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Report: One-third of Missouri’s rural hospitals at risk of closure

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Report: One-third of Missouri’s rural hospitals at risk of closure


ST. LOUIS (KMOV) — The Center for Healthcare Quality & Payment Reform reports that 19 of Missouri’s rural hospitals are at risk of closing, half of them immediately, due to their financial circumstances.

The report shows more than 600, or roughly 30%, of hospitals in rural areas of the U.S. face such challenges.

Though the report did not cite the names of the facilities, it reports 60 rural hospitals in Kansas, 12 in Illinois and 19 in Missouri at risk of closing. Roughly half of those listed represent hospitals that the report identifies as at risk of closing “immediately” because of two main reasons:

  • Inadequate Revenues to Cover Expenses: Hospitals lost money providing patient services for multiple years. The report warns the hospitals that fall into this category are unlikely to receive funding from other sources to cover the losses now that federal COVID-19 funding is no longer available.
  • Low Financial Reserves: Hospitals either owe more than their assets, or net assets they do have will not offset losses for more than three years.

Rural hospitals see fewer patients, they exist in areas that are more difficult to recruit employees, they’re less accessible, and they’re not reimbursed the same through health insurance plans.

“In many cases, the [rural] hospital is the only source of health care in that community,” CHQPR’s founder and CEO Harold Miller said. “It’s not only an emergency department, but laboratories, imaging, even primary care in some cases are supported by rural hospitals. So, when a rural hospital closes, it may mean that there’s literally no health care services left in the community.”

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Missouri has had 10 rural hospitals close since 2005, with 57 currently open across the state.

Heidi Lucas heads the Missouri Rural Health Association.

“It was able to lift them up a bit and help keep them in business for a while longer,” Lucas said. “However, now that that money is dried up, we need to really look at the root of the problem.”

Because smaller hospitals don’t have as much bargaining power with insurance companies, they’ll often get reimbursements that don’t cover the cost of the services they provide, leaving the hospital at a negative margin. Meanwhile, those costs have continued rising.

“All health insurance plans need to pay adequately for health services in rural areas, it doesn’t do any good for someone to have insurance if they have no place to use it,” Miller said. “If you don’t pay adequately for the services in that community, then you’re not going to be able to maintain those services in the community.”

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A new law in Missouri changes the definition of “hospital” to now include rural emergency centers, opening the door for some of these small facilities to apply for millions in federal dollars.

TOP 5 RURAL MISSOURI HOSPITALS AT RISK OF CLOSURE:

Scotland County Hospital (Memphis, Missouri)

Patient Services Margin: -21.6%

Total Margin: -8.5%

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Lafayette Regional Health Center (Lexington, Missouri)

Patient Services Margin: -0.9%

Total Margin: -6.4%

Fitzgibbon Hospital (Marshall, Missouri)

Patient Services Margin: -4.4%

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Total Margin: -5.6%

Ray County Memorial Hospital (Richmond, Missouri)

Patient Services Margin: -10.4%

Total Margin: -4.2%

Bothwell Regional Health Center (Sedalia, Missouri)

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Patient Services Margin: 9.6%

Total Margin: -4.1%

See the full list by following this link.



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Missouri

‘Enough is enough’: Missouri voters form bipartisan group to quash Republican initiative petition changes

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‘Enough is enough’: Missouri voters form bipartisan group to quash Republican initiative petition changes


JEFFERSON CITY, Mo. (KY3) – Missouri Republican lawmakers have once again put forth efforts to curtail the process for citizen-led ballot initiatives following successful campaigns to enshrine abortion rights, raise the state’s minimum wage, and create a legal sports wagering market.

In response, a newly formed political group called the “Respect Voters Coalition” is sponsoring a 2026 initiative to prevent state officials from meddling in the process altogether.

The group’s argument is rooted in the very first section of the first article of the state’s Constitution, which reads as follows:

“[We declare] that all political power is vested in and derived from the people; that all government of right originates from the people, is founded upon their will only, and is instituted solely for the good of the whole.” – Missouri Const. of 1875, Art. I, Sec. 1.

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Ben Singer, who leads Show Me Integrity, co-founded RVC to oppose efforts to roll back the IP process. He noted that both parties have pushed this when they were in the majority.

“When Democrats were trying to attack the citizens initiative process because they didn’t like the Conservatives, who also used the citizens initiative process, Governor Ashcroft vetoed the Democrats’ attack on the ballot initiative process,” Singer said.

Ashcroft issued that veto in June 1992, writing the following in his explanation:

“It is through the initiative process that those who have no influence with elective representatives may take their cause directly to the people. The General Assembly should be reluctant, therefore, to enact legislation which places any impediments on the initiative power which are inconsistent with the reservation found in the Constitution.” – Gov. John Ashcroft, Veto Message, June 27, 1992.

Efforts to reform the state’s initiative petition process consumed much of the 2024 legislative session, including days-long filibusters by a faction of 6 Republicans demanding the issue be given priority and Democrats working to block it from passage. The process arguably deprived the House and Senate of sufficient time to review and amend the $51 billion state budget.

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“These politicians who’ve taken an oath to protect the Missouri Constitution need to be reminded of that, and so that’s why groups and citizens across the state, in unbelievable momentum I’ve never seen before, are banding together to say enough is enough, and we are going to stop politicians from attacking the will of the people once and for all,” Singer said.

The Missouri House and Senate will convene on January 8 to begin the 103rd General Assembly’s first regular session.

To report a correction or typo, please email digitalnews@ky3.com. Please include the article info in the subject line of the email.



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Missouri voters form bipartisan group to quash Republican IP changes

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Missouri voters form bipartisan group to quash Republican IP changes


ST. LOUIS (First Alert 4) — Missouri Republican lawmakers have once again put forth efforts to curtail the process for citizen-led ballot initiatives following successful campaigns to enshrine abortion rights, raise the state’s minimum wage, and create a legal sports wagering market.

In response, a newly formed political group called the “Respect Voters Coalition” is sponsoring a 2026 initiative to prevent state officials from meddling in the process altogether.

The group’s argument is rooted in the very first section of the first article of the state’s Constitution, which reads as follows:

“[We declare] that all political power is vested in and derived from the people; that all government of right originates from the people, is founded upon their will only, and is instituted solely for the good of the whole.” – Missouri Const. of 1875, Art. I, Sec. 1.

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Ben Singer, who leads Show Me Integrity, co-founded RVC as a measure to push back against efforts to roll back the IP process which, he noted, have been pushed by both parties when they’ve been in the majority.

“When Democrats were trying to attack the citizens initiative process because they didn’t like the Conservatives also used the citizens initiative process, Governor Ashcroft vetoed the Democrats’ attack on the ballot initiative process,” Singer said.

Ashcroft issued that veto in June 1992, writing the following in his explanation:

“It is through the initiative process that those who have no influence with elective representatives may take their cause directly to the people. The General Assembly should be reluctant, therefore, to enact legislation which places any impediments on the initiative power which are inconsistent with the reservation found in the Constitution.” – Gov. John Ashcroft, Veto Message, June 27, 1992.

Efforts to reform the state’s initiative petition process consumed much of the 2024 legislative session, including days-long filibusters by a faction of six Republicans demanding the issue be given priority and Democrats working to block it from passage. The process arguably deprived the House and Senate of sufficient time to perform a final review and amendment of the $51 billion state budget.

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“These politicians who’ve taken an oath to protect the Missouri Constitution need to be reminded of that, and so that’s why groups and citizens across the state, in unbelievable momentum I’ve never seen before, are banding together to say enough is enough, and we are going to stop politicians from attacking the will of the people once and for all,” Singer said.

The Missouri House and Senate are set to convene on January 8 to begin the First Regular Session of the 103rd General Assembly.



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Iowa vs. Missouri Prediction, Odds and Key Players for Music City Bowl

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Iowa vs. Missouri Prediction, Odds and Key Players for Music City Bowl


Missouri and Iowa meet in the Music City Bowl, the standalone game on December 30th bowl coverage. 

Both teams ended their respective regular season with rivalry game victories in the final moments and will look for a bowl win to build momentum towards the future. In a closely lined spread, and some key players opting out, how should we bet this one? 

We have you covered with our Music City Bowl betting preview below!

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Moneyline

Total: 40.5 (Over -110/Under -110)

Odds courtesy of FanDuel Sportsbook

Missouri

Brady Cook: This will be Cook’s final game with the Tigers after he returned from a mid-season injury to lead the Tigers to late-season wins against the likes of Arkansas in the team’s regular-season finale. While it wasn’t as productive as the year prior, Cook put up solid numbers this season for Mizzou, passing for 2,248 yards with 14 total touchdowns and only two interceptions. 

Iowa 

Brendan Sullivan: The hope is that Sullivan is back from injury for this one, the team’s primary backup that showed some upside in the Hawkeyes offense in wins against Northwestern and Wisconsin. Overall, this is a run-first Iowa offense that will be without star running back Kaleb Johnson, putting more pressure on Sullivan as a runner and to create with his arm. He completed more than 68% of his passes in a limited sample this season (35 passes). 

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There are two notable players out in this game with NFL upside, one for each team. 

For Missouri, Luther Burden opted out of this game to prepare for the NFL Draft, which is a blow to the Tigers’ offense, but not as impactful as Iowa’s Kaleb Johnson, who was sixth in the country in rushing yards this season. 

Johnson was a big part of the Hawkeyes offense that was 93rd in the country in EPA/Pass and 85th in overall success rate. Without the threat of the standout running back on the field, Iowa will rely solely on its defense to stay competitive in this game. 

With that in mind, I’ll lay it with the small favorite in Missouri. 

While the Tigers fell short of lofty goals set by a strong 2023, the team still has a versatile offense that includes a sturdy run game and a consistent unit that ranked top 50 in success rate. Further, the team can keep up with Iowa in the battle for field position as it ranks top 10 in havoc allowed and is 11th in Pro Football Focus’ special teams grade. 

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I question how Iowa puts up many points on the board in this one and while the under looks like a worthwhile bet, I’d rather side with the Tigers to win this game by more than a field goal. 

PICK: Missouri -3

Game odds refresh periodically and are subject to change.

Follow Reed on Twitter @ReedWallach and get all his college football bets on betstamp @rw33

If you or someone you know has a gambling problem and wants help, call 1-800-GAMBLER.

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