Health Care Archives - Show-Me Institute

Missouri’s Free-Market Policy Guide

Tue, 17 Dec 2024 04:16:19 +0000

Missouri’s Free-Market Policy Guide outlines key areas where targeted, well-researched reforms can make a meaningful difference in the lives of Missourians. From expanding educational opportunities and empowering parents to choose their children’s schools to fostering greater economic freedom and accountability in government spending, the policies here can help create a more prosperous and dynamic Missouri. Each section offers a clear analysis of current challenges, explores solutions grounded in research and facts, and presents actionable recommendations for policymakers.

Click here to download the guide.

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Model Policy: Healthcare Price Transparency

Mon, 01 Apr 2024 20:37:37 +0000

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House Bill 1837: Hospital Price Transparency

Tue, 30 Jan 2024 04:28:05 +0000

On January 30, Show-Me Institute Director of State Budget and Fiscal Policy Elias Tsapelas submits testimony to the Missouri House General Laws Committee regarding hospital price transparency. Click here to read the full testimony.

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Senate Bill 789 / Sale of Hospitals

Tue, 30 Jan 2024 00:30:17 +0000

On January 30, Show-Me Institute Director of Municipal Policy David Stokes submits testimony to the Missouri Senate Commerce, Consumer Protection, Energy and the Environment Committee regarding Senate Bill 789. Click here to read the full testimony.

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House Bill 777: Certificate of Need

Tue, 31 Jan 2023 03:38:05 +0000

On January 31, Show-Me Institute Director of Government Accountability Patrick Ishmael submits testimony to the Missouri House Healthcare Reform Committee regarding House Bill 777 and Certificate of Need abolishment. Click here to read the full testimony.

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Fiscal Implications of Medicaid Expansion

Tue, 30 Jun 2020 10:00:00 +0000

On June 30, 2020, Show-Me Institute Senior Analyst Elias Tsapelas submits testimony to the Missouri House Budget Committee regarding the fiscal implications of Medicaid expansion. Click on the link below to read the full testimony.

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Missouri Must Declare a Policy War on Coronavirus and Win

Thu, 02 Apr 2020 10:00:00 +0000

Thus far, most Missourians have experienced the coronavirus epidemic as a shutting down—schools are closed, many businesses are shuttered as employees work from home, and sports stadiums and concert venues are deserted.

But while the emotional and economic costs of social distancing are necessary during the current crisis, it is just as urgent that our state’s health care policies move in the opposite direction—toward more openness and accessibility. If legal and bureaucratic obstacles to care have been harmful in the past (and they have), they will be catastrophic in the coming months.

Policies that have made it harder for doctors from other states to work here, harder for patients to take advantage of telemedicine, and harder for health care providers to open new facilities have been harming Missourians for years. As this report explains, addressing these problems now will not only help us minimize suffering during the current epidemic, but will maximize the availability of health care in the future.

Note: Between the formal release of our five reform proposals last week and the release of this brief, the Governor issued temporary waivers granting interstate licensing reciprocity for physicians, allowing those physicians to provide telehealth services, and allowing advanced practice registered nurses to practice beyond the 75 mile radius from their collaborating physician, as currently required under the law. These are important advancements that, as we argue in the brief, should be made permanent.

Click on the link below to read the full report.

20200325 – State Must Declare a Policy – Ishmael.pdf

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Short-Term Medical Insurance: A Step Forward for Health Choice

Mon, 10 Feb 2020 12:00:00 +0000

Today I am proud to announce the release of my latest essay, Short-Term Medical Insurance: Opportunities and Trade-Offs. As the title suggests, the paper focuses on the potential upsides and downsides of short-term health insurance products, also known as “STM.” Like most health care reforms taken in isolation, the expansion of STM plans won’t fix the entire health care system on its own, but along with expanding choice in insurance products for Missourians, STM reforms would also set the stage for a broader reconsideration of the mandates and burdens placed by the state on more fully-featured health insurance plans—burdens that raise the cost of those products. Click on the link below to read the entire report.

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Medicaid in Missouri and Its Budgetary Impact

Thu, 06 Feb 2020 12:00:00 +0000

Medicaid is Missouri’s single largest government-run program, and its costs have grown substantially over the past decade. Without reform, the program will continue to consume more and more of the state’s budget, which means less money will be available for other public policy priorities such as education.

Despite growing concern about Medicaid in Missouri, the issues plaguing the program are not widely understood. This report explains how Missouri’s program works and what has driven costs to where they are today.

Additionally, the report charts a path for Medicaid reform that would rein in the program’s seemingly endless growth. Through free-market reforms, Missouri’s program could empower recipients of Medicaid services and improve health outcomes, all while preserving the state’s financial future.

Click the link below to read the entire report.

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Medicaid Expansion Costs

Wed, 09 Oct 2019 10:00:00 +0000

On October 9, the Show-Me Institute’s Elias Tsapelas and Patrick Ishmael submitted testimony on the costs of Medicaid Expansion to the Missouri House Subcommittee on Health Care Reform. Click on the link below to read the entire testimony.

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Testimony: The Importance of Empowering Patients

Tue, 10 Sep 2019 10:00:00 +0000

On Wednesday, September 11, Show-Me Institute Director of Government Accountability Patrick Ishmael testifies on free-market health care reforms before the Missouri House Subcommittee on Health Care Reform. Click on the link below to read the full testimony.

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End Certificate of Need in Missouri

Mon, 29 Apr 2019 10:00:00 +0000

Does the idea that the government can reduce costs and improve quality in an industry (in this case health care) by restricting supply seem dubious to you? If it does, you aren’t alone. Asking the government rather than the free market to determine whether a new entrant into a given health care market would benefit consumers makes little sense from an economic perspective, and can artificially limit the choices available to the public regarding one of the most important commodities—medical care—that some of us will ever purchase.

This essay presents the original rationale behind Missouri’s certificate of need law, explains how the law is implemented, and marshals both theoretical argument and empirical evidence to show that certificate of need law has, unfortunately, achieved the opposite of its intended effect in the Show-Me state. To read the entire essay, click on the link below.

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House Bill 83 and Short-term Medical Insurance

Tue, 23 Apr 2019 10:00:00 +0000

On April 24, 2019, Show-Me Institute director of government accountability Patrick Ishmael will submit testimony to the Missouri Senate Insurance and Banking Committee regarding House Bill 83 and short-term medical insurance. Click on the link below to read the full testimony.

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Demand Supply: Why Licensing Reform Matters to Improving American Health Care

Fri, 07 Oct 2016 10:00:00 +0000

Is a narrow focus on health care policy as experienced by patients—and mediated through private and public health insurance—leading us to overlook reasonable reforms that could improve access to care and reduce costs?

Patrick Ishmael’s essay, “Demand Supply: Why Licensing Reform Matters to Improving American Health Care,” addresses this question, exploring the regulatory barriers that define—often too narrowly—where health care providers can practice and what services they can offer.

Click on the link below to read the essay.

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Where Obamacare Leaves Questions, Direct Primary Care May Offer Answers

Fri, 02 Oct 2015 10:00:00 +0000

With its passage in 2010, the Affordable Care Act (ACA) set out to remake American health care, but in many respects the ACA didn’t change the health care paradigm at all; it simply doubled-down on a broken, decades-old status quo that placed health “coverage” as a national priority above both limiting health care costs and enhancing health care access. After establishing the problem with maintaining an insurancecentered care mindset, this paper explores a promising medical practice model, direct primary care (DPC), which could deliver on the cost and access promises broken by the ACA.

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Show-Me Institute September 2014 Newsletter

Mon, 27 Oct 2014 10:00:00 +0000

Show-Me Institute September 2014 Newsletter

In this issue:

Transportation Sales Tax–Amendment 7–Defeated
A Message From The Chief Executive Officer
Staff Promotions
Missouri’s Common Core Status: It’s Complicated
A Message From The Director Of Development
Continuing The Fight Against Medicaid Expandion
Streetcar Expansion Defeated
2014 Freedom Celebration
Speaker Series On Economic Policy
Show-Me Media Coverage

Read it all: .

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Show-Me Institute July 2014 Newsletter

Fri, 18 Jul 2014 10:00:00 +0000

In this issue:

Transportation Sales Tax Proposal Goes to Voters in August
A Message From The Chief Executive Officer
New Hire And Summer Interns
Exposing The Truth About Tax Subsidies For The Chosen Few
Transfer ‘Fix’ Unattainable Until Agreement Is Reached On School Choice
Allowing Normandy Students To Return Makes Sense To The Head And The Heart
Upcoming Events
Streetcars Prove To Be Costly And Inefficient
Missourians Need Health Care Refrom, Not Medicaid Expansion
Lyfting The Regulations

Read it all: .

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Show-Me Institute April 2014 Newsletter

Thu, 01 May 2014 10:00:00 +0000

In this issue:

Tell Us Your Stories: What Is Your Experience With Obamacare?
A Message From The Chief Executive Officer
Ways To Enhance Freedom And Economic Growth
Announcing Show-Me Institute’s New Releases
Show-Me Institute Staff Developments
Privatization Can Benefit Missouri Taxpayers
Kansas City Streetcars: Residents Wary Of Promises From City Hall
Upcoming Events

Read it all:

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Move Missouri’s Medicaid Program Forward, Not Backward

Fri, 14 Mar 2014 10:00:00 +0000

As enacted, the ACA required states to expand their Medicaid programs to include adults with incomes of 133 percent of the federal poverty level or else lose all funding for their states’ Medicaid programs — a multi-billion dollar penalty that would have eviscerated many states’ Medicaid plans. When the issue reached the United States Supreme Court in 2012, the majority opinion called the requirement an unconstitutional “gun to the head” of the states and threw it out. Medicaid needs to be reformed, not expanded with debt-addled Washington spending. Free market ideas can take us in a better direction.

Read the full policy brief:

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Show-Me Institute December 2013 Newsletter

Wed, 01 Jan 2014 12:00:00 +0000

In this issue:

Show-Me Institute Has Big Plans For 2014
A Message From The Executive Director
Show-Me Institute Launches Unique Data Tool
Initiative Captures Passion Of Next Generation
Sales Taxes Are Not The Way To Fix Transportation Funding In Missouri
Robbin Peter To Pay For Paul’s Pension
Kansas City Airport Plan Hits Turbulance
Obamacare: Less Choice, Higher Taxes, Slower Economic Growth
Show-Me Institute Executive Director, Others Tout Limited Government Policies

Read it all:

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