2025 data on enrollment, applications, managed care & geographic distribution

Enrollment rises slightly to 1.3 million; @cahsperiph.bsky.social analysis
cahsper.wustl.edu/impact/medic...

New from RUPRI Health Panel
Rural EMS Regionalization - Opportunities and Policy Considerations

Policy report highlights how regionalized systems can improve care through coordination to share resources, standardized protocols, and dispatch functions.
apps.its.uiowa.edu/dispatch/mes...

What happens then? The practical consequences of losing a country’s commitment to science

What happens then?
The practical consequences of losing a country’s commitment to science

- The Healthiest Goldfish
by Sandro Galea substack.com/home/post/p-...

Updated:
MISSOURI Medicaid DASHBOARD
with JULY 2025 data on enrollment, applications, managed care & geographic distribution

Enrollment rises slightly to 1.3 million; @cahsperiph.bsky.social analysis
cahsper.wustl.edu/impact/medic...

July 2025 Update:
Missouri Medicaid enrollment up slightly; applications also rising
open.substack.com/pub/timothym...
Analysis by @cahsperiph.bsky.social

3/ July 2025 Update on Missouri Medicaid enrollment
net steady enrollment since unwinding ended hides big shifts in categories:
up: AEG (+6%), pregnant women (+27%), elderly (+2.4%)
down: children (-8%), parents (-21%), disabled (-12.6%)
Source: Analysis of DSS data by @cahsperiph.bsky.social

2/ July 2025 Update on Missouri Medicaid enrollment
in Adult Expansion Group
352,610 close to peak of 354,187 in June 2023.
Source: DSS data, analysis by @cahsperiph.bsky.social

July 2025 Update
Missouri Medicaid enrollment up slightly in July, but steady since end of unwinding at about 1.3 million
Analysis of DSS data by @cahsperiph.bsky.social

Lessons for rolling out the One Big Bill:
Can states manage Medicaid changes?
open.substack.com/pub/timothym...
Analysis from @cahsperiph.bsky.social