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Medicaid continues removing thousands from rolls

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Another 8,674 Mississippians lost their Medicaid coverage in the agency’s latest round of disenrollments in October.

Since unwinding disenrollments began in June, Mississippi Medicaid has removed more than 90,000 people from its rolls.

State Medicaid divisions started reviewing their rolls for the first time in three years this spring, when federal regulations that prevented them from disenrolling beneficiaries during the pandemic ended. Now, millions of Medicaid beneficiaries are losing their coverage in a process called “unwinding.”

In Mississippi, Medicaid dropped 29,460 people in June; 22,507 people in July; 16,659 people in August and 12,828 people in September.

More than half of the people dropped thus far in Mississippi have been children. Since June, almost 55,000 kids have been disenrolled by Medicaid, according to the agency’s monthly enrollment reports.

Kids are most at risk of losing benefits during unwinding, according to federal research.

The new numbers also reflect a continuing trend: Most of those people were not dropped because they were found to be ineligible. They were dropped because of issues with their paperwork – called “procedural disenrollments.”

Of the 8,674 people dropped in October, around 71% were procedural disenrollments. Mississippi reports an overall 76.5% procedural disenrollment rate thus far.

According to KFF, 71% of all people disenrolled were terminated for procedural reasons across all states with available data as of Nov. 8. This is problematic, according to experts, because many of those people dropped for procedural reasons could still be eligible for Medicaid coverage.

The numbers of people being dropped are steadily decreasing each month because fewer people are due for review and the agency’s backlog is growing.

Since July, the agency has been due to review a decreasing number of beneficiaries — from 75,110 to 70,069 in August, to 68,592 in September and 57,118 in October.

But the backlog has generally increased, except for this past month — 15,574 reviews went uncompleted in July, to 18,008 in August, to 24,215 in September to 18,041 in October. 

The agency finally made a small dent this past month in its backlogs and decreased its number of uncompleted reviews by 3,058.

Mississippi Medicaid reached its highest enrollment in the agency’s history — more than 900,000 beneficiaries — the month before unwinding disenrollments began. Before the terminations began, children in low-income families made up more than half of the state’s Medicaid rolls.

Now, after October’s disenrollments, the agency covers 823,416 Mississippians, about 49% of whom are kids.

In the coming months, thousands more Mississippians will lose their Medicaid coverage during a statewide health care crisis. One report puts nearly half of the state’s rural hospitals at risk of closure, facing financial struggles caused in large part by uncompensated care, which is money hospitals lose providing care to people who are uninsured.

As of Nov. 8, at least 10,135,000 Medicaid beneficiaries have been disenrolled nationally, according to KFF. The organization predicts up to 24 million people could lose coverage during unwinding.

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

Mississippi Today

On this day in 1946

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mississippitoday.org – Jerry Mitchell – 2024-12-23 07:00:00

Dec. 23, 1946

Chuck Cooper Credit: Wikipedia

University of Tennessee refused to play a basketball game with Duquesne University, because they had a Black player, Chuck Cooper. Despite their refusal, the all-American player and U.S. Navy veteran went on to become the first Black player to participate in a college basketball game south of the Mason-Dixon line. Cooper became the first Black player ever drafted in the NBA — drafted by the Boston Celtics. He went on to be admitted to the Basketball Hall of Fame.

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

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Mississippi Today

Podcast: Ray Higgins: PERS needs both extra cash and benefit changes for future employees

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mississippitoday.org – Bobby Harrison – 2024-12-23 06:30:00

Mississippi Today’s Bobby Harrison talks with Ray Higgins, executive director of the Mississippi Public Employees Retirement System, about proposed changes in pension benefits for future employees and what is needed to protect the system for current employees and retirees. Higgins also stresses the importance of the massive system to the Mississippi economy.

READ MORE: As lawmakers look to cut taxes, Mississippi mayors and county leaders outline infrastructure needs

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

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Mississippi Today

‘Bringing mental health into the spaces where moms already are’: UMMC program takes off

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mississippitoday.org – Sophia Paffenroth – 2024-12-23 06:00:00

A program aimed at increasing access to mental health services for mothers has taken off at the University of Mississippi Medical Center. 

The program, called CHAMP4Moms, is an extension of an existing program called CHAMP – which stands for Child Access to Mental Health and Psychiatry. The goal is to make it easier for moms to reach mental health resources during a phase when some may need it the most and have the least time. 

CHAMP4Moms offers a direct phone line that health providers can call if they are caring for a pregnant woman or new mother they believe may have unaddressed mental health issues. On the line, health providers can speak directly to a reproductive psychiatrist who can guide them on how to screen, diagnose and treat mothers. That means that moms don’t have to go out of their way to find a psychiatrist, and health care providers who don’t have extensive training in psychiatry can still help these women. 

“Basically, we’re trying to bring mental health into the spaces where moms already are,” explained Calandrea Taylor, the program manager. “Because of the low workforce that we have in the state, it’s a lot to try to fill the state with mental health providers. But what we do is bring the mental health practice to you and where mothers are. And we’re hoping that that reduces stigma.”

Launched in 2023, the program has had a slow lift off, Taylor said. But the phone line is up and running, as the team continues to make additions to the program – including a website with resources that Taylor expects will go live next year. 

To fill the role of medical director, UMMC brought in a California-based reproductive psychiatrist, Dr. Emily Dossett. Dossett, who grew up in Mississippi and still has family in the state, says it has been rewarding to come full circle and serve her home state – which suffers a dearth of mental health providers and has no reproductive psychiatrists

“I love it. It’s really satisfying to take the experience I’ve been able to pull together over the past 20 years practicing medicine and then apply it to a place I love,” Dossett said. “I feel like I understand the people I work with, I relate to them, I like hearing where they’re from and being able to picture it … That piece of it has really been very much a joy.”

As medical director, Dossett is able to educate maternal health providers on mental health issues. But she’s also an affiliate professor at UMMC, which she says allows her to train up the next generation of psychiatrists on the importance of maternal and reproductive psychiatry – an often-overlooked aspect in the field. 

If people think of reproductive mental health at all, they likely think of postpartum depression, Dossett said. But reproductive psychiatry is far more encompassing than just the postpartum time period – and includes many more conditions than just depression. 

“Most reproductive psychiatrists work with pregnant and postpartum people, but there’s also work to be done around people who have issues connected to their menstrual cycle or perimenopause,” she explained. “… There’s depression, certainly. But we actually see more anxiety, which comes in lots of different forms – it can be panic disorder, general anxiety, OCD.”

Tackling mental health in this population doesn’t just improve people’s quality of life. It can be lifesaving – and has the potential to mitigate some of the state’s worst health metrics.

Mental health disorders are the leading cause of pregnancy-related death, which is defined by the Centers for Disease Control as any death up to a year postpartum that is caused by or worsened by pregnancy. 

In Mississippi, 80% of pregnancy-related deaths between 2016 and 2020 were deemed preventable, according to the latest Mississippi Maternal Mortality Report.

Mississippi is not alone in this, Dossett said. Historically, mental health has not been taken seriously in the western world, for a number of reasons – including stigma and a somewhat arbitrary division between mind and body, Dossett explained.

“You see commercials on TV of happy pregnant ladies. You see magazines of celebrities and their baby bumps, and everybody is super happy. And so, if you don’t feel that way, there’s this tremendous amount of shame … But another part of it is medicine and the way that our health system is set up, it’s just classically divided between physical and mental health.”

Dossett encourages women to tell their doctor about any challenges they’re facing – even if they seem normal.

“There are a lot of people who have significant symptoms, but they think it’s normal,” Dossett said. “They don’t know that there’s a difference between the sort of normal adjustment that people have after having a baby – and it is a huge adjustment – and symptoms that get in the way of their ability to connect or bond with the baby, or their ability to eat or sleep, or take care of their other children or eventually go to work.”

She also encourages health care providers to develop a basic understanding of mental health issues and to ask patients questions about their mood, thoughts and feelings. 

CHAMP4Moms is a resource Dossett hopes providers will take advantage of – but she also hopes they will shape and inform the program in its inaugural year. 

“We’re available, we’re open for calls, we’re open for feedback and suggestions, we’re open for collaboration,” she said. “We want this to be something that can hopefully really move the needle on perinatal mental health and substance use in the state – and I think it can.”

Providers can call the CHAMP main line at 601-984-2080 for resources and referral options throughout the state. 

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

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