Research Category: Safety Net


How Does a $4 Billion Loss Affect Missouri?

November 7, 2015

Missouri’s hospitals are facing $4 billion in payment cuts from Medicare and Medicaid from 2013 to 2019 that were included in the Affordable Care Act and the Budget Control Act of 2011. When the ACA was passed, hospitals envisioned more insured patients because more individuals would have the ability to...


HCFGKC 10 Year Report

September 15, 2015

As HCF completes its first decade of grantmaking, we have looked back across the health care landscape to better understand the accomplishments and obstacles surrounding care to the uninsured and underserved in the Kansas City region. Our objective is to learn from, and reflect upon, past experience, in order to...


Safety Net Health Care Websites

August 16, 2015

African-American Health Resources Child Welfare League of America: Provides expertise, leadership and innovation on policies, programs, and practices help improve the lives of millions of children in all 50 states. Cover Missouri Federal Office of Rural Health Policy: Coordinates activities related to rural health care within the U.S. Department of Health and...


Assuring an Adequate Health Care Workforce in Missouri’s Medically Underserved Areas

May 31, 2015

This paper addresses two issues: First, the challenges Missouri faces in establishing and maintaining an adequate health care workforce to meet the needs of rural and other medically underserved areas; and second, the opportunities federal health care reform offers Missouri to expand the availability of appropriately qualified health care providers...


Community Conversation on Health Summary Report

October 11, 2014

On October 11, 2014, the Health Care Foundation of Greater Kansas City (HCF) and the United Way of Greater Kansas City partnered to sponsor the “Community Conversation on Health”. Asked to attend were people in the community most challenged by the current economic and health care system – the uninsured and underserved. The focus...


Currently Eligible Adults in Medicaid: The Few Who Qualify

April 1, 2014

This issue brief describes the non-disabled adults under age 65 in Medicaid and identifies how much the state pays to cover these adults. It also examines how the ACA may affect the number of adults enrolled in Medicaid.


Health Gaps

August 15, 2013

At a time when health care providers and policy makers are exploring new models to promote better health and improve health care, different populations experience persistent and increasing disparities in health status. In the United States, life expectancy and other health status measures vary dramatically depending on factors, such as...


Caring for the Uninsured at Missouri Hospitals

May 30, 2012

Thousands of Missourians have inadequate health insurance, or none at all, but they still need health services. Hospitals in the state face a growing challenge, trying to meet their needs while finding other ways to cover the cost. Services for these residents fall into two categories – “charity care” that...


Medicaid’s Role for Hispanic Americans

June 7, 2011

In 2009, 27% of Hispanic Americans—13 million people, including 9 million children—were covered by Medicaid, compared to 33% covered by employer-based coverage and 5% covered by Medicare (see Figure 1). In contrast, 11% of non-Hispanic white Americans were covered by Medicaid. Hispanic Americans account for 1 in 4 Medicaid enrollees.


Explaining Health Reform: The New Rules for Determining Income Under Medicaid in 2014

June 1, 2011

To ensure coordination of eligibility and coverage across the different health care programs, the ACA requires states to make major changes in the way that they determine eligibility for Medicaid and CHIP in order to align with the income tax-based rules for premium credits in the exchanges. The biggest change...

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