Mississippi Today
Feds approve part of Gov. Reeves’ plan to help Mississippi hospitals
A plan championed by Gov. Tate Reeves to draw down more money for the state’s hospitals has been partially approved by the federal government.
Thanks to the stamp of approval, hospitals could receive payments within weeks.
For years as hospitals across the state have struggled, health care experts and hospital leaders have been asking for help, most calling for Medicaid expansion. Instead, at a press conference announcing his plan in September, Reeves doubled down on his opposition to expansion and pitched a plan to draw more federal money to hospitals.
According to Reeves’ office, the changes are estimated to infuse the state’s hospitals with nearly $700 million in total.
The plan relies on two changes to hospital Medicaid reimbursements that increase supplemental payments to hospitals. This is extra money hospitals receive to offset low reimbursement rates from Medicaid and for uncompensated care, or money hospitals lose caring for people who are uninsured.
The component of that plan approved by the Centers for Medicare and Medicaid Services, which reimburses hospitals for low Medicaid payments at an average commercial rate for services, will generate approximately $600 million, according to the press release. It’s not clear what average commercial rate (state, regional or national) the plan utilizes to yield these results — Mississippi has a low average commercial rate, according to experts.
The second component of the plan, which modifies another form of supplemental payments, has not yet been approved.
“This plan is going to strengthen our state’s healthcare system and I’m glad that we could get it done for the people of Mississippi,” Reeves said in a press release. “This is the product of meetings with a range of medical professionals and healthcare leaders, and I’m truly thankful to all of them for helping to get us to today.”
Experts say the reforms will bring more money to the state’s hospitals, but it won’t insure more people in Mississippi, one of the most uninsured states in America. Additionally, the hospitals that appear to benefit most from the plan appear to be larger facilities, not the small rural hospitals feeling the stress of the health care crisis most acutely.
Former state hospital association director Tim Moore previously told Mississippi Today that Reeves’ proposals do “nothing to help the low-wage earners in Mississippi who do not have the disposable income to pay for medical care.”
Researchers estimate the Medicaid expansion, by increasing the wage level that Mississippians would be eligible for Medicaid, would insure 200,000 to 300,000 people who currently don’t qualify for Medicaid but don’t make enough to pay for marketplace insurance.
While emergency rooms cannot turn down patients regardless of their insurance status, doctor’s offices and clinics can. That means one of the only ways uninsured people can receive health care in Mississippi, one of the unhealthiest states in the country, is through emergency care. Preventative care, though, is inaccessible.
At the press conference, Reeves encouraged the population of Mississippians without health insurance to get a job or a better job and derisively referred to expansion as “welfare.”
In other states that have adopted similar measures, experts say the policy reforms make the biggest difference when combined with Medicaid expansion.
The federal government is still considering the second proposal. It’s not clear why the plan is being considered separately.
The changes are retroactively effective beginning July 1, so the Mississippi Division of Medicaid will deliver the first round of payments to hospitals in the coming weeks, according to the press release.
This article first appeared on Mississippi Today and is republished here under a Creative Commons license.
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Mississippi Today
An ad supporting Jenifer Branning finds imaginary liberals on the Mississippi Supreme Court
The Improve Mississippi PAC claims in advertising that the state Supreme Court “is in danger of being dominated by liberal justices” unless Jenifer Branning is elected in Tuesday’s runoff.
Improve Mississippi made the almost laughable claim in both radio commercials and mailers that were sent to homes in the court’s central district, where a runoff election will be held on Tuesday.
Improve Mississippi is an independent, third party political action committee created to aid state Sen. Jenifer Branning of Neshoba County in her efforts to defeat longtime Central District Supreme Court Justice Jim Kitchens of Copiah County.
The PAC should receive an award or at least be considered for an honor for best fiction writing.
At least seven current members of the nine-member Supreme Court would be shocked to know anyone considered them liberal.
It is telling that the ads do not offer any examples of “liberal” Supreme Court opinions issued by the current majority. It is even more telling that there have been no ads by Improve Mississippi or any other group citing the liberal dissenting opinions written or joined by Kitchens.
Granted, it is fair and likely accurate to point out that Branning is more conservative than Kitchens. After all, Branning is considered one of the more conservative members of a supermajority Republican Mississippi Senate.
As a member of the Senate, for example, she voted against removing the Confederate battle emblem from the Mississippi state flag, opposed Medicaid expansion and an equal pay bill for women.
And if she is elected to the state Supreme Court in Tuesday’s runoff election, she might be one of the panel’s more conservative members. But she will be surrounded by a Supreme Court bench full of conservatives.
A look at the history of the members of the Supreme Court might be helpful.
Chief Justice Michael Randolph originally was appointed to the court by Republican Gov. Haley Barbour, who is credited with leading the effort to make the Republican Party dominant in Mississippi. Before Randolph was appointed by Barbour, he served a stint on the National Coal Council — appointed to the post by President Ronald Reagan who is considered an icon in the conservative movement.
Justices James Maxwell, Dawn Beam, David Ishee and Kenneth Griffis were appointed by Republican Gov. Phil Bryant.
Only three members of the current court were not initially appointed to the Supreme Court by conservative Republican governors: Kitchens, Josiah Coleman and Robert Chamberlin. All three got their initial posts on the court by winning elections for full eight-year terms.
But Chamberlin, once a Republican state senator from Southaven, was appointed as a circuit court judge by Barbour before winning his Supreme Court post. And Coleman was endorsed in his election effort by both the Republican Party and by current Republican Gov. Tate Reeves, who also contributed to his campaign.
Only Kitchens earned a spot on the court without either being appointed by a Republican governor or being endorsed by the state Republican Party.
The ninth member of the court is Leslie King, who, like Kitchens, is viewed as not as conservative as the other seven justices. King, former chief judge on the Mississippi Court of Appeals, was originally appointed to the Supreme Court by Barbour, who to his credit made the appointment at least in part to ensure that a Black Mississippian remained on the nine-member court.
It should be noted that Beam was defeated on Nov. 5 by David Sullivan, a Gulf Coast municipal judge who has a local reputation for leaning conservative. Even if Sullivan is less conservative when he takes his new post in January, there still be six justices on the Supreme Court with strong conservative bonafides, not counting what happens in the Branning-Kitchens runoff.
Granted, Kitchens is next in line to serve as chief justice should Randolph, who has been on the court since 2004, step down. The longest tenured justice serves as the chief justice.
But to think that Kitchens as chief justice would be able to exert enough influence to force the other longtime conservative members of the court to start voting as liberals is even more fiction.
This article first appeared on Mississippi Today and is republished here under a Creative Commons license.
Mississippi Today
On this day in 1968
Nov. 24, 1968
Black Panther leader Eldridge Cleaver fled the U.S. to avoid imprisonment on a parole violation. He wrote in “Soul on Ice”: “If a man like Malcolm X could change and repudiate racism, if I myself and other former Muslims can change, if young whites can change, then there is hope for America.”
The Arkansas native began to be incarcerated when he was still in junior high and soon read about Malcolm X. He began writing his own essays, drawing the praise of Norman Mailer and others. That work helped him win parole in 1966. His “Soul on Ice” memoir, written from Folsom state prison, described his journey from selling marijuana to following Malcolm X. The book he wrote became a seminal work in Black literature, and he became a national figure.
Cleaver soon joined the Black Panther Party, serving as the minister of information. After a Panther shootout with police that left him injured, one Panther dead and two officers wounded, he jumped bail and fled the U.S. In 1977, after an unsuccessful suicide attempt, he returned to the U.S. pleaded guilty to a reduced charge of assault and served 1,200 hours of community service.
From that point forward, “Mr. Cleaver metamorphosed into variously a born-again Christian, a follower of the Rev. Sun Myung Moon, a Mormon, a crack cocaine addict, a designer of men’s trousers featuring a codpiece and even, finally, a Republican,” The New York Times wrote in his 1998 obituary. His wife said he was suffering from mental illness and never recovered.
This article first appeared on Mississippi Today and is republished here under a Creative Commons license.
Mississippi Today
On this day in 1867
Nov. 23, 1867
The Louisiana Constitutional Convention, composed of 49 White delegates and 49 Black delegates, met in New Orleans. The new constitution became the first in the state’s history to include a bill of rights.
The document gave property rights to married women, funded public education without segregated schools, provided full citizenship for Black Americans, and eliminated the Black Codes of 1865 and property qualifications for officeholders.
The voters ratified the constitution months later. Despite the document, prejudice and corruption continued to reign in Louisiana, and when Reconstruction ended, the constitution was replaced with one that helped restore the rule of white supremacy.
This article first appeared on Mississippi Today and is republished here under a Creative Commons license.
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