Center for Advancing Health Services Policy & Economics Research

October 2025 MO Medicaid update: pending applications drop considerably

"significant drop in number of pending applications...70% drop in pending applications from July to October 2025...average days to complete application dropped from 40 to 21 days"
timothymcbride.substack.com/p/october-20...

Total enrollment MO Medicaid program rose slightly in Oct but there are shifts in enrollment

Falling:
custodial adults (-20%)
disabled (-13%)
children (-7%),

Rising:
expansion group (+9%)
pregnant women (+31%)
elderly (+5%)

since unwinding
timothymcbride.substack.com/p/october-20...

October 2025 Update: Missouri Medicaid enrollment steady; pending applications drop considerably Enrollment in Missouri Medicaid up slightly, pending applications down 51%; shifts in enrollment categories underway.

October 2025 Update:
Missouri Medicaid enrollment steady; pending applications drop considerably
Update from @cahsperiph.bsky.social open.substack.com/pub/timothym...

October 2025 Update: Missouri Medicaid enrollment steady; pending applications drop considerably Enrollment in Missouri Medicaid up slightly, pending applications down 51%; shifts in enrollment categories underway.

October 2025 Update:
Missouri Medicaid enrollment steady; pending applications drop considerably
Update from @cahsperiph.bsky.social open.substack.com/pub/timothym...

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

Enrollment steady at about 1.27 million; @cahsperiph.bsky.social analysis
cahsper.wustl.edu/impact/medic...

Read @cahsperiph.bsky.social policy brief cited here at
cahsper.wustl.edu/items/change...

To see the data in a dashboard or maps go here:
cahsper.wustl.edu/impact/medic...

Quote from article citing @cahsperiph.bsky.social work:

Missourians brace for health insurance premium spikes with federal subsidies set to expire • Missouri Independent The open enrollment period for Affordable Care Act plans ends Jan. 16. For some, the extra costs for 2026 will mean they go without coverage.

Missourians brace for health insurance premium spikes with federal subsidies set to expire

Research by @cahsperiph.bsky.social cited
missouriindependent.com/2025/11/26/m...

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📍1000 Vandeventer, 10am–2pm

Resources are limited—sign up thinkhealthstl.org
#CommunityHealth #CommunityFirst

Missouri’s health coverage is shifting fast, WashU analysis finds New findings from public health researchers at Washington University in St. Louis reveal how pandemic-era policies and widespread Medicaid removals fueled a sharp rise in Affordable Care Act enrollmen...

Missouri’s health coverage is shifting fast
Between 2023-25 (before current open enrollment) ACA marketplace enrollment grew 62% (above 49% increase nationally) while Medicaid enrollment declined in every county
New policy brief, dashboards: @cahsperiph.bsky.social source.washu.edu/2025/11/miss...

Missouri’s health coverage is shifting fast, WashU analysis finds New findings from public health researchers at Washington University in St. Louis reveal how pandemic-era policies and widespread Medicaid removals fueled a sharp rise in Affordable Care Act enrollmen...

Missouri’s health coverage is shifting fast, WashU analysis finds

As Missourians lost Medicaid some shifted into subsidized ACA marketplace plans; marketplace enrollment grew 62%, far above the 49% increase nationally
New brief from @cahsperiph.bsky.social at WashU
source.washu.edu/2025/11/miss...

Changes in Medicaid and Marketplace Enrollment in Missouri by County, and Rural/Urban Status, 2023-2025

In 2023-2025 Medicaid enrollment fell while Marketplace enrollment grew. New @cahsperiph.bsky.social analysis examines these shifts with implications for 2026
cahsper.wustl.edu/files/2025/1...

Missouri sees a marked increase in ACA Marketplace enrollment and decrease in Medicaid enrollment Our center released a policy brief and dashboards showing changes in Medicaid and Affordable Care Act (ACA) Marketplace enrollment in Missouri in 2023-2025. This analysis provides context as we app…

Missouri saw a marked increase in ACA Marketplace enrollment and decrease in Medicaid enrollment in 2023-25 period

New policy brief from WashU School of Public Health, with accompanying dashboard, allows for county-level comparisons
cahsper.wustl.edu/missouri-see...

October 2025 Update: Missouri Medicaid expansion enrollment rising; hits new peak Enrollment in Missouri Medicaid Adult Expansion Group over 360,000, third month in a row that expansion enrollment hits new peak

October 2025 Update:
Missouri Medicaid expansion enrollment rising; hits new peak

Enrollment in the Adult Expansion Group (AEG) hit a new peak of 362,303 in Oct. 2025, third month in a row that the AEG has hit a new peak
Latest update from @cahsperiph.bsky.social open.substack.com/pub/timothym...

October 2025 Update: Missouri Medicaid expansion enrollment rising; hits new peak Enrollment in Missouri Medicaid Adult Expansion Group over 360,000, third month in a row that expansion enrollment hits new peak

October 2025 Update:
Missouri Medicaid expansion enrollment rising; hits new peak

Enrollment in the Adult Expansion Group (AEG) hit a new peak of 362,303 in Oct. 2025, third month in a row that the AEG has hit a new peak
Latest update from @cahsperiph.bsky.social open.substack.com/pub/timothym...

Missouri sees a marked increase in ACA Marketplace enrollment and decrease in Medicaid enrollment Our center released a policy brief and dashboards showing changes in Medicaid and Affordable Care Act (ACA) Marketplace enrollment in Missouri in 2023-2025. This analysis provides context as we app…

Missouri saw a marked increase in ACA Marketplace enrollment and decrease in Medicaid enrollment in 2023-25 period

New policy brief from WashU School of Public Health, with accompanying dashboard, allows for county-level comparisons
cahsper.wustl.edu/missouri-see...

Publication Details: Health Insurance Coverage in Rural and Urban Areas in the U.S., 2023 - Rural Health Research Gateway Summary and citation information for the document Health Insurance Coverage in Rural and Urban Areas in the U.S., 2023, produced by RUPRI Center for Rural Health Policy Analysis.

Health Insurance Coverage in Rural and Urban Areas in the U.S., 2023

Brief by staff from @cahsperiph.bsky.social for RUPRI Center for Rural Health Policy Analysis
www.ruralhealthresearch.org/publications...

Changes in Medicaid and Marketplace Enrollment in Missouri by County, and Rural/Urban Status, 2023-2025

In 2023-2025 Medicaid enrollment fell while Marketplace enrollment grew. New @cahsperiph.bsky.social analysis examines these shifts with implications for 2026
cahsper.wustl.edu/files/2025/1...

September 2025 Update: Missouri Medicaid

For second month in a row Missouri hits peak enrollment in Medicaid expansion category (at 357,654)
@cahsperiph.bsky.social analysis:
timothymcbride.substack.com/p/september-...

September 2025 Update:
Missouri Medicaid enrollment steady; pending applications drop

Enrollment in Missouri Medicaid expansion hits peak, pending applications down 27%

Analysis by @cahsperiph.bsky.social
open.substack.com/pub/timothym...

CAHSPER Co-Director Karen Joynt Maddox speaking at a great conference on the Business of Health co-sponsored by @theatlantic.com and WashU Olin School.

At another fabulous event put on by the School of Public Health at WashU, the FARM Food Futures Forum with provocative speakers thinking about transforming food systems to support human and planetary health schoolofpublichealth.washu.edu/farm-food-fu...

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...