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Kansas City and St. Louis have some of the worst-rated nursing homes in the country, while Topeka, Overland Park and Wichita have some of the best.

That’s according to rankings published by FamilyAssets, a New York-based company that offers assessments and planning for people seeking home health care services.

file photo / Kansas Public Radio

Kansas Gov. Jeff Colyer says he will continue to push for a Medicaid work requirement despite a recent court order blocking a similar policy in Kentucky.

Last week, U.S. District Judge James Boasberg, an Obama appointee in the District of Columbia, questioned whether the Trump administration had adequately considered the consequences of Kentucky’s work requirement before reversing longstanding federal policy to approve it.

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Blue Valley Hospital, an Overland Park facility specializing in bariatric surgery, has lost its bid to retain its Medicare certification, throwing its future in doubt.

A federal judge last week ruled she did not have jurisdiction to hear the hospital’s legal challenge and dismissed Blue Valley’s lawsuit.

The hospital promptly appealed her decision to the 10th U.S. Circuit Court of Appeals, which it hopes will take up the case on an expedited basis.

“We’re still hoping for some rather quick relief,” said Curtis Tideman, an attorney for the hospital.

file photo / Kansas News Service

The company that processes applications for Kansas’ privatized KanCare Medicaid program faces potentially steep fines if it doesn’t fix problems, responsible for massive backlogs, by the end of this week.

Maximus, a Maryland-based company that specializes in managing “human service programs” for states and the federal government, has operated the “KanCare Clearinghouse” since 2016.

There have been problems from the start.

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The Trump administration has nixed Kansas’ idea of a three-year lifetime cap on Medicaid benefits.

Gov. Jeff Colyer had wanted to include the limit in a remake of the state’s privatized Medicaid system, KanCare. He also wants work requirements for non-disabled KanCare beneficiaries.

Late last month, he walked back his stance on pursuing a lifetime cap, while sticking by the work proposal. Both ideas had faced criticism from health care advocates who fear they would reduce poor people’s access to doctors and medication.

file photo / Kansas News Service

(This story has been updated.)

A high-stakes gambit initiated by Kansas lawmakers Thursday could prove to be the checkmate move that blocks Republican Gov. Jeff Colyer from imposing new Medicaid eligibility restrictions.

File Photo / Kansas News Service

Kansas officials are moving to protect more than 800 vulnerable residents of 15 financially troubled nursing homes across the state.

The Kansas Department for Aging and Disability Services is seeking court orders to put the facilities — currently operated by a New Jersey company — into receivership.

Heartland Community Health Center

This story was updated at 3:22 p.m. on March 15 to include Jon Stewart's statement.   

The CEO of a safety net clinic in Lawrence, Kansas, has been suspended pending completion of a review of the organization's finances.

In a release Wednesday evening, the board of Heartland Community Health Center said it had suspended Jon Stewart and appointed the clinic’s chief operating officer as interim CEO.

Missouri Legislature

Missouri’s general revenue spending on Medicaid has topped more than 2 billion dollars annually in recent years and its costs are rising.

That’s a problem for Republican State Sen. David Sater of Springfield. 

“It continues to be the biggest inflation that we have in state programs, and we have to do something,” Sater says.

The Springfield lawmaker is sponsoring a bill that would require Missouri to seek permission from the federal government to get what’s called a global waiver, basically allowing the state to create its own rules for operating Medicaid.

File Photo / Kansas News Service

Proposed changes to KanCare — the taxpayer-funded health care program that more than 400,000 poor, elderly and disabled Kansans depend on — face increasing resistance from key players in the Kansas Capitol.

A week ago, incoming Gov. Jeff Colyer promised to back off a plan that would have imposed a work requirement and benefit caps on some of the Kansans enrolled in the state’s privatized Medicaid program.

Yet the administration he’ll inherit, when he takes over for Gov. Sam Brownback this week, hasn’t retreated from its call for tougher eligibility rules.

File Photo / Kansas News Service

Osawatomie State Hospital is again eligible for millions of dollars in federal Medicare payments after the Centers for Medicare and Medicaid Services recertified its acute care center.

The state psychiatric hospital lost its certification in December 2015 after the reported rape of an employee exposed security concerns and staffing shortages. A subsequent inspection in May 2017 revealed problems with sanitation, infection control and fire safety.

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This story was updated at 4:24 p.m. to include comments from the CEO of McPherson Hospital.

Two Kansas hospitals have been selected to take part in a federal demonstration program aimed at ensuring access to health care in underserved areas.

The two, McPherson Hospital in McPherson and Morton County Health System in Elkhart, were among 13 nationwide chosen for the demonstration project being conducted by the Centers for Medicare and Medicaid Services (CMS).

Jim McLean / Kansas News Service

Kansas officials seeking to renew KanCare are asking people covered by the privatized Medicaid program to trust them to make it better.

In a series of recent public hearings, state officials have assured providers and beneficiaries that KanCare 2.0 will fix the administrative and service-delivery problems that have plagued the current program since its inception.

Alex Smith / KCUR 89.3

President Trump has pledged to not make cuts to Medicare, the federal insurance program for seniors, but Seema Verma, administrator of the Centers for Medicare and Medicaid, acknowledges that changes are needed.

One of the program’s main funds, the Hospital Insurance Trust Fund, is expected to be depleted in 11 years.

On Monday, Verma was in Olathe, Kansas to talk with seniors about Medicare and encourage them to take part in Medicare open enrollment, which runs from October 15 through December 7.

File Photo / Kansas News Service

The federal agency that oversees Medicaid has agreed to a one-year extension of Kansas’ $3.2 billion KanCare program, which provides managed care services to the state’s Medicaid population.

In a letter dated Friday, the Centers for Medicare and Medicaid Services said the temporary extension would allow Kansas to continue the privately managed program, which was set to expire on Dec. 31.

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Kansas officials say there is little chance that more than 400,000 Kansans who depend on the state’s Medicaid program will see their services interrupted.

They say they are confident federal officials will approve a critical waiver request before an end-of-the-year deadline.

University of Kansas Hospital

Two area hospitals earned spots on U.S. News & World Report’s “Best Hospitals” list.

The University of Kansas Hospital was deemed to be the best hospital in Kansas and in metro Kansas City, while Saint Luke’s was ranked the second best hospital in Missouri, behind Barnes-Jewish Hospital in St. Louis.

Stormont Vail Hospital in Topeka was deemed the second best hospital in Kansas, the only other hospital in the state to earn top honors.   

University of Kansas Hospital

The once-anonymous patient at the center of a whistleblower action filed against KU Hospital by one of its own pathologists is now suing the hospital herself for fraud, negligence and civil conspiracy.

File Photo / Kansas News Service

Safety concerns continue to prevent recertification of Osawatomie State Hospital, although a recent inspection didn’t find any evidence of the patient violence that prompted federal officials to decertify it in late 2015.

Staffing shortages and concerns about security and patient safety prompted the initial order. Certain they had addressed those issues, state officials appeared confident the state-run psychiatric hospital would pass muster. 

Jim McLean / Kansas News Service

Given all the controversy about KanCare – Kansas’ privatized Medicaid program – it would be reasonable to expect big crowds at public hearings about renewing the program.

But that wasn’t the case Wednesday when relative handfuls of health care providers and consumers turned out in Topeka for the first in a series of forums scheduled across the state.

The sparse turnout disappointed state officials and legislators who attended.

Dan Margolies / KCUR 89.3

Olathe native Tim Gronniger served as a top official with the Centers for Medicare and Medicaid Services under the Obama administration. Currently a non-resident fellow at the Brookings Institution in Washington, he also was a senior adviser for health care policy at the White House Domestic Policy Council, a senior staff member for Rep. Henry Waxman, Democrat of California, and an analyst with the Congressional Budget Office.

File Photo / Kansas News Service

Federal officials this week approved a corrective plan for Kansas’ privately managed Medicaid program, easing pressure on the state before a year-end deadline.

As part of the plan, state officials agreed to keep track of the number of grievances and appeals they receive from Kansans in Medicaid who say they were denied appropriate services. That and other elements of the plan were outlined in a letter the state received Monday from James Scott, associate regional administrator for Medicaid and children’s health operations at the Center for Medicare and Medicaid Services.

This week, Missouri transferred the state-run health coverage of about 240,000 low-income adults and children to managed care plans run by three companies: WellCare, Centene Corporation and United Health Group.

The move is part of an increasing privatization of Missouri’s Medicaid program, MO HealthNet. Legislators call it a cost-saving measure that improves efficiency in health care. Critics say the transfer happened too quickly, putting patient health at risk.

File Photo / Kansas Public Radio

A third of the way to an end-of-year deadline, Kansas officials still do not have federal approval to extend KanCare.

In January, the federal Centers for Medicare and Medicaid Services denied the state’s request for a one-year extension of the waiver that allowed it to privatize its Medicaid program. The denial letter said neither the Kansas Department of Health and Environment nor the Kansas Department for Aging and Disability Services was doing enough to hold the three private companies that run the program responsible for providing services accountable to Medicaid rules.

Andy Marso / Kansas News Service

Federal officials are evaluating a state plan to fix problems with disability support services for Kansans in Medicaid.

State officials submitted the plan Tuesday after the Centers for Medicare and Medicaid Services notified them in December about deficiencies uncovered during audits last year of KanCare, the state’s privatized Medicaid program.

Andy Marso / Kansas News Service

Editor’s note: An update to this story was posted at 5 p.m. Jan. 26.

About 350 elderly and disabled Kansans are suddenly without dental care after an Oklahoma City company informed nursing homes that it was suspending services for Kansas residents whose Medicaid applications are pending.

The company, Sterling Dental, sends dentists to nursing homes in Oklahoma, Missouri and Kansas for on-site care.

File photo / Kansas News Service

Editor’s note: This story was updated at 3:30 p.m. Jan. 23 with information from legislative hearings.

As Kansas lawmakers move forward with efforts to increase oversight of KanCare, Lt. Gov. Jeff Colyer says Brownback administration officials are addressing the issues that federal regulators cited in denying a one-year extension of the program last week.

Colyer still says he thinks politics played a role in the decision, which came in the final days of Barack Obama’s presidency.

Andy Marso / Kansas News Service

Kansas legislators are seeking answers from the Brownback administration after federal officials denied a one-year extension of the state’s Medicaid program known as KanCare.

File photo

A public letter by the head of the Kansas Department for Aging and Disability Services praising KanCare’s effect on Kansans with disabilities has drawn a string of rebuttals from people who provide disability services.

Tim Keck’s letter was published Oct. 24 on the Wichita Eagle editorial page.

Alex Smith / Heartland Health Monitor

At his apartment in Olathe, Kansas, 42-year-old Nick Fugate catches up on washing dishes and remembers the 22 years he spent doing it at a local hotel, trying to stay on top of a never-ending-stream of plates, glasses and silverware.

Nick recalls minor annoyances like the long days, the hot kitchen and his fingers pruning in the water. It could be tedious, but he says he didn’t really mind.

“Just as long as I got the job done, it was fine,” Nick says.

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