Missouri Department of Social Services

Chiropractor, Missouri Medicaid, Missouri budget, fiscal notes

State and Local Government | ARTICLE | September 9, 2026

More to the Fiscal Note

By Elias Tsapelas | Read Time 3 min

Server room, IT upgrades, Missouri IT, Big Beautiful Bill, federal compliance

State and Local Government | ARTICLE | March 23, 2026

Cost of Delaying Safety-Net Modernization

By Elias Tsapelas | Read Time 3 min

Hospital exam room, Medicaid, Medicaid audit, Missouri Medicaid program, Missouri Budget, OBBB

Health Care | ARTICLE | November 12, 2025

Checking Medicaid’s Pulse

By Elias Tsapelas | Read Time 3 min

Welfare Reform — ladder of seven rungs with ascending figure

Economy | BLUEPRINT FOR MISSOURI | November 12, 2025

Welfare Reform

By Elias Tsapelas | Read Time 4 min

Economy | ARTICLE | May 3, 2023

Right Idea, Wrong Approach

By Elias Tsapelas | Read Time 4 min

Doctor consulting with patient

Health Care | ARTICLE | August 3, 2020

Debunking the Myth of a Costless Medicaid Expansion

By Elias Tsapelas | Read Time 4 min

stacks of coins

Health Care | ARTICLE | July 13, 2020

Missouri Medicaid Division Confirms Expansion Will Break Budget

By Elias Tsapelas | Read Time 3 min

Doctor at computer

Health Care | ARTICLE | January 20, 2020

Medicaid’s Value Problem

By Elias Tsapelas | Read Time 3 min

Economy | ARTICLE | March 25, 2019

Missouri Should Be Measuring Intergenerational Poverty, but How We Do It Matters

By Emily Stahly | Read Time 2 min

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Man on Horse Charging