health

Dara Taylor of Community Catalyst.
Durrie Bouscaren / St. Louis Public Radio

On Saturday, open enrollment season for Healthcare.gov begins. For the second time around, public health organizations and insurance "navigators" are holding outreach events, running ads, and looking for the remaining uninsured Missouri residents.

But who are those uninsured Missourians? And how have the changes implemented through the Affordable Care Act affected the state?  

Hundreds of thousands of people in Missouri are uninsured. Who are they?

Adrian Clark | Flickr / Flickr

On Monday, Missourians had their first glimpse at the health insurance rates they can choose from on the federal exchange. According to some, that shouldn't have been the first time the information was public.

Missouri is one of only a few states that does not have a state entity tasked with reviewing health insurance rates before they are finalized. Consumer groups say that means Missourians might be paying more for health insurance on the federal exchange than they should be. 

Adrian Clark | Flickr / Flickr

Officials from Washington University, St. Louis Children’s Hospital and the March of Dimes announced Monday they will launch a new March of Dimes Prematurity Research Center at Washington University in St. Louis.

Adrian Clark | Flickr / Flickr

The state of Missouri may be required to repay $11.5 million to the federal government, after miscalculating Medicaid payment rates for some case management services to people with developmental disabilities. The findings  were published last week in an audit by the Office of the Inspector General. 

A processing floor at Express Scripts in north St. Louis County.
Rachel Lippmann/St. Louis Public Radio

Just months after unveiling a multi-million dollar expansion of its headquarters in north St. Louis county, Express Scripts has announced it will lay off 400 people at multiple facilities around the country. That includes 90 people in St. Louis.

The layoffs are in addition to 1,890 jobs that were cut system-wide in May.

“These are difficult but necessary decisions we have to make in order to position our company for success, future growth and continued service excellence to clients and members,” spokesperson Brian Henry said in an email.

A graphic included in the For The Sake of All report shows the economic divide along Delmar Blvd in St. Louis.
For the Sake of All

The numbers tell the story: unemployment among African Americans in St. Louis is 17.6 percent, four times that of whites.

And the unemployment rate is important because unemployment turns out to be a major factor in severe health disparities in the region, according to research by the “For the Sake of All” study.

Dr. Farouk / Flickr Creative Commons

A relatively rare virus strain that can cause respiratory problems in children has been confirmed in St. Louis. It has sent dozens to pediatric intensive care units in Kansas City and Chicago.

Late last week, St. Louis Children’s Hospital ran in-house tests and confirmed Enterovirus-68, or EV-D68, in a small sample of three patients who had been admitted to a pediatric intensive care unit.

St. Louis Ovarian Cancer Awareness president Lisa Sienkiewicz stands next to the Kiener Fountain in downtown St. Louis, which has been dyed teal in honor of National Ovarian Cancer Awareness Month.
Durrie Bouscaren / St. Louis Public Radio

To kick off National Ovarian Cancer Awareness Month, local organizers dyed the water in the Kiener Plaza Fountain in downtown St. Louis teal -- the trademark color of the awareness campaign.

Sometimes called the ‘silent killer,’ ovarian cancer can be difficult to recognize before it’s in an advanced stage.

The rate of survival is low: 20,593 American women were diagnosed with ovarian cancer in 2011. 14,346 women died, according to the Center for Disease Control. But treatments are most effective when the cancer is diagnosed in its earliest stages.

Barnes Jewish Hospital in St. Louis
courtesy of Barnes Jewish Hospital

A health industry report published Thursday suggests federal programs that tie hospital quality scores to Medicare reimbursements are giving St. Louis hospitals a reason to improve.

Seventeen St. Louis area hospitals received bonus payments this year from Medicare thanks to programs in the Affordable Care Act that reward hospitals for providing a high quality of care. At the same  time, 25 were penalized for low scores, high readmission rates or failing to improve between 2011 and 2012.

Flickr/Jeremy Noble

With the clear, warm weather of summer, more St. Louisans of all ages are taking to the streets and the sidewalks on foot and by bike. The city has plans in the works to make walking, biking and running easier, from Complete Streets to separated bike lanes.

“I think overall we have great facilities in St. Louis and there has been a lot of improvement in the five years that I’ve lived here,” said Aaron Hipp, assistant professor of social work at Washington University in St. Louis. His research evaluates how built communities affect the activity and health of those who use them.

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