Mississippi Today

Gov. Tate Reeves to announce his plan to help struggling hospitals

Published

10 months ago

September 20, 2023

After two terms as lieutenant governor and nearly one as governor, Tate Reeves on Thursday is expected to make his first major proposal to address Mississippi's health care crisis.

Reeves is announcing his plan less than two months before the Nov. 7 general election, when he'll face Democrat Brandon Presley, who has made a key part of his campaign expanding Medicaid to help alleviate the ongoing health care crisis. Reeves also is making his announcement as more Republicans have warmed to the idea of expanding Medicaid as proposed by Presley, but opposed by Reeves for the past decade.

Tim Moore, president of the Mississippi Hospital Association, said the state's struggling hospitals would be appreciative of any financial help.

“At this time I am not familiar with any plan the governor may be presenting,” Moore said on Wednesday. “Considering the ongoing desperation of our health care system, I am hopeful the governor has developed a plan to mitigate the health care crisis in our state. I am trying to be optimistic that CMS (the federal Medicaid authority) would consider a significant plan or waiver that does not include increasing the number of covered lives. With that said, the hospital industry will be appreciative for any financial assistance that can be achieved. Mississippi health care for all Mississippians is on a critical path if left unaddressed.”

The Mississippi hospital crisis — and potential solutions to it — has been one of the main focuses of the 2023 campaign for governor.

Mississippi is one of 10 states to refuse federal tax dollars to expand Medicaid coverage to the working poor. Brandon Presley, the Democrat who is challenging Reeves in the November general election for governor, has endorsed Medicaid expansion. Reeves, on the other hand, has long opposed expansion in the state.

Meanwhile, leaders in one of the poorest, unhealthiest states are leaving more than $1 billion a year in federal funding on the table with the refusal, even as people and hospitals statewide struggle. More than half of the state's rural hospitals are at risk of closure, and even larger hospitals have been forced to slash services for budget reasons.

While Reeves and other GOP leaders have adamantly opposed Medicaid expansion, they have offered few other specific solutions, and none approaching the magnitude of Medicaid expansion. Reeves, when questioned recently about the state's health care crisis, has said more free-market competition for health services would help, and that he wants more Mississippians to have good jobs that provide health benefits.

In 2022 legislative hearings, lawmakers and health officials kicked around other ideas in lieu of Medicaid expansion to help hospitals. These included eliminating or temporarily halting the state “bed tax,” which hospitals pay to cover the state's share of Medicaid costs.

Moore said eliminating this tax would help, and that the amount hospitals pay yearly runs from about $185 million to $300 million.

Another idea was to switch hospital reimbursements for the Medicaid care they now provide from a rate based on Medicare to a standard “commercial rate.” In other states, such as Louisiana, this change has resulted in much larger amounts paid to hospitals.

But Moore said this move, implemented last year, provided little benefit because Mississippi's commercial rates for health services are so low.

“We picked up $40 million last year on outpatient, but because our inpatient rates are so low, we didn't pick up anything,” Moore said. “… There's just not that big a gap between what Medicare pays and the commercial rate.”

At the 2022 hearing, it was incorrectly estimated that the change would provide hospitals about $360 million annually. That was incorrect, Moore said, because the commercial rates are so low in Mississippi. In Louisiana, which has expanded Medicaid, the change produced about $900 million annually.

The only way to make the change more effective in Mississippi would be to pay hospitals more for Medicaid than they get for commercial rates. Moore said it is not likely that the federal government would approve such a scheme.

Quentin Whitwell, an executive with several rural Mississippi hospitals, said he is anxious to see the governor's proposal Thursday.

“It's no secret rural hospitals are struggling right now and we need all the help we can get,” Whitwell said. “It's obvious that some form of Medicaid expansion, even if it is privatized, would be useful. But any other negotiations with CMS or Health and Human Services to forgo bed taxes or get more supplemental payments would be great, and we look forward to seeing any solutions proposed and look forward to the opportunity to provide positive input.”

The Mississippi Hospital Association, which is supporting Presley's candidacy, and most other medical groups and providers in Mississippi have long supported Medicaid expansion as a major step toward fixing Mississippi's ailing health care system and helping hundreds of thousands of uninsured, working-poor Mississippians receive care.

The political action committee for the state's largest organization of doctors, the Mississippi Medical Association, has endorsed Reeves. In January of 2023, the medical association released commentary saying it supported a “raise in the income eligibility for Medicaid,” which is the definition of Medicaid expansion. It also said “the Arkansans model” should be considered where the funds the state received for Medicaid expansion would be used to help low income people purchase private health insurance. The Arkansas plan was approved by the federal government as a form of Medicaid expansion.

When asked if the medical association still supported some form of Medicaid expansion after endorsing Reeves, Dr. James Rish, chair of the group's political action committee, responded: “We look forward to further discussion and engagement with Gov. Reeves to address the many healthcare challenges in our state, including improving accessibility, affordability, and the overall statewide healthcare delivery system for all Mississippians.”

On Wednesday morning, Mississippi Today asked the Reeves campaign about any proposals the governor might put forth to deal with the health case crisis, which includes multiple struggling hospitals across the state in danger of closing and the highest percentage of unhealthy people in the nation.

The Reeves campaign did not respond to the Mississippi Today inquiry, but instead announced intentions on Wednesday afternoon to unveil his plans in a Thurday press conference.

This article first appeared on Mississippi Today and is republished here under a Creative Commons license.

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Mississippi Today

On this day in 1957

Published

9 hours ago

July 6, 2024

Staff Editor

JULY 6, 1957

Althea Gibson, in 1956, the year she won the French Open. Credit: Library of Congress

Althea Gibson became the first African American to win the women's singles title at Wimbledon and became the top female tennis player in the world. Just six years earlier, she had become the first black player to compete at Wimbledon.

Born in South Carolina, she grew up in Harlem, where she loved table tennis. A local musician invited her to play tennis, and she became so talented that a year later, she won a local tournament sponsored by the American Tennis Association (formed by African Americans), later winning 12 ATA titles in just 13 years.

Despite her talent, much of the tennis world remained closed off to her. The breakthrough came in 1950 when tennis legend Alice Marble lambasted the sport for barring Gibson from the world's best tournaments. The tennis world opened its doors, and Gibson became a Top 10 player in the U.S.

In 1956, she won the French Open. After winning both the women's singles and doubles at Wimbledon in 1957, she was welcomed with a ticker tape parade in New York City. She went on to win 56 singles and doubles championships before turning pro in 1959.

Although she declared that she never considered herself a crusader, there is no question that she opened the doors for many others. She even tried golf, becoming the first black woman to compete on the pro tour.

After she retired, she was inducted in 1971 into the International Tennis Hall of Fame. She died in 2003 at the age of 77. In 2013, the U.S. Postal Service issued a stamp in her honor. Venus Williams said Gibson has been an inspiration to her and her sister, Serena.

This article first appeared on Mississippi Today and is republished here under a Creative Commons license.

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Mississippi Today

As heat rises, inmates and staff swelter in Mississippi’s prisons

Published

1 day ago

July 5, 2024

Staff Editor

mississippitoday.org – Mina Corpuz – 2024-07-05 14:21:38

As of Friday, five of the six locations where Mississippi's prisons are located are under a National Weather Service heat advisory.

And the Mississippi Department of Corrections has no clear timeline as to when it will install air conditioning to bring relief to inmates and staff.

“We are continuing to explore our options to provide air conditioning where possible; however, there is no timetable for that installation at this time,” MDOC spokesperson Kate Head wrote in an email.

One woman incarcerated at the women's prison at the Central Mississippi Correctional Facility in Pearl said relief from the heat is hard to come by and the temperatures inside are worse than outside without any shade or trees. The woman asked not to be named for fear of retaliation.

“It's actually worse (in) here,” she said Tuesday. “The heat just hits you in the face.”

The heat index, also known as what temperature feels like on the body, takes into account humidity and air temperature. Friday's advisory was said to expect index temperatures up to 110.

According to the Centers for Disease Control and Prevention, people who are at an increased risk of heat-related illnesses include those without access to air conditioning, those over the age of 65 and people with chronic conditions – populations that include incarcerated people.

Last year was the incarcerated woman's first summer at the prison, and she witnessed people pass out or experience seizures because of the heat.

Head, the MDOC spokesperson, wrote in an email that the department is taking steps to mitigate the heat by providing incarcerated people with water, ice and fans.

Some men incarcerated in Parchman's Unit 29, which doesn't have air conditioning, secure 8-inch fans purchased from the commissary to the bars of their cells and place their mattress on the floor beneath the fan, to try to deal with the summer heat. Credit: Courtesy of Hope Dealers Prison Reform of Mississippi.

This is similar to what has been done in previous years, but some incarcerated people have said that distribution of ice isn't always regular or enough to support hundreds of people and that fans move hot air around. MDOC did not respond to these concerns Friday.

Air conditioning installation has been completed at the women's prison at CMCF in the church, school and dining areas, the incarcerated woman said. Several weeks ago it was completed in her housing zone, she said, but the AC there has not been turned on.

Tuesday evening, the prison superintendent visited the building where the incarcerated woman lives and told residents the air conditioning would not be turned on for the foreseeable future because it requires a part that is on backorder, the woman said.

The woman has also seen how three emotional support dogs trained by seminary students are moved to air conditioned areas and provided pools of water to stay cool. She doesn't understand how the animals get access to the relief but she and the other women don't.

In this March 20, 2019, photo, a watch tower stands high on the grounds of the Central Mississippi Correctional Facility in Pearl, Miss. (AP Photo/Rogelio V. Solis)

“We get the short end of the stick on everything,” she said, in reference to how the men at CMCF already have AC and the dogs in the women's prison get access to it.

MDOC did not respond to questions about the air conditioning and the dogs' access to it.

Last year as air conditioning was installed at three-fourths of the Mississippi State Penitentiary at Parchman, Commissioner Burl Cain estimated that by sometime in 2025, AC would be coming Parchman's Unit 29, South Mississippi Correctional Institute in Leakesville and other facilities, so long as funding was available to support those upgrades.

“It just takes a good while to get it all done,” he said in an April 2023 interview with Missisisppi Today. “That's just the way the funding is.”

At Parchman, the heat index was above 130 degrees – within the extreme danger category where a person's risk of heat-related illness is likely – for 25 of the past 72 hours, according to the National Weather Service records.

On four separate instances Wednesday afternoon, the heat index reached 185 at Parchman, according to weather data.

Pictures from Parchman's Unit 29, which doesn't have air conditioning, shows how men have secured 8-inch fans purchased from the commissary to the bars of their cells and placed their mattress on the floor beneath the fan, which some have told advocates is how they get relief from the heat.

The majority of Parchman has had air conditioning since last summer, but Unit 29 is part of the group of prisons that are expected to get AC sometime in the future.

At all prisons, an 8-inch fan is available to buy from the commissary for $29.95, which is among one of the most expensive on the prison's commissary list compiled by The Appeal.

Even if an incarcerated person has a job, Mississippi prison industry jobs can pay between 20 cents and $1.30 an hour, which falls within an estimated national average calculated by the Prison Policy Initiative. The group also estimated regular prison jobs nationwide have an estimated range of 14 cents and 63 cents an hour.

Privately operated Eastern Mississippi Correctional Facility has AC including in its housing units, but family members told advocates that since the end of May, the air conditioning has not been functional.

The maximum daily temperatures in Meridian, where the prison is located, have been above 90 degrees since the end of May, according to the National Weather Service.

Meridian is also under a heat advisory, and within the past three days, the highest heat index was 107 degrees – 95 degrees at 75% humidity, which is in the danger category for heat-related illnesses.

Management and Training Corp. spokesperson Emily Lawhead said technicians have diagnosed problems with air conditioning units and will install new units when they arrive.

“We're working hard to get all AC units back online as soon as possible,” she wrote in an email.

In the meantime, Lawson said cold water and fans are available, and Gatorade is provided to staff and incarcerated people for them to stay hydrated. Swamp coolers are cooling the air in areas where AC units are waiting to be repaired, she said Friday.

Heat in prison is a national issue that Families Against Mandatory Minimums, which represents incarcerated people and their families, and One Voice United, a group representing corrections staff, have teamed up to address.

The Safer Prisons, Safer Communities campaign is highlighting a nationwide crisis through overcrowding, understaffing and deteriorating conditions that make prisons unconducive to rehabilitation and create poor conditions for incarcerated people, prison staff, families and communities.

Andy Potter, executive director of One Voice United and a former Michigan corrections officer, recognizes prison infrastructure can be old and it can be expensive to install air conditioning.

But he said it's not enough for incarcerated people and the corrections staff to rely on fans, water bottles and Gatorade to stay cool. The incarcerated and staff do not have the freedom or ability to seek relief in a similar way as those not in a prison system can do, Potter said.

Daniel Landsman, vice president of policy for FAMM, said air conditioning can help decrease incidents of violence and fatalities, which research has found increases with heat.

“Heat is just going to make all the things we are experiencing in our prison system worse,” he said.

This article first appeared on Mississippi Today and is republished here under a Creative Commons license.

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Mississippi Today

On this day in 1827

Published

1 day ago

July 5, 2024

Staff Editor

JULY 5, 1827

This illustration of the emancipation of Black Americans ran in Harper's Weekly.

A day after those enslaved were freed in the state of New York, 4,000 Black Americans marched along Broadway through downtown streets with a grand marshal carrying a drawn sword. They arrived at the African Zion Church, where abolitionist leader William Hamilton said, “This day we stand redeemed from a bitter thralldom.”

Celebrations took place as far away as Boston and Philadelphia. In New York's capital, Nathaniel Paul, pastor of the First African Baptist Society, declared, “We look forward … (to) when this foul stain will be entirely erased, and this, the worst of evils, will be forever done away … God who has made of one blood all nations of men, and who is said to be no respecter of persons, has so decreed; I therefore have no hesitation in declaring this sacred place, that not only throughout the United States of America, but throughout every part of the habitable world where slavery exists, it will be abolished.”

Among those freed by this act? Sojourner Truth, who was born into slavery and had escaped to freedom just a year earlier. The Fifth of July is still recognized and celebrated in New York City.

This article first appeared on Mississippi Today and is republished here under a Creative Commons license.

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