Mississippi Today
Senators hear about crisis facing state hospitals, but make no commitments on solutions
The bleak outlook for hospitals across the state, especially those in rural areas, was highlighted Monday during a hearing of the Senate Public Health Committee.
While possible solutions were discussed, senators indicated that long-term fixes might not be coming during the upcoming 2023 session.
State Health Officer Dr. Daniel Edney told committee members that 38 rural hospitals across the state “are in danger of immediate closure or closure in the near term.” Some of those hospitals are larger regional care centers, such as Greenwood Leflore Hospital.
Edney said nearly all of 111 hospitals across the state are facing financial difficulties with many areas – particularly in the Delta and some parts of southwest Mississippi – becoming “health care deserts.” Edney, representatives with the Mississippi Hospital Association and others have been warning of the crisis facing health care in Mississippi for some time caused in part by rising costs and changes in the structure of health care in the nation – all of which have been exacerbated by the COVID-19 pandemic.
The Public Health Committee met Monday to be updated on the crisis and to hear possible solutions.
The Hospital Association offered six possible steps that could be taken to help the hospitals survive – ranging from increasing the state-federal Medicaid supplemental payments to hospitals, to eliminating the taxes hospitals pay to expanding Medicaid. Of those steps, the one that would not require legislative action and is most likely to occur would be the state Division of Medicaid seeking federal approval to increase payments to hospitals.
Tim Moore, chief executive officer of the Hospital Association, said all of those steps are needed to increase the financial viability of the state’s hospitals. But according to a Hospital Association chart handed out to senators, expanding Medicaid is the options that would provide the most benefit. Medicaid expansion would provide a financial boost to the hospitals, while improving the state economy, based on multiple studies. It also would benefit Mississippi citizens by providing health care to primarily the working poor.
During the committee hearing, Sen. Brice Wiggins, R-Pascagoula, said Medicaid expansion would not solely fix the problem facing the hospitals. Richard Roberson, vice president for policy with the Mississippi Hospital Association said, “it might not solely fix it, but I would argue it would go a long way.”
Wiggins replied, “It would go a long way because it would provide a revenue stream for hospitals, but 10 years down the road could be another situation.”
But Roberson said if the state enacted Medicaid expansion, people, primarily the working poor, would have access to health care other than in a hospital emergency room. Under current law, hospitals are mandated to provide emergency services regardless of a patient’s ability to pay.
Medicaid expansion would cut down on more expensive emergency room care while providing Medicaid expansion beneficiaries the opportunity for preventive care from primary care physicians, Roberson said. In addition, Medicaid expansion would substantially cut down on the amount of uncompensated care – about $600 million a year and increasing – that hospitals currently incur because there would be fewer uninsured patients being treated.
After the meeting, Sen. Dennis DeBar, R-Leakesville, when asked about the possibility of expanding Medicaid in the upcoming 2023 session, responded, “Why are you asking me about that?” DeBar then added it might be pointless for the Senate to try to take up the issue while the House leadership and Gov. Tate Reeves are entrenched in their opposition to Medicaid expansion.
Sen. Kevin Blackwell, R-Southaven, who chairs the Senate Medicaid Committee, said after Monday’s Public Health Committee hearing that he remains opposed to Medicaid expansion. He said Medicaid provides less money to medical providers for the services rendered than private insurance. He said he would prefer other options, such as helping poor people purchase private insurance.
The federal government pays 90% of the health care costs for those covered by Medicaid expansion – those earning up to 138% of the federal poverty level or about $19,000 annually for an individual. Whether the state could develop a Medicaid expansion substitute where the federal government pays the bulk of the cost for private insurance is not known.
At any rate, Blackwell said it probably would be the 2024 session – after 2023 statewide elections – before such options are considered.
In the meantime, Edney pointed out there is a growing area in the state where there is no hospital to deliver babies. He said that only worsens Mississippi’s position as the state with the nation’s highest infant mortality rate.
Edney said the state Department of Health would try to step in as a last resort “safety net” in those areas lacking adequate health care.
The post Senators hear about crisis facing state hospitals, but make no commitments on solutions appeared first on Mississippi Today.
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Mississippi Today
On this day in 1997
Dec. 22, 1997
The Mississippi Supreme Court upheld the conviction of white supremacist Byron De La Beckwith for the 1963 murder of Medgar Evers.
In the court’s 4–2 decision, Justice Mike Mills praised efforts “to squeeze justice out of the harm caused by a furtive explosion which erupted from dark bushes on a June night in Jackson, Mississippi.”
He wrote that Beckwith’s constitutional right to a speedy trial had not been denied. His “complicity with the Sovereignty Commission’s involvement in the prior trials contributed to the delay.”
The decision did more than ensure that Beckwith would stay behind bars. The conviction helped clear the way for other prosecutions of unpunished killings from the Civil Rights Era.
This article first appeared on Mississippi Today and is republished here under a Creative Commons license.
Mississippi Today
Medicaid expansion tracker approaches $1 billion loss for Mississippi
About the time people ring in the new year next week, the digital tracker on Mississippi Today’s homepage tabulating the amount of money the state is losing by not expanding Medicaid will hit $1 billion.
The state has lost $1 billion not since the start of the quickly departing 2024 but since the beginning of the state’s fiscal year on July 1.
Some who oppose Medicaid expansion say the digital tracker is flawed.
During an October news conference, when state Auditor Shad White unveiled details of his $2 million study seeking ways to cut state government spending, he said he did not look at Medicaid expansion as a method to save money or grow state revenue.
“I think that (Mississippi Today) calculator is wrong,” White said. “… I don’t think that takes into account how many people are going to be moved off the federal health care exchange where their health care is paid for fully by the federal government and moved onto Medicaid.”
White is not the only Mississippi politician who has expressed concern that if Medicaid expansion were enacted, thousands of people would lose their insurance on the exchange and be forced to enroll in Medicaid for health care coverage.
Mississippi Today’s projections used for the tracker are based on studies conducted by the Institutions of Higher Learning University Research Center. Granted, there are a lot of variables in the study that are inexact. It is impossible to say, for example, how many people will get sick and need health care, thus increasing the cost of Medicaid expansion. But is reasonable that the projections of the University Research Center are in the ballpark of being accurate and close to other studies conducted by health care experts.
White and others are correct that Mississippi Today’s calculator does not take into account money flowing into the state for people covered on the health care exchange. But that money does not go to the state; it goes to insurance companies that, granted, use that money to reimburse Mississippians for providing health care. But at least a portion of the money goes to out-of-state insurance companies as profits.
Both Medicaid expansion and the health care exchange are part of the Affordable Care Act. Under Medicaid expansion people earning up to $20,120 annually can sign up for Medicaid and the federal government will pay the bulk of the cost. Mississippi is one of 10 states that have not opted into Medicaid expansion.
People making more than $14,580 annually can garner private insurance through the health insurance exchanges, and people below certain income levels can receive help from the federal government in paying for that coverage.
During the COVID-19 pandemic, legislation championed and signed into law by President Joe Biden significantly increased the federal subsidies provided to people receiving insurance on the exchange. Those increased subsidies led to many Mississippians — desperate for health care — turning to the exchange for help.
White, state Insurance Commissioner Mike Chaney, Gov. Tate Reeves and others have expressed concern that those people would lose their private health insurance and be forced to sign up for Medicaid if lawmakers vote to expand Medicaid.
They are correct.
But they do not mention that the enhanced benefits authored by the Biden administration are scheduled to expire in December 2025 unless they are reenacted by Congress. The incoming Donald Trump administration has given no indication it will continue the enhanced subsidies.
As a matter of fact, the Trump administration, led by billionaire Elon Musk, is looking for ways to cut federal spending.
Some have speculated that Medicaid expansion also could be on Musk’s chopping block.
That is possible. But remember congressional action is required to continue the enhanced subsidies. On the flip side, congressional action would most likely be required to end or cut Medicaid expansion.
Would the multiple U.S. senators and House members in the red states that have expanded Medicaid vote to end a program that is providing health care to thousands of their constituents?
If Congress does not continue Biden’s enhanced subsidies, the rates for Mississippians on the exchange will increase on average about $500 per year, according to a study by KFF, a national health advocacy nonprofit. If that occurs, it is likely that many of the 280,000 Mississippians on the exchange will drop their coverage.
The result will be that Mississippi’s rate of uninsured — already one of the highest in the nation – will rise further, putting additional pressure on hospitals and other providers who will be treating patients who have no ability to pay.
In the meantime, the Mississippi Today counter that tracks the amount of money Mississippi is losing by not expanding Medicaid keeps ticking up.
This article first appeared on Mississippi Today and is republished here under a Creative Commons license.
Mississippi Today
On this day in 1911
Dec. 21, 1911
Josh Gibson, the Negro League’s “Home Run King,” was born in Buena Vista, Georgia.
When the family’s farm suffered, they moved to Pittsburgh, and Gibson tried baseball at age 16. He eventually played for a semi-pro team in Pittsburgh and became known for his towering home runs.
He was watching the Homestead Grays play on July 25, 1930, when the catcher injured his hand. Team members called for Gibson, sitting in the stands, to join them. He was such a talented catcher that base runners were more reluctant to steal. He hit the baseball so hard and so far (580 feet once at Yankee Stadium) that he became the second-highest paid player in the Negro Leagues behind Satchel Paige, with both of them entering the National Baseball Hame of Fame.
The Hall estimated that Gibson hit nearly 800 homers in his 17-year career and had a lifetime batting average of .359. Gibson was portrayed in the 1996 TV movie, “Soul of the Game,” by Mykelti Williamson. Blair Underwood played Jackie Robinson, Delroy Lindo portrayed Satchel Paige, and Harvey Williams played “Cat” Mays, the father of the legendary Willie Mays.
Gibson has now been honored with a statue outside the Washington Nationals’ ballpark.
This article first appeared on Mississippi Today and is republished here under a Creative Commons license.
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