Center for Advancing Health Services Policy & Economics Research
@cahsperiph.bsky.social
Center for Advancing Health Services Policy & Economics Research, Washington University in St. Louis.
Changes in Medicaid and Marketplace Enrollment in Missouri by County, and Rural/Urban Status, 2023-2025
In 2023-2025 Medicaid enrollment fell while Marketplace enrollment grew. New @cahsperiph.bsky.social analysis examines these shifts with implications for 2026
cahsper.wustl.edu/files/2025/1...
In 2023-2025 Medicaid enrollment fell while Marketplace enrollment grew. New @cahsperiph.bsky.social analysis examines these shifts with implications for 2026
cahsper.wustl.edu/files/2025/1...
October 30, 2025 at 9:21 PM
Changes in Medicaid and Marketplace Enrollment in Missouri by County, and Rural/Urban Status, 2023-2025
In 2023-2025 Medicaid enrollment fell while Marketplace enrollment grew. New @cahsperiph.bsky.social analysis examines these shifts with implications for 2026
cahsper.wustl.edu/files/2025/1...
In 2023-2025 Medicaid enrollment fell while Marketplace enrollment grew. New @cahsperiph.bsky.social analysis examines these shifts with implications for 2026
cahsper.wustl.edu/files/2025/1...
September 2025 Update: Missouri Medicaid
For second month in a row Missouri hits peak enrollment in Medicaid expansion category (at 357,654)
@cahsperiph.bsky.social analysis:
timothymcbride.substack.com/p/september-...
For second month in a row Missouri hits peak enrollment in Medicaid expansion category (at 357,654)
@cahsperiph.bsky.social analysis:
timothymcbride.substack.com/p/september-...
October 22, 2025 at 6:26 PM
September 2025 Update: Missouri Medicaid
For second month in a row Missouri hits peak enrollment in Medicaid expansion category (at 357,654)
@cahsperiph.bsky.social analysis:
timothymcbride.substack.com/p/september-...
For second month in a row Missouri hits peak enrollment in Medicaid expansion category (at 357,654)
@cahsperiph.bsky.social analysis:
timothymcbride.substack.com/p/september-...
September 2025 Update:
Missouri Medicaid enrollment steady; pending applications drop
Enrollment in Missouri Medicaid expansion hits peak, pending applications down 27%
Analysis by @cahsperiph.bsky.social
open.substack.com/pub/timothym...
Missouri Medicaid enrollment steady; pending applications drop
Enrollment in Missouri Medicaid expansion hits peak, pending applications down 27%
Analysis by @cahsperiph.bsky.social
open.substack.com/pub/timothym...
October 21, 2025 at 9:12 PM
September 2025 Update:
Missouri Medicaid enrollment steady; pending applications drop
Enrollment in Missouri Medicaid expansion hits peak, pending applications down 27%
Analysis by @cahsperiph.bsky.social
open.substack.com/pub/timothym...
Missouri Medicaid enrollment steady; pending applications drop
Enrollment in Missouri Medicaid expansion hits peak, pending applications down 27%
Analysis by @cahsperiph.bsky.social
open.substack.com/pub/timothym...
CAHSPER Co-Director Karen Joynt Maddox speaking at a great conference on the Business of Health co-sponsored by @theatlantic.com and WashU Olin School.
October 15, 2025 at 3:27 PM
CAHSPER Co-Director Karen Joynt Maddox speaking at a great conference on the Business of Health co-sponsored by @theatlantic.com and WashU Olin School.
At another fabulous event put on by the School of Public Health at WashU, the FARM Food Futures Forum with provocative speakers thinking about transforming food systems to support human and planetary health schoolofpublichealth.washu.edu/farm-food-fu...
October 9, 2025 at 5:13 PM
At another fabulous event put on by the School of Public Health at WashU, the FARM Food Futures Forum with provocative speakers thinking about transforming food systems to support human and planetary health schoolofpublichealth.washu.edu/farm-food-fu...
New search for faculty (all levels, ranks) in the School of Public Health at WashU
Outstanding faculty sought with diverse perspectives, particularly focus on our Innovation Research Networks, rural health; food policy; diabetes.
Also Assoc Deans for Research & Practice
apply.interfolio.com/173629
Outstanding faculty sought with diverse perspectives, particularly focus on our Innovation Research Networks, rural health; food policy; diabetes.
Also Assoc Deans for Research & Practice
apply.interfolio.com/173629
September 28, 2025 at 11:24 PM
New search for faculty (all levels, ranks) in the School of Public Health at WashU
Outstanding faculty sought with diverse perspectives, particularly focus on our Innovation Research Networks, rural health; food policy; diabetes.
Also Assoc Deans for Research & Practice
apply.interfolio.com/173629
Outstanding faculty sought with diverse perspectives, particularly focus on our Innovation Research Networks, rural health; food policy; diabetes.
Also Assoc Deans for Research & Practice
apply.interfolio.com/173629
Policy, Biodiversity, and the Future of Food:
panel led by WashU School of Public Health Dean Sandro Galea
panel led by WashU School of Public Health Dean Sandro Galea
September 23, 2025 at 9:49 PM
Policy, Biodiversity, and the Future of Food:
panel led by WashU School of Public Health Dean Sandro Galea
panel led by WashU School of Public Health Dean Sandro Galea
NEW:
Dashboards show payor mix in Missouri hospitals, 2016-2024 with breakdowns by payors (e.g., private, Medicaid, Medicare)
Center for Advancing Health Services, Policy & Economics Research | Washington University in St. Louis cahsper.wustl.edu/new-dashboar...
Dashboards show payor mix in Missouri hospitals, 2016-2024 with breakdowns by payors (e.g., private, Medicaid, Medicare)
Center for Advancing Health Services, Policy & Economics Research | Washington University in St. Louis cahsper.wustl.edu/new-dashboar...
September 12, 2025 at 6:10 PM
NEW:
Dashboards show payor mix in Missouri hospitals, 2016-2024 with breakdowns by payors (e.g., private, Medicaid, Medicare)
Center for Advancing Health Services, Policy & Economics Research | Washington University in St. Louis cahsper.wustl.edu/new-dashboar...
Dashboards show payor mix in Missouri hospitals, 2016-2024 with breakdowns by payors (e.g., private, Medicaid, Medicare)
Center for Advancing Health Services, Policy & Economics Research | Washington University in St. Louis cahsper.wustl.edu/new-dashboar...
New from RUPRI Health Panel
Rural EMS Regionalization - Opportunities and Policy Considerations
Policy report highlights how regionalized systems can improve care through coordination to share resources, standardized protocols, and dispatch functions.
apps.its.uiowa.edu/dispatch/mes...
Rural EMS Regionalization - Opportunities and Policy Considerations
Policy report highlights how regionalized systems can improve care through coordination to share resources, standardized protocols, and dispatch functions.
apps.its.uiowa.edu/dispatch/mes...
August 26, 2025 at 3:03 PM
New from RUPRI Health Panel
Rural EMS Regionalization - Opportunities and Policy Considerations
Policy report highlights how regionalized systems can improve care through coordination to share resources, standardized protocols, and dispatch functions.
apps.its.uiowa.edu/dispatch/mes...
Rural EMS Regionalization - Opportunities and Policy Considerations
Policy report highlights how regionalized systems can improve care through coordination to share resources, standardized protocols, and dispatch functions.
apps.its.uiowa.edu/dispatch/mes...
Updated:
MISSOURI Medicaid DASHBOARD
with JULY 2025 data on enrollment, applications, managed care & geographic distribution
Enrollment rises slightly to 1.3 million; @cahsperiph.bsky.social analysis
cahsper.wustl.edu/impact/medic...
MISSOURI Medicaid DASHBOARD
with JULY 2025 data on enrollment, applications, managed care & geographic distribution
Enrollment rises slightly to 1.3 million; @cahsperiph.bsky.social analysis
cahsper.wustl.edu/impact/medic...
August 25, 2025 at 10:59 AM
Updated:
MISSOURI Medicaid DASHBOARD
with JULY 2025 data on enrollment, applications, managed care & geographic distribution
Enrollment rises slightly to 1.3 million; @cahsperiph.bsky.social analysis
cahsper.wustl.edu/impact/medic...
MISSOURI Medicaid DASHBOARD
with JULY 2025 data on enrollment, applications, managed care & geographic distribution
Enrollment rises slightly to 1.3 million; @cahsperiph.bsky.social analysis
cahsper.wustl.edu/impact/medic...
July 2025 Update:
Missouri Medicaid enrollment up slightly; applications also rising
open.substack.com/pub/timothym...
Analysis by @cahsperiph.bsky.social
Missouri Medicaid enrollment up slightly; applications also rising
open.substack.com/pub/timothym...
Analysis by @cahsperiph.bsky.social
August 22, 2025 at 5:06 PM
July 2025 Update:
Missouri Medicaid enrollment up slightly; applications also rising
open.substack.com/pub/timothym...
Analysis by @cahsperiph.bsky.social
Missouri Medicaid enrollment up slightly; applications also rising
open.substack.com/pub/timothym...
Analysis by @cahsperiph.bsky.social
3/ July 2025 Update on Missouri Medicaid enrollment
net steady enrollment since unwinding ended hides big shifts in categories:
up: AEG (+6%), pregnant women (+27%), elderly (+2.4%)
down: children (-8%), parents (-21%), disabled (-12.6%)
Source: Analysis of DSS data by @cahsperiph.bsky.social
net steady enrollment since unwinding ended hides big shifts in categories:
up: AEG (+6%), pregnant women (+27%), elderly (+2.4%)
down: children (-8%), parents (-21%), disabled (-12.6%)
Source: Analysis of DSS data by @cahsperiph.bsky.social
August 17, 2025 at 4:43 PM
3/ July 2025 Update on Missouri Medicaid enrollment
net steady enrollment since unwinding ended hides big shifts in categories:
up: AEG (+6%), pregnant women (+27%), elderly (+2.4%)
down: children (-8%), parents (-21%), disabled (-12.6%)
Source: Analysis of DSS data by @cahsperiph.bsky.social
net steady enrollment since unwinding ended hides big shifts in categories:
up: AEG (+6%), pregnant women (+27%), elderly (+2.4%)
down: children (-8%), parents (-21%), disabled (-12.6%)
Source: Analysis of DSS data by @cahsperiph.bsky.social
2/ July 2025 Update on Missouri Medicaid enrollment
in Adult Expansion Group
352,610 close to peak of 354,187 in June 2023.
Source: DSS data, analysis by @cahsperiph.bsky.social
in Adult Expansion Group
352,610 close to peak of 354,187 in June 2023.
Source: DSS data, analysis by @cahsperiph.bsky.social
August 17, 2025 at 4:39 PM
2/ July 2025 Update on Missouri Medicaid enrollment
in Adult Expansion Group
352,610 close to peak of 354,187 in June 2023.
Source: DSS data, analysis by @cahsperiph.bsky.social
in Adult Expansion Group
352,610 close to peak of 354,187 in June 2023.
Source: DSS data, analysis by @cahsperiph.bsky.social
July 2025 Update
Missouri Medicaid enrollment up slightly in July, but steady since end of unwinding at about 1.3 million
Analysis of DSS data by @cahsperiph.bsky.social
Missouri Medicaid enrollment up slightly in July, but steady since end of unwinding at about 1.3 million
Analysis of DSS data by @cahsperiph.bsky.social
August 17, 2025 at 4:38 PM
July 2025 Update
Missouri Medicaid enrollment up slightly in July, but steady since end of unwinding at about 1.3 million
Analysis of DSS data by @cahsperiph.bsky.social
Missouri Medicaid enrollment up slightly in July, but steady since end of unwinding at about 1.3 million
Analysis of DSS data by @cahsperiph.bsky.social
Why 1.8 Million Texans Lost Medicaid And What That Means for Health and Hope
with quote from @cahsperiph.bsky.social Co-Director
www.msn.com/en-us/money/...
with quote from @cahsperiph.bsky.social Co-Director
www.msn.com/en-us/money/...
August 6, 2025 at 9:36 PM
Why 1.8 Million Texans Lost Medicaid And What That Means for Health and Hope
with quote from @cahsperiph.bsky.social Co-Director
www.msn.com/en-us/money/...
with quote from @cahsperiph.bsky.social Co-Director
www.msn.com/en-us/money/...
Lessons for rolling out the One Big Bill:
Can states manage Medicaid changes?
open.substack.com/pub/timothym...
Analysis from @cahsperiph.bsky.social
Can states manage Medicaid changes?
open.substack.com/pub/timothym...
Analysis from @cahsperiph.bsky.social
August 6, 2025 at 5:44 PM
Lessons for rolling out the One Big Bill:
Can states manage Medicaid changes?
open.substack.com/pub/timothym...
Analysis from @cahsperiph.bsky.social
Can states manage Medicaid changes?
open.substack.com/pub/timothym...
Analysis from @cahsperiph.bsky.social
Examining the impact of high hospital fixed-cost ratios on rural populations
High fixed-to-total-cost ratios in rural hospitals lead to persistent challenges for these hospitals in maintaining financial viability
Analysis by RUPRI Center & @cahsperiph.bsky.social
cahsper.wustl.edu/abigail-bark...
High fixed-to-total-cost ratios in rural hospitals lead to persistent challenges for these hospitals in maintaining financial viability
Analysis by RUPRI Center & @cahsperiph.bsky.social
cahsper.wustl.edu/abigail-bark...
July 11, 2025 at 6:07 PM
Examining the impact of high hospital fixed-cost ratios on rural populations
High fixed-to-total-cost ratios in rural hospitals lead to persistent challenges for these hospitals in maintaining financial viability
Analysis by RUPRI Center & @cahsperiph.bsky.social
cahsper.wustl.edu/abigail-bark...
High fixed-to-total-cost ratios in rural hospitals lead to persistent challenges for these hospitals in maintaining financial viability
Analysis by RUPRI Center & @cahsperiph.bsky.social
cahsper.wustl.edu/abigail-bark...
Effects of Medicaid Expansion and Unwinding on Hospital Encounters in Missouri, 2018-24
New brief explores changes in hospital encounters, before and after Medicaid expansion
Changes impact out of pocket burden for patients and uncompensated care for hospitals
cahsper.wustl.edu/files/2025/0...
New brief explores changes in hospital encounters, before and after Medicaid expansion
Changes impact out of pocket burden for patients and uncompensated care for hospitals
cahsper.wustl.edu/files/2025/0...
July 8, 2025 at 10:04 PM
Effects of Medicaid Expansion and Unwinding on Hospital Encounters in Missouri, 2018-24
New brief explores changes in hospital encounters, before and after Medicaid expansion
Changes impact out of pocket burden for patients and uncompensated care for hospitals
cahsper.wustl.edu/files/2025/0...
New brief explores changes in hospital encounters, before and after Medicaid expansion
Changes impact out of pocket burden for patients and uncompensated care for hospitals
cahsper.wustl.edu/files/2025/0...
Updated:
MISSOURI Medicaid DASHBOARD
with MAY 2025 data on enrollment, applications, managed care & geographic distribution
Enrollment steady since unwinding at about 1.25-1.27 million;
@cahsperiph.bsky.social analysis
publichealth.wustl.edu/items/missou...
MISSOURI Medicaid DASHBOARD
with MAY 2025 data on enrollment, applications, managed care & geographic distribution
Enrollment steady since unwinding at about 1.25-1.27 million;
@cahsperiph.bsky.social analysis
publichealth.wustl.edu/items/missou...
July 2, 2025 at 2:30 PM
Updated:
MISSOURI Medicaid DASHBOARD
with MAY 2025 data on enrollment, applications, managed care & geographic distribution
Enrollment steady since unwinding at about 1.25-1.27 million;
@cahsperiph.bsky.social analysis
publichealth.wustl.edu/items/missou...
MISSOURI Medicaid DASHBOARD
with MAY 2025 data on enrollment, applications, managed care & geographic distribution
Enrollment steady since unwinding at about 1.25-1.27 million;
@cahsperiph.bsky.social analysis
publichealth.wustl.edu/items/missou...
Report of Special Convening
Rural Health Summit
A national framework adapted to diverse rural settings that aligns financial incentives and a minimum floor of essential services, plus vital community services
Sponsors: RUPRI, NRHA, West Foundation
rupri.org/wp-content/u...
Rural Health Summit
A national framework adapted to diverse rural settings that aligns financial incentives and a minimum floor of essential services, plus vital community services
Sponsors: RUPRI, NRHA, West Foundation
rupri.org/wp-content/u...
June 18, 2025 at 11:03 AM
Report of Special Convening
Rural Health Summit
A national framework adapted to diverse rural settings that aligns financial incentives and a minimum floor of essential services, plus vital community services
Sponsors: RUPRI, NRHA, West Foundation
rupri.org/wp-content/u...
Rural Health Summit
A national framework adapted to diverse rural settings that aligns financial incentives and a minimum floor of essential services, plus vital community services
Sponsors: RUPRI, NRHA, West Foundation
rupri.org/wp-content/u...
Updated:
MISSOURI Medicaid DASHBOARD
with APRIL 2025 data on enrollment, applications, managed care & geographic distribution
Enrollment steady since unwinding at about 1.25 million; applications increase after open enrollment
@cahsperiph.bsky.social analysis
publichealth.wustl.edu/items/missou...
MISSOURI Medicaid DASHBOARD
with APRIL 2025 data on enrollment, applications, managed care & geographic distribution
Enrollment steady since unwinding at about 1.25 million; applications increase after open enrollment
@cahsperiph.bsky.social analysis
publichealth.wustl.edu/items/missou...
June 1, 2025 at 4:00 PM
Updated:
MISSOURI Medicaid DASHBOARD
with APRIL 2025 data on enrollment, applications, managed care & geographic distribution
Enrollment steady since unwinding at about 1.25 million; applications increase after open enrollment
@cahsperiph.bsky.social analysis
publichealth.wustl.edu/items/missou...
MISSOURI Medicaid DASHBOARD
with APRIL 2025 data on enrollment, applications, managed care & geographic distribution
Enrollment steady since unwinding at about 1.25 million; applications increase after open enrollment
@cahsperiph.bsky.social analysis
publichealth.wustl.edu/items/missou...
April 2025 Update:
Missouri Medicaid enrollment stable; pending applications drop
Analysis by @cahsperiph.bsky.social and WashU School of Public Health found here
open.substack.com/pub/timothym...
Missouri Medicaid enrollment stable; pending applications drop
Analysis by @cahsperiph.bsky.social and WashU School of Public Health found here
open.substack.com/pub/timothym...
May 28, 2025 at 11:41 AM
April 2025 Update:
Missouri Medicaid enrollment stable; pending applications drop
Analysis by @cahsperiph.bsky.social and WashU School of Public Health found here
open.substack.com/pub/timothym...
Missouri Medicaid enrollment stable; pending applications drop
Analysis by @cahsperiph.bsky.social and WashU School of Public Health found here
open.substack.com/pub/timothym...
Health Insurance Coverage in Rural and Urban Missouri
People living in rural MO are more likely to be covered by public programs (including Medicaid); less likely to be covered by private insurance
New brief from @cahsperiph.bsky.social Medicaid Policy Analysis Lab
sites.wustl.edu/cahsper/impa...
People living in rural MO are more likely to be covered by public programs (including Medicaid); less likely to be covered by private insurance
New brief from @cahsperiph.bsky.social Medicaid Policy Analysis Lab
sites.wustl.edu/cahsper/impa...
May 9, 2025 at 5:06 PM
Health Insurance Coverage in Rural and Urban Missouri
People living in rural MO are more likely to be covered by public programs (including Medicaid); less likely to be covered by private insurance
New brief from @cahsperiph.bsky.social Medicaid Policy Analysis Lab
sites.wustl.edu/cahsper/impa...
People living in rural MO are more likely to be covered by public programs (including Medicaid); less likely to be covered by private insurance
New brief from @cahsperiph.bsky.social Medicaid Policy Analysis Lab
sites.wustl.edu/cahsper/impa...
Health Insurance Coverage in Rural and Urban Missouri
New brief from @cahsperiph.bsky.social explores comparisons of insurance coverage for persons living in rural and urban areas in Missouri, with comparisons to national averages during the 2021 to 2023 period.
sites.wustl.edu/cahsper/file...
New brief from @cahsperiph.bsky.social explores comparisons of insurance coverage for persons living in rural and urban areas in Missouri, with comparisons to national averages during the 2021 to 2023 period.
sites.wustl.edu/cahsper/file...
May 8, 2025 at 6:42 PM
Health Insurance Coverage in Rural and Urban Missouri
New brief from @cahsperiph.bsky.social explores comparisons of insurance coverage for persons living in rural and urban areas in Missouri, with comparisons to national averages during the 2021 to 2023 period.
sites.wustl.edu/cahsper/file...
New brief from @cahsperiph.bsky.social explores comparisons of insurance coverage for persons living in rural and urban areas in Missouri, with comparisons to national averages during the 2021 to 2023 period.
sites.wustl.edu/cahsper/file...
Changes in Missouri Medicaid Enrollment: Adult Expansion Group and Disability Over 2021-2024 Period
@cahsperiph.bsky.social brief explores changes in applications for, and enrollment in, disability category, with implications for costs for MO's budget
sites.wustl.edu/cahsper/file...
@cahsperiph.bsky.social brief explores changes in applications for, and enrollment in, disability category, with implications for costs for MO's budget
sites.wustl.edu/cahsper/file...
April 30, 2025 at 8:54 PM
Changes in Missouri Medicaid Enrollment: Adult Expansion Group and Disability Over 2021-2024 Period
@cahsperiph.bsky.social brief explores changes in applications for, and enrollment in, disability category, with implications for costs for MO's budget
sites.wustl.edu/cahsper/file...
@cahsperiph.bsky.social brief explores changes in applications for, and enrollment in, disability category, with implications for costs for MO's budget
sites.wustl.edu/cahsper/file...