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Greenwood Leflore Hospital hits another roadblock in struggle to stay open

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A financially struggling Delta hospital received another bit of bad news: its application for a federal designation that would bring in more money has been initially denied.

The regional Centers for Medicare and Medicaid Services office in Atlanta has declined to designate the Greenwood hospital as a critical access hospital, according to a letter the agency sent to interim CEO Gary Marchand on Aug. 24.

Leaders of the hospital, which is co-owned by the city and county, have long been counting on the hospital’s conversion to increase its financial viability — critical access hospitals are reimbursed by Medicare at a higher rate. The hospital is currently classified as an acute care facility.

Marchand has repeatedly called the application their “plan A.”

But all hope is not lost — despite the regional office’s denial, Marchand is still counting on the national CMS office in Washington D.C. approving the hospital’s application.

He shared in an internal email to staff sent Aug. 30 that even with recommendations from the state Health Department and a regional Medicare administrative contractor to convert the hospital into a critical access hospital, a review by the CMS regional office did not yield the same results.

Greenwood Leflore Hospital’s interim CEO Gary Marchand discusses the challenges facing the hospital at Greenwood Leflore Hospital in Greenwood, Miss., Tuesday, February 14, 2022. Credit: Eric J. Shelton, Mississippi Today

Marchand stressed the decision wasn’t a surprise.

“We expected the Regional Office of CMS to review the application without considering the full scope of the arguments for its approval,” he said.

Critical access hospitals must be located 35 miles from the nearest hospital. South Sunflower County Hospital in Indianola is just 28 miles away from Greenwood Leflore Hospital. The regional CMS office cited the hospital’s proximity to nearby hospitals as cause for the application’s rejection.

Marchand’s argument for waiving that requirement was that transportation issues plague the Delta — many of the hospital’s patients struggle to make their appointments because they don’t have a way to get there.

This doesn’t mean the conversion is out of the question, though. The hospital’s application is still being considered by the national CMS office, Marchand said.

“We have always expected the final decision would be made in the national office, and Congressman (Bennie) Thompson and Senators (Roger) Wicker and (Cindy) Hyde-Smith and fully engaged and supportive of the GLH application,” he says in the internal email, before noting that he doesn’t not expect a final answer from the federal agency before the end of the year.

The pandemic has left the hospital in financial straits this past year, and stakeholders are exhausting all options to keep the facility open. Aside from the critical access hospital application, hospital leadership has also closed several departments and services, including neurosurgery and labor and delivery.

After a potential lease agreement fell through last year, the hospital went up for lease again recently.

Greenwood hospital leaders have also applied for grants from the Legislature, but as of August, no hospitals in the state have received that money.

They desperately need it — one report puts nearly half of the state’s rural hospitals at risk of closure.

The longer the state goes without Medicaid expansion, the more dire the situation becomes, Greenwood Mayor Carol McAdams previously told Mississippi Today.

In the meantime, leaders are still accepting bidders to buy or lease the hospital and save it from closure.

Marchand says the hospital can stay open until 2024. After that, its future is unclear.

“Critical access status remains key to the hospital’s ability to provide services over the long term,” Marchand said. “We remain hopeful of the application’s final approval by CMS’s National Office.”

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

Mississippi Today

On this day in 1908

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mississippitoday.org – Jerry Mitchell – 2024-12-26 07:00:00

Dec. 26, 1908

Jack Johnson Credit: Wikipedia

Pro boxing pioneer Jack Johnson defeated Tommy Burns, becoming the first Black heavyweight boxing champion. 

Johnson grew up in Galveston, Texas, where “white boys were my friends and pals. … No one ever taught me that white men were superior to me.” 

After quitting school, he worked at the local docks and then at a race track in Dallas, where he first discovered boxing. He began saving money until he had enough to buy boxing gloves. 

He made his professional debut in 1898, knocking out Charley Brooks. Because prizefighting was illegal in Texas, he was occasionally arrested there. He developed his own style, dodging opponents’ blows and then counterpunching. After Johnson defeated Burns, he took on a series of challengers, including Tony Ross, Al Kaufman and Stanley Ketchel. 

In 1910, he successfully defended his title in what was called the “Battle of the Century,” dominating the “Great White Hope” James J. Jeffries and winning $65,000 — the equivalent of $1.7 million today. 

Black Americans rejoiced, but the racial animosity by whites toward Johnson erupted that night in race riots. That animosity came to a head when he was arrested on racially motivated charges for violating the Mann Act — transporting a woman across state lines for “immoral purposes.” 

In fact, the law wasn’t even in effect when Johnson had the relationship with the white woman. Sentenced to a year in prison, Johnson fled the country and fought boxing matches abroad for seven years until 1920 when he served his federal sentence. 

He died in 1946, and six decades later, PBS aired Ken Burns’ documentary on the boxer, “Unforgivable Blackness: The Rise and Fall of Jack Johnson,” which fueled a campaign for a posthumous pardon for Johnson. That finally happened in 2018, when then-President Donald Trump granted the pardon. 

To honor its native son, Galveston has built Jack Johnson Park, which includes an imposing statue of Johnson, throwing a left hook. 

“With enemies all around him — white and even Black — who were terrified his boldness would cause them to become a target, Jack Johnson’s stand certainly created a wall of positive change,” the sculptor told The New York Times. “Not many people could dare to follow that act.”

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

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Health department’s budget request prioritizes training doctors, increasing health insurance coverage

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mississippitoday.org – Gwen Dilworth – 2024-12-26 06:00:00

New programs to train early-career doctors and help Mississippians enroll in health insurance are at the top of the state Department of Health’s budget wish list this year. 

The agency tasked with overseeing public health in the state is asking for $4.8 million in additional state funding, a 4% increase over last year’s budget appropriation. 

The department hopes to use funding increases to start three new medical residency programs across the state. The programs will be located in south central Mississippi, Meridian and the Delta and focus on internal and family medicine, obstetric care and rural training. 

The Office of Mississippi Physician Workforce, which the Legislature moved from UMMC to the State Department of Health last year, will oversee the programs. 

The office was created by the Legislature in 2012 and has assisted with the creation or supported 19 accredited graduate medical education programs in Mississippi, said health department spokesperson Greg Flynn. 

A $1 million dollar appropriation requested by the department will fund a patient navigation program to help people access health services in their communities and apply for health insurance coverage. 

People will access these services at community-based health departments, said Flynn. 

Patient navigators will help patients apply for coverage through Medicaid or the Health Insurance Marketplace, said Health Department Senior Deputy Kris Adcock at the Joint Legislative Budget Committee meeting on Sept. 26. 

“We want to increase the number of people who have access to health care coverage and therefore have access to health care,” she said. 

The Health Insurance Marketplace is a federally-operated service that helps people enroll in health insurance programs. Enrollees can access premium tax credits, which lower the cost of health insurance, through the Marketplace. 

The department received its largest appropriation from the state’s general fund in nearly a decade last year, illustrating a slow but steady rebound from drastic budget cuts in 2017 that forced the agency to shutter county health clinics and lay off staff. 

State Health Officer Dr. Daniel Edney said he is “begging for some help with inflationary pressure” on the department’s operations budget at the State Board of Health meeting Oct. 9, but additional funding for operations was not included in the budget request.

“They’re (lawmakers) making it pretty clear to me that they’re not really interested in putting more money in (operations) to run the agency, and I understand that,” he said. 

State agencies present budget requests to the Joint Legislative Budget Committee in September. The committee makes recommendations in December, and most appropriations bills are passed by lawmakers in the latter months of the legislative session, which ends in April. 

The Department of Health’s budget request will likely change in the new year depending on the Legislature’s preferences, Edney said Oct. 9. 

The state Health Department’s responsibilities are vast. It oversees health center planning and licensure, provides clinical services to underserved populations, regulates environmental health standards and operates infectious and chronic disease prevention programs.

Over half of the agency’s $600 million budget is funded with federal dollars. State funding accounts for just 15% of its total budget. 

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 1956

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mississippitoday.org – Jerry Mitchell – 2024-12-25 07:00:00

Dec. 25, 1956

Civil rights activist Fred Shuttllesworth Credit: Wikipedia

Fred Shuttlesworth somehow survived the KKK bombing that took out his home next to the Bethel Baptist Church in Birmingham, Alabama.

An arriving policeman advised him to leave town fast. In the “Eyes on the Prize” documentary, Shuttlesworth quoted himself as replying, “Officer, you’re not me. You go back and tell your Klan brethren if God could keep me through this, then I’m here for the duration.’”

Shuttlesworth and Bethel saw what happened as proof that they would be protected as they pursued their fight against racial injustice. The next day, he boarded a bus with other civil rights activists to challenge segregation laws that persisted, despite a U.S. Supreme Court decision that ordered the city of Montgomery, Alabama, to desegregate its bus service.

Months after this, an angry mob of Klansmen met Shuttlesworth after he tried to enroll his daughters into the all-white school in Birmingham. They beat him with fists, chains and brass knuckles. His wife, Ruby, was stabbed in the hip, trying to get her daughters back in the car. His daughter, Ruby Fredericka, had her ankle broken. When the examining physician was amazed the pastor failed to suffer worse injuries, Shuttlesworth said, “Well, doctor, the Lord knew I lived in a hard town, so he gave me a hard head.”

Despite continued violence against him and Bethel, he persisted. He helped Martin Luther King Jr. found the Southern Christian Leadership Conference and was instrumental in the 1963 Birmingham Campaign that led to the desegregation of downtown Birmingham.

A statue of Shuttlesworth can be seen outside the Birmingham Civil Rights Institute, and Birmingham’s airport bears his name. The Bethel church, which was bombed three times, is now a historic landmark.

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

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