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Center for Advancing Health Services Policy & Economics Research

@cahsperiph.bsky.social
243 followers 291 following 200 posts

Center for Advancing Health Services Policy & Economics Research, Washington University in St. Louis.

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Center for Advancing Health Services Policy & Economics Research @cahsperiph.bsky.social · 25/09/2026
California Supreme Court orders seized ballots returned in Riverside County case www.politico.com/news/2026/09...
politico.com
California Supreme Court orders seized ballots returned in Riverside County case
The rulings were a win for Democrats and a sweeping rebuke to Republican Sheriff Chad Bianco.
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Center for Advancing Health Services Policy & Economics Research @cahsperiph.bsky.social · 25/09/2026
Democrat El-Sayed leads poll in Michigan Senate race www.nbcnews.com/video/democr...
nbcnews.com
Democrat El-Sayed leads poll in Michigan Senate race
Democratic Senate candidate El-Sayed has moved up in the polls for the Michigan race. In Maine, Sen. Susan Collins is leading in the race against Troy Jackson. NBC News' Steve Kornacki has the latest ...
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Center for Advancing Health Services Policy & Economics Research @cahsperiph.bsky.social · 25/09/2026
Hundreds of Thousands thrown off ACA Marketplaces for procedural reasons. Raises concerns there is a misunderstanding about how insurance works timothymcbride.substack.com/p/hundreds-o...
timothymcbride.substack.com
Hundreds of Thousands thrown off ACA Marketplaces for procedural reasons. Raises concerns there is a misunderstanding about how insurance works
The administration removed over 750,000 ACA marketplace enrollees overnight, alleging they are “phantom” enrollees enrolled “fraudulently”. But the procedures raise concerns
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Center for Advancing Health Services Policy & Economics Research @cahsperiph.bsky.social · 09/09/2026
Missouri Hospitals Payor Mix Dashboards Updated through end of 2025 View and compare the payor mix Missouri hospitals experienced for emergency department and inpatient services from 2016 to 2025 Analysis by @cahsperiph.bsky.social cahsper.wustl.edu/impact/medic...
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Center for Advancing Health Services Policy & Economics Research @cahsperiph.bsky.social · 09/09/2026
Updated: MISSOURI Medicaid DASHBOARD, with July 2026 data on enrollment, applications, managed care Enrollment steady at about 1.25 million; applications return to pre-open enrollment levels @cahsperiph.bsky.social analysis
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Center for Advancing Health Services Policy & Economics Research @cahsperiph.bsky.social · 02/09/2026
Missouri Medicaid July Enrollment Report: Enrollment Steady, continued issues with procedural issues a concern Latest report from @cahsperiph.bsky.social timothymcbride.substack.com/p/missouri-m...
timothymcbride.substack.com
Missouri Medicaid July Enrollment Report: Enrollment Steady, continued issues with procedural issues a concern
Concerns remain about procedural issues as states prepare to implement H.R.1, reflected in drops in enrollment of children and processing of annual renewals
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Center for Advancing Health Services Policy & Economics Research @cahsperiph.bsky.social · 27/08/2026
New MO HealthNet enrollment dashboard highlights coverage losses for children across Missouri Between Jan 2024 & July 2026 child enrollment declined by 118,525 (18.2%). That includes part of unwinding period, but enrollment continued to decline steadily thereafter cahsper.wustl.edu/new-medicaid...
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Center for Advancing Health Services Policy & Economics Research @cahsperiph.bsky.social · 25/08/2026
NEW MOHealthNET tracker for enrollment of children on Missouri's MOHealthNet (Medicaid and CHIP) from @cahsperiph.bsky.social cahsper.wustl.edu/impact/medic...
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Center for Advancing Health Services Policy & Economics Research @cahsperiph.bsky.social · 29/07/2026
One Big Beautiful Bill Not (Yet) Driving ACA, Medicaid Declines [with comments from @cahsperiph.bsky.social Co-Director] www.factcheck.org/2026/07/one-...
factcheck.org
One Big Beautiful Bill Not (Yet) Driving ACA, Medicaid Declines - FactCheck.org
Multiple Democratic lawmakers have claimed that 8 million Americans have lost healthcare coverage as a result of the Trump-backed budget reconciliation bill that passed a year ago, known as the One Bi...
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Center for Advancing Health Services Policy & Economics Research @cahsperiph.bsky.social · 27/07/2026
Updated: MISSOURI Medicaid DASHBOARD, with June 2026 data on enrollment, applications, managed care Enrollment steady at about 1.3 million; applications return to pre-open enrollment levels @cahsperiph.bsky.social analysis cahsper.wustl.edu/impact/medic...
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Center for Advancing Health Services Policy & Economics Research @cahsperiph.bsky.social · 20/07/2026
Missouri Medicaid June Enrollment Report: Enrollment Steady, continued drop in children on Medicaid a concern Concerns remain about procedural issues as states prepare to implement H.R.1 [latest update from CAHSPER] open.substack.com/pub/timothym...
open.substack.com
Missouri Medicaid June Enrollment Report: Enrollment Steady, continued drop in children on Medicaid a concern
Enrollment of children is dropping despite no change in policy; may be tied to procedural problems. Concerns remain about procedural issues as states prepare to implement H.R.1
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Center for Advancing Health Services Policy & Economics Research @cahsperiph.bsky.social · 13/07/2026
It was supposed to be Trump’s big legislative achievement. It could be a weapon for Democrats to win in the midterms | CNN Politics [with quote from @cahsperiph.bsky.social Co-Director] www.cnn.com/2026/07/12/p...
cnn.com
It was supposed to be Trump’s big legislative achievement. It could be a weapon for Democrats to win in the midterms | CNN Politics
One year after passing the One Big Beautiful Bill Act, it no longer seems like the easy win for Republicans to run on in November.
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Center for Advancing Health Services Policy & Economics Research @cahsperiph.bsky.social · 07/07/2026
ACA (Obamacare) marketplace effectuated enrollment shows steep drop in U.S. and in Missouri New federal data shows large 12% drop across U.S. and 25% drop in MO; lowest levels in MO since August 2023 timothymcbride.substack.com/p/aca-obamac...
timothymcbride.substack.com
ACA (Obamacare) marketplace effectuated enrollment shows steep drop in U.S. and in Missouri
New federal data on effectuated (paid) enrollment in ACA (Obamacare) marketplace plans shows large 12% drop across U.S. and 25% drop in MO; lowest levels in MO since August 2023
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Center for Advancing Health Services Policy & Economics Research @cahsperiph.bsky.social · 07/07/2026
MO Medicaid Update: Annual renewals of Medicaid enrollment from Jan 2025-Mar 2026 led to 23% disenrolled 91% of those who were disenrolled in Missouri lost that coverage for procedural reasons, much higher in Missouri (91%) compared to U.S. (67%). See: timothymcbride.substack.com/p/missouri-m...
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Center for Advancing Health Services Policy & Economics Research @cahsperiph.bsky.social · 05/07/2026
Missouri Medicaid May Enrollment Report [updated]: Enrollment Steady, continued drop in children on Medicaid a concern Applications and processing of applications returns to steady state [revised/updated, with recent new data from State of MO and CMS] open.substack.com/pub/timothym...
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Center for Advancing Health Services Policy & Economics Research @cahsperiph.bsky.social · 16/06/2026
Swansea woman's cancer diagnosis leads to bankruptcy after high increases in ACA marketplace premiums because of the expiration of premium tax credits [with comments by @cahsperiph.bsky.social Co-Director Tim McBride] www.stltoday.com/news/local/m...
stltoday.com
A Swansea woman's health insurance saga: Breast cancer leads to bankruptcy
Angie Salvador was diagnosed with breast cancer a year ago. Her odyssey through the healthcare system led to bankruptcy.
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Center for Advancing Health Services Policy & Economics Research @cahsperiph.bsky.social · 29/05/2026
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...
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Center for Advancing Health Services Policy & Economics Research @cahsperiph.bsky.social · 21/05/2026
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...
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Center for Advancing Health Services Policy & Economics Research @cahsperiph.bsky.social · 21/05/2026
From @cahsperiph.bsky.social: Missouri’s health insurance landscape is shifting rapidly Recent papers and data cahsper.wustl.edu/missouris-he...
cahsper.wustl.edu
Missouri’s health insurance landscape is shifting rapidly
Our center recently released several products that analyze how policy changes, market and economic forces, demographic changes, and other social factors are affecting Missouri’s health insura…
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Center for Advancing Health Services Policy & Economics Research @cahsperiph.bsky.social · 21/05/2026
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...
cahsper.wustl.edu
New data visualization maps Missouri’s rural health providers within ToRCH Care Hubs
On May 15th, the Missouri Department of Social Services (DSS) released a map showing how rural Missouri will be divided into local community hubs, for the purposes of their Rural Health Transformat…
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Center for Advancing Health Services Policy & Economics Research @cahsperiph.bsky.social · 15/05/2026
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...
cahsper.wustl.edu
Missouri’s health insurance landscape is shifting rapidly
Our center recently released several products that analyze how policy changes, market and economic forces, demographic changes, and other social factors are affecting Missouri’s health insura…
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Center for Advancing Health Services Policy & Economics Research @cahsperiph.bsky.social · 29/04/2026
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...
missouriindependent.com
Missouri Senate pares back plan to add Medicaid work requirements to constitution • Missouri Independent
The new version would ask voters to authorize the state to impose work requirements but wouldn’t require them if federal law changes.
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Reposted by Center for Advancing Health Services Policy & Economics Research
Timothy McBride @mcbridetd.bsky.social · 07/04/2026
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...
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Center for Advancing Health Services Policy & Economics Research @cahsperiph.bsky.social · 07/04/2026
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...
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Center for Advancing Health Services Policy & Economics Research @cahsperiph.bsky.social · 03/04/2026
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...
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Center for Advancing Health Services Policy & Economics Research @cahsperiph.bsky.social · 01/04/2026
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...
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Center for Advancing Health Services Policy & Economics Research @cahsperiph.bsky.social · 31/03/2026
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...
open.substack.com
ACA Marketplace (Obamacare) Signups Update: Plan Choices show significant shift to bronze plans, rise in premiums
Latest interim report shows effects of higher ACA marketplace (Obamacare) premiums; drop in enrollment, customers shifted to bronze plans from silver plans, and premiums rose
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Reposted by Center for Advancing Health Services Policy & Economics Research
Center for Advancing Health Services Policy & Economics Research @cahsperiph.bsky.social · 22/03/2026
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...
open.substack.com
Medicaid update, Part 2: 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 the precipice of changes ordered by the One Big Bill
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Reposted by Center for Advancing Health Services Policy & Economics Research
Center for Advancing Health Services Policy & Economics Research @cahsperiph.bsky.social · 08/03/2026
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...
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Reposted by Center for Advancing Health Services Policy & Economics Research
Center for Advancing Health Services Policy & Economics Research @cahsperiph.bsky.social · 27/03/2026
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...
thebeaconnews.org
Rural Missourians far more likely to be uninsured than urban residents
Rural Missourians rely more on Medicaid but are still more likely to be uninsured than urban Missourians, as lack of employer coverage and access barriers take hold across the state.
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Reposted by Center for Advancing Health Services Policy & Economics Research
Leah @leah.myatproto.social · 29/03/2026
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.
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Center for Advancing Health Services Policy & Economics Research @cahsperiph.bsky.social · 27/03/2026
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...
thebeaconnews.org
Rural Missourians far more likely to be uninsured than urban residents
Rural Missourians rely more on Medicaid but are still more likely to be uninsured than urban Missourians, as lack of employer coverage and access barriers take hold across the state.
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Center for Advancing Health Services Policy & Economics Research @cahsperiph.bsky.social · 26/03/2026
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
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Center for Advancing Health Services Policy & Economics Research @cahsperiph.bsky.social · 22/03/2026
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...
open.substack.com
Medicaid update, Part 2: 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 the precipice of changes ordered by the One Big Bill
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Reposted by Center for Advancing Health Services Policy & Economics Research
Center for Advancing Health Services Policy & Economics Research @cahsperiph.bsky.social · 21/03/2026
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...
open.substack.com
Missouri Medicaid February Update: Applications, enrollment steady but enrollment of children falling
In February, applications dropped, as is typical after open enrollment period ends. In 2025, Medicaid enrollment remained steady, but enrollment of children despite no changes in eligibilty criteria
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Center for Advancing Health Services Policy & Economics Research @cahsperiph.bsky.social · 21/03/2026
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...
open.substack.com
Missouri Medicaid February Update: Applications, enrollment steady but enrollment of children falling
In February, applications dropped, as is typical after open enrollment period ends. In 2025, Medicaid enrollment remained steady, but enrollment of children despite no changes in eligibilty criteria
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Center for Advancing Health Services Policy & Economics Research @cahsperiph.bsky.social · 20/03/2026
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...
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Center for Advancing Health Services Policy & Economics Research @cahsperiph.bsky.social · 19/03/2026
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
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Center for Advancing Health Services Policy & Economics Research @cahsperiph.bsky.social · 19/03/2026
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...
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Reposted by Center for Advancing Health Services Policy & Economics Research
Center for Advancing Health Services Policy & Economics Research @cahsperiph.bsky.social · 16/03/2026
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...
source.washu.edu
Rural Missourians more likely to lack health insurance than urban residents
A WashU analysis highlights how geography, employment and Medicaid changes shape health insurance access across Missouri communities.
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Center for Advancing Health Services Policy & Economics Research @cahsperiph.bsky.social · 16/03/2026
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...
source.washu.edu
Rural Missourians more likely to lack health insurance than urban residents
A WashU analysis highlights how geography, employment and Medicaid changes shape health insurance access across Missouri communities.
133
Center for Advancing Health Services Policy & Economics Research @cahsperiph.bsky.social · 13/03/2026
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...
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Center for Advancing Health Services Policy & Economics Research @cahsperiph.bsky.social · 10/03/2026
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...
thebeaconnews.org
A Missouri pilot program reimagines rural hospitals as the central hub for more than health care
The Missouri pilot program taps a federal waiver to allow rural hospitals to use funding for things like home repairs, utility costs or food assistance in hopes of improving rural Missourians’ health ...
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Center for Advancing Health Services Policy & Economics Research @cahsperiph.bsky.social · 08/03/2026
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...
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Center for Advancing Health Services Policy & Economics Research @cahsperiph.bsky.social · 27/02/2026
CAHSPER is hosting its 3rd Data Bootcamp on Chronic Disease Research and Policy Keynote Elbert Huang from U of Chicago
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Center for Advancing Health Services Policy & Economics Research @cahsperiph.bsky.social · 26/02/2026
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...
nbcnews.com
Why heart disease and stroke are projected to rise significantly in women, even younger ones
Obesity, diabetes and high blood pressure are fueling increases in cardiovascular disease, even among much younger women, the American Heart Association said.
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Center for Advancing Health Services Policy & Economics Research @cahsperiph.bsky.social · 21/02/2026
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...
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Center for Advancing Health Services Policy & Economics Research @cahsperiph.bsky.social · 19/02/2026
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...
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Center for Advancing Health Services Policy & Economics Research @cahsperiph.bsky.social · 17/02/2026
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...
thebeaconnews.org
Missouri and Kansas families pay nearly 10% of their income on employer-provided health insurance
A new report found that nearly 10% of median household income in Missouri and Kansas goes toward deductibles and premiums. At that level, economists say those households are underinsured.
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Center for Advancing Health Services Policy & Economics Research @cahsperiph.bsky.social · 15/02/2026
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...
healthaffairs.org
Health Affairs Journal
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