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The state’s troubled hospital grant program has finally awarded money to eight facilities. Many more are waiting.

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Eight of 80 Mississippi hospitals that applied for money through the state’s new hospital grant program have finally received those funds after months of waiting.

However, Mississippi State Health Department officials say the program’s kinks are still being ironed out.

The Legislature signed the Mississippi Hospital Sustainability Grant program, which allotted state hospitals a cumulative one-time payment of $103 million, into law in April. The legislation was part of a package of bills introduced by Lt. Gov. Delbert Hosemann intended to help stem the state’s ongoing health care crisis.

Nearly half of the state’s rural hospitals are at risk of closure, according to one report, and urban hospitals have been cutting services and struggling with recouping losses sustained during the COVID-19 pandemic.

But the grant program has been riddled with trouble since its creation.

For months, a legislative error prevented the money from being disbursed to struggling hospitals. During the bill’s creation, lawmakers chose to use federal pandemic relief money instead of state funds — it’s not clear if they knew the challenges that the source of funds could present. Federal money is highly regulated, which has complicated how the grant money can be disbursed.

While the program was originally pitched as one-time grants, in actuality, hospitals must show financial loss due to the pandemic. One hospital administrator previously told Mississippi Today that made it more of a “reimbursement” program.

Daniel Edney, M.D., is the State Health Officer. Credit: Vickie D. King/Mississippi Today

State Health Officer Dr. Daniel Edney has given changing, and sometimes conflicting, statements about the grant program in public meetings and interviews, which agency officials have chalked up to the “fluid” nature of the situation. Edney declined to make himself available for this story, despite multiple interview requests over the course of five weeks.

He told legislators at a tense Joint Legislative Budget Committee meeting in late September that two-thirds of hospitals had applied for the program, but only half of those hospitals were actually eligible for the money. Lawmakers — Hosemann and Rep. Trey Lamar, R-Senatobia, in particular — appeared frustrated at the health agency’s handling of the program.

The state health department is being paid $700,000 to dole out the funds.

Lamar at the meeting asked for a comprehensive list detailing hospitals’ eligibility for the grant money. Edney first said he had that list back at the office, but minutes later said he would get agency officials to draft a document explaining the program and send that information to committee members.

Lamar nor Hosemann ever received that list or document, they said. A records request by Mississippi Today did not yield them, either.

A few days after that meeting, Edney said in an interview with radio personality Paul Gallo that through a new workaround, he expected that 85% of hospitals would actually be eligible for the money. When Mississippi Today followed up with Edney to explain the sudden change, he offered no specifics.

“We’re all still working (on) the problem,” he said.

Edney was adamant at the September Joint Legislative Budget Committee meeting that the agency needed legislative direction before they could disburse funds, and that he needed lawmakers to decide if they wanted to send out the money or wait until they fixed the program during the upcoming legislative session.

Even though legislators say they haven’t received any new information, eight hospitals quietly received some money in the past few weeks.

As of Nov. 13, the only hospitals that have received money are Bolivar Medical Center, Greenwood Leflore Hospital, Baptist Memorial Hospital of Booneville, Diamond Grove Center and several Merit Health locations — River Oaks, Woman’s Hospital, Central and Biloxi.

Each of those facilities got $1 million, except for Merit Health Woman’s Hospital and Diamond Grove, which received $500,000 each.

Those amounts are generally less than what was initially allotted to those facilities at the time of the program’s passage, except for Greenwood, which received slightly more, and Diamond Grove, which was originally expected to receive nothing.

The Greenwood hospital has been facing steep financial difficulties for months. Interim CEO Gary Marchand said the money would be enough to cover hospital payroll for two weeks.

“Every little bit will help us continue to operate in our current situation,” he said. “Although this funding is just one piece of our short-term sustainability, we are appreciative of Dr. Edney, the Mississippi State Health Department and the Legislature.”

The news that money had been disbursed came as a surprise to Lamar when reached by phone on Tuesday.

Mississippi House Ways and Means Committee Chairman Trey Lamar, R-Senatobia, speaks in the Mississippi House chamber in Jackson, Miss., Nov. 2, 2022. (AP Photo/Rogelio V. Solis, File)

“Hopefully, this means we’re making some progress,” Lamar said. “That was certainly the intent — to get financial assistance to as many hospitals that will qualify as quickly as possible. It’s taken this long, but at the end of the day, if it gets where it’s supposed to go, that’s what we want to see happen.”

An official document provided by the agency showed that an additional 72 hospitals have applied for the money as of Nov. 14, which is about 70% of the state’s total hospitals. One of those facilities is Lamar’s local hospital, Highland Hills Medical Center in Senatobia.

He said the facility got a “notice of approval” from the health department this week regarding the grant money but still needed to provide more information before being determined eligible.

Now, instead of trying to estimate how many hospitals are generally eligible, health department officials would only say all hospitals can apply for the money — they just have to prove COVID losses.

However, the entire $103 million will likely not be given out — that amount serves as a cap for the maximum amount of money that can be distributed.

Hospitals can apply for the money until the end of the year, and if hospitals don’t get enough help, Hosemann said he’s committed to making changes to the program.

“We have asked the Department of Health to provide us with information by early December detailing how much grant money has been distributed to date and how much is expected to be distributed by the beginning of session,” he said. “Once we have that information, we will start working on revisions to the program to ensure hospitals receive what we initially intended them to receive.”

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

Mississippi Today

On this day in 1997

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mississippitoday.org – Jerry Mitchell – 2024-12-22 07:00:00

Dec. 22, 1997

Myrlie Evers and Reena Evers-Everette cheer the jury verdict of Feb. 5, 1994, when Byron De La Beckwith was found guilty of the 1963 murder of Mississippi NAACP leader Medgar Evers. Credit: AP/Rogelio Solis

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.

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Mississippi Today

Medicaid expansion tracker approaches $1 billion loss for Mississippi

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mississippitoday.org – Bobby Harrison – 2024-12-22 06:00:00

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.

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Mississippi Today

On this day in 1911

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mississippitoday.org – Jerry Mitchell – 2024-12-21 07:00:00

Dec. 21, 1911

A colorized photograph of Josh Gibson, who was playing with the Homestead Grays Credit: Wikipedia

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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