The "Chilling Effect" Missouri is losing children enrolled on Medicaid: over 28,000 in last 16 months (5%). This is apparently a national trend, now being described as the "chilling effect" by some. New from @cahsperiph.bsky.social Co-Director: timothymcbride.substack.com/p/the-chilli...

Transforming Healthcare in Missouri, Part X: Community-Based Models and Policies for Children’s Behavioral Health New from @cahsperiph.bsky.social cahsper.wustl.edu/items/transf...

From @cahsperiph.bsky.social: Missouri’s health insurance landscape is shifting rapidly Recent papers and data cahsper.wustl.edu/missouris-he...

New data visualization from @cahsperiph.bsky.social Interactive maps of Missouri’s rural health providers within ToRCH Care Hubs cahsper.wustl.edu/new-data-vis...

Missouri's health insurance landscape is shifting rapidly Read a series of recent briefs and papers on Medicaid, Medicare and more from... Center for Advancing Health Services, Policy & Economics Research | Washington University in St. Louis cahsper.wustl.edu/missouris-he...

Work by @cahsperiph.bsky.social cited here: "About two-thirds of Missouri Medicaid recipients already work full- or part-time, according to an analysis from Washington University in St. Louis." missouriindependent.com/2026/04/29/m...

New @cahsperiph.bsky.social brief Work Experience of Medicaid Recipients in Missouri HR1 directs states to establish work reporting requirements for Medicaid. About 67% of working-age Medicaid recipients are employed; many others may be exempt from requirement: cahsper.wustl.edu/files/2026/0...

Work Experience of Medicaid Recipients in Missouri HR1 directs states to establish work reporting requirements for Medicaid recipients About 67% of working age Medicaid population is already employed, and many others may be exempt from work reporting requirement: cahsper.wustl.edu/files/2026/0...

ACA Marketplace Signups Update: Plan Choices show significant shift to bronze plans in both rural & urban areas Shift raises concerns about out of pocket costs: bronze plans have higher deductibles; could raise medical debt, uncompensated care timothymcbride.substack.com/p/aca-market...

Missouri Medicaid update 2025: Procedural concerns remain for Medicaid recipients Although some improvements in state processes are evident. concerns remain about procedures used to enroll in Medicaid &renew eligibility, on precipice of implementation of Big Bill open.substack.com/pub/timothym...

ACA Marketplace (Obamacare) Signups Update: Plan Choices show significant shift to bronze plans, rise in premiums New analysis from @cahsperiph.bsky.social based on new data from CMS open.substack.com/pub/timothym...

Missouri Medicaid update, II: Procedural concerns remain for Medicaid recipients Although some improvements in state processes are evident. concerns remain about procedures used to enroll in Medicaid and renew eligibility, on precipice of changes ordered by H.R.1 open.substack.com/pub/siftinga...

Why is Missouri Medicaid losing children on its rolls? Since January 2025, enrollment of children on Medicaid in Missouri has dropped 28,845, about 5%, despite no change in eligibility criteria [Update, Feb 2026 data] siftingandwinnowing.substack.com/p/why-is-mis...

Rural Missourians far more likely to be uninsured than urban residents Rural Missourians rely more on Medicaid in part because of lack of employer coverage and other access barriers Article citing work by @cahsperiph.bsky.social thebeaconnews.org/stories/2026...

I wonder if the differential has something to do with how isolated rural communities of given states are. Kansas is more rural than Missouri but those rural communities have more tightly knit and connected networks vs, Missouri's version of "rural" which are islands unto themselves.

Rural Missourians far more likely to be uninsured than urban residents Rural Missourians rely more on Medicaid in part because of lack of employer coverage and other access barriers Article citing work by @cahsperiph.bsky.social thebeaconnews.org/stories/2026...

Don't miss this exciting discussion on the future of U.S. health care! The event will bring together leading voices who approach today’s most urgent health policy challenges from across the political and professional spectrum, including our co-director Timothy McBride. @mcbridetd.bsky.social

Missouri Medicaid update, II: Procedural concerns remain for Medicaid recipients Although some improvements in state processes are evident. concerns remain about procedures used to enroll in Medicaid and renew eligibility, on precipice of changes ordered by H.R.1 open.substack.com/pub/siftinga...

Missouri Medicaid February Update: Applications, enrollment steady but enrollment of children falling Applications (and pending applications) dropped in Feb, but the days to process applications increased; some trends affected by reverification process open.substack.com/pub/siftinga...

Missouri Medicaid February Update: Applications, enrollment steady but enrollment of children falling Applications (and pending applications) dropped in Feb, but the days to process applications increased; some trends affected by reverification process open.substack.com/pub/siftinga...

Study finds that Missouri has 4th highest differential in the U.S. between rural and urban uninsured rates Latest analysis from @cahsperiph.bsky.social siftingandwinnowing.substack.com/p/rural-miss...

Listening to a great lecture by Mitesh Patel, MD delivering the annual Samuel and Rhoda Nussbaum lecture at Washu School of Medicine, co-sponsored by @cahsperiph.bsky.social

Percentage with Medicaid dropped by 1.9 percentage points in rural Missouri from 2023 to 2024, with largest drop (down 4.8 points) in rates for children (under age 19), as unwinding of the public health emergency (PHE) finalized. New from: @cahsperiph.bsky.social cahsper.wustl.edu/files/2026/0...

Rural Missourians more likely to lack health insurance than urban residents - The Source - WashU New brief from @cahsperiph.bsky.social source.washu.edu/2026/03/rura...

Rural Missourians more likely to lack health insurance than urban residents - The Source - WashU New brief from @cahsperiph.bsky.social source.washu.edu/2026/03/rura...

New: People living in rural Missouri are more likely than those in urban areas to be covered by public programs incl. Medicaid (21.9% v 16%), less likely to have private insurance and more likely to be uninsured (9.9% v 6.9%) New from: @cahsperiph.bsky.social cahsper.wustl.edu/files/2026/0...

Missouri Medicaid pilot reimagines the role of a rural hospital for patients "The ToRCH program is the brainchild of Kirk Mathews, MOHealthNET's chief transformation officer and Abigail Barker, a health economist at WashU" and @cahsperiph.bsky.social thebeaconnews.org/stories/2026...

Why is Missouri Medicaid losing children on its rolls? Since January 2025, enrollment of children on Medicaid in Missouri has dropped 28,845, about 5%, despite no change in eligibility criteria [Update, Feb 2026 data] siftingandwinnowing.substack.com/p/why-is-mis...

CAHSPER is hosting its 3rd Data Bootcamp on Chronic Disease Research and Policy Keynote Elbert Huang from U of Chicago

Heart disease and stroke projected to rise significantly in women in the next 25 years New study by @cahsperiph.bsky.social Co-Director Karen Joynt Maddox www.nbcnews.com/health/heart...

Updated: MISSOURI Medicaid DASHBOARD with Jan 2026 data on enrollment, applications, managed care Final report showing impact after open enrollment; applications up but below 2024 levels. Enrollment steady at about 1.3 million; @cahsperiph.bsky.social analysis cahsper.wustl.edu/impact/medic...

Missouri Medicaid Update, Jan 2026: Enrollment steady but enrollment of children falling Number of children on Medicaid has dropped almost 24,000 in last year despite no changes in eligibility criteria Latest from @cahsperiph.bsky.social siftingandwinnowing.substack.com/p/missouri-m...

Employer health insurance costs in Missouri and Kansas near 10% of household income from MO Beacon [with comments by @cahsperiph.bsky.social Co-Director @mcbridetd.bsky.social thebeaconnews.org/stories/2026...

The FDA and Its Changing Relationship to Industry Join Health Affairs Feb 17 for an event exploring recent changes at FDA and what it means for industry&consumers. Join an expert panel moderated by our briliant colleague @rachelsachs.bsky.social from WashU www.healthaffairs.org/do/10.1377/h...

Why is Missouri’s Medicaid losing children on its rolls? open.substack.com/pub/siftinga...

Analyzing The Drugs Selected For The 2028 Medicare Drug Price Negotiation Cycle by @cahsperiph.bsky.social affiliated scholar @rachelsachs.bsky.social | Health Affairs www.healthaffairs.org/content/fore...

ACA Marketplace (Obamacare) signups drop 1.2 million (-4.9%) in 2026, as consumers face increase in premiums ACA marketplace enrollment down -12% in Missouri, over 51,000 in 2026 siftingandwinnowing.substack.com/p/aca-signup...

Missouri Medicaid Update: Applications down 11% in 2025 during open enrollment period; but approvals up 26% Latest report may reflect improved processing times and drop in pending applications siftingandwinnowing.substack.com/p/missouri-m...

The Economics of Healthcare: Myths, Policy, and Reform with Dr. Timothy McBride (co-Director of @cahsperiph.bsky.social) thecatalyst2.substack.com/p/the-econom...

Missouri Medicaid Financing Update: Medicaid expansion completely funded by federal funds to date Medicaid expansion completely funded by federal funds: matching funds and over $1 billion MO received and put into a reserve. But reserves will be exhausted in 2026 open.substack.com/pub/siftinga...

CMS reports that over 833,810 fewer people have signed up for ACA marketplace (“Obamacare”) plans. In 11 states (including Missouri) signups for plans dropped by more than 10%. In MO, signups dropped 11.3% (-46,054), from 407,782 in 2025 to 361,728 in 2026. See open.substack.com/pub/siftinga...

Missouri Medicaid Financing Update Medicaid expansion completely funded by federal funds to date; Missouri received over $1 billion from federal government and put this into reserve, using this to fund expansion. But likely these funds will be exhausted in 2026 open.substack.com/pub/siftinga...

Federal government awards $50 billion to states for rural healthcare. How much does Florida get? The Centers for Medicare and Medicaid Services awarded money through it's Rural Health Transformation Program. [with comments from @cahsperiph.bsky.social Co-Director] www.fox4now.com/arcadia/fede...

Missouri Medicaid 2025 Update: Annual Summary Medicaid enrollment stable (up 0.2%), but stability hides significant underlying changes in categories of recipients Open enrollment in progress, applications up 29% in Nov but pending applications down siftingandwinnowing.substack.com/p/missouri-m...

Updated: MISSOURI Medicaid DASHBOARD with NOV 2025 data on enrollment, applications, managed care First report after open enrollment started; applications up but below 2024 levels. Enrollment steady at about 1.3 million; @cahsperiph.bsky.social analysis cahsper.wustl.edu/impact/medic...

"Missouri has released their first report on Medicaid applications" since open enrollment for the ACA. "applications to Medicaid rose 29% in Nov 2025; however, that level of applications is 13% below the number of applications received in November 2024...too early to tell what this drop indicates"

"Medicaid enrollment dropped slightly in Nov 2025 but has been roughly steady for months" but this does not "capture important changes in categories...enrollment dropped for custodial adults, people with disabilities & children, while enrollment grew for AEG, pregnant women, and the elderly."

Missouri Medicaid November 2025 Update: First Report on Open Enrollment Enrollment is steady, but the number of applications to Medicaid rose 29% from Oct to Nov 2025; however that level of applications is 13% below number of applications received in Nov 2024 open.substack.com/pub/timothym...

Missouri Medicaid November 2025 Update: First Report on Open Enrollment Enrollment is steady, but the number of applications to Medicaid rose 29% from Oct to Nov 2025; however that level of applications is 13% below number of applications received in Nov 2024 open.substack.com/pub/timothym...

First ACA Marketplace Snapshot Report for 2026: Mixed and confusing results? New consumers down -3.9%; existing selections up 9.9%. In Missouri, existing selections down 6.6% timothymcbride.substack.com/p/first-mark...