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Mississippi’s maternity program is extremely insufficient

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Mississippi’s maternity program is extremely insufficient


Since January 2011, the state of Mississippi has contracted a NY based company, ActiveHealthⓇ Management, a former subsidiary of Aetna and currently owned by CVS Health. 

ActiveHealth Management purportedly provides comprehensive health and wellness management services to the State and School Employees Health Insurance Plan to improve health among more than 197,000 active employees, dependents, spouses and retirees.  

The company has received four consecutive contracts valued at a nearly $64,000,000. Yet, it has not produced one evaluation report on its efficacy because the Department of Finance Administration does not require it to assess employees’ health outcomes.

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According to Cindy Bradshaw, former State Insurance Administrator, DFA administers patient satisfaction surveys about their experiences within the ActiveHealth Management program. Patient satisfaction surveys are designed to determine how a person feels about or perceives her/his experience with something or someone; it does not determine whether the experience was effective and to what degree.

This is particularly concerning for pregnant state employees who are at risk for pre-term births and Cesarean deliveries, the No. 1 surgery in the state of MS and the nation.

Annually, Mississippi pays for over 90% of prenatal care and births in the state through Mississippi Medicaid and Blue Cross Blue Shield of Mississippi plans. In 2022, members in both plans experienced comparable Cesarean delivery rates. About 39% of BCBS of MS members experienced a Cesarean delivery and 37% Medicaid members, according to data from the Mississippi State Department of Health. Also, 20% of BCBS members and 21% of Medicaid members, whose labor was induced, subsequently delivered via a Cesarean. The State paid an estimated average of $27.4 million for Medicaid-members and $30.6 million for BCBS-members who had Cesarean deliveries.

Furthermore, those members who had a first-time Cesarean delivery have a 90% probability of experiencing a repeat procedure because only a handful of providers in Mississippi will attempt to deliver a vaginal birth after a Cesarean delivery. 

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Liz Welch, DFA’s executive director, said she wasn’t aware of the birth outcomes of state employees and would request a report from BCBS of MS, the state’s plan administrator. I am almost certain she did not.

Since 2019, I have administered a community health worker program that provides preventive based services to pregnant residents, including state employees. I have found ActiveHealth Management’s maternity program to be extremely insufficient and ineffective as it does not address the complex underlying risk factors influencing common negative birth outcomes in Mississippi. 

Underlying preventable risk factors affecting most pregnant women in Mississippi are maternal obesity and smoking that can lead to gestational hypertension, preeclampsia, gestational diabetes, Cesarean deliveries, preterm babies, low birth weight babies, NICU babies, and maternal and infant mortality. Annually Mississippi residents experience the highest rates of maternal obesity (37.6%), fetal deaths (9.5), Cesarean deliveries (39%), preterm births (15), low birth weight (13), maternal mortality (43) and infant mortality (9.2) in the nation. 

ActiveHealth Management’s maternity intervention involves nurses making three phone calls to  pregnant state employees and one call after the baby is born. 

The nurse asks a list of general questions such as, “how’s your overall health,” “how’s your pregnancy going so far,” “any medical concerns,” “are you taking prenatal vitamins,” “what you know about pre-eclampsia,” etc. 

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There is no face-to-face engagement between the employee and nurse, including no home visits and no birth support. The nurse doesn’t assist the employee with developing a prenatal dietary and exercise plan, a birth plan, healthy birth practices to prevent medically unnecessary labor inductions, and Cesarean deliveries.  She does not provide crucial childbirth education and breastfeeding and postpartum support, which is needed in the home.

Providing exclusive phone support during pregnancy has been shown to reduce risk for depression, but it does not improve risky health behaviors, e.g. smoking, sedentary, unhealthy foods or birth outcomes. Data show that neither phone nor short message support are effective at reducing prenatal smoking, improving prenatal body mass index, reducing preterm births, and Cesarean deliveries.

In contrast, there is considerable evidence showing that community health worker programs, which provide in-personal maternal health education and birth assistance, are significantly effective at changing risky behaviors and improving healthcare decisions that lead to better prenatal health and birth outcomes.

Community health workers can provide a supportive social network, motivate and drive pregnant patients at risk to make healthy lifestyle changes that reduce maternal obesity, stress and anxiety and improve physical health, which subsequently reduces maternal morbidities associated with pre-eclampsia, preterm births, and Cesarean deliveries.

In 2021, I initiated a dialogue with ActiveHealth Management’s medical leadership about enhancing its program through the integration of community health workers.  My suggestion was met with resentment and rejection. They stated they would do no more than their contract requires.

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The State will issue a new RFP in 2025 and likely renew ActiveHealth Management’s contract.  It should seriously consider reducing the value of the contract and redirecting a substantial amount of funding to the Mississippi Department of Health’s Community Health Worker Program.

The MS Department of Health could train, certify, and strategically deploy community health workers across the State to deliver evidence based, maternity services, which would be more feasible and effective than ActiveHealth Management’s telephonic/virtual program.

Getty Israel, MPH, is a population health specialist in the Jackson area.



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Mississippi

IRS owes Mississippi residents $9.9 million. Are you missing free money?

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IRS owes Mississippi residents .9 million. Are you missing free money?


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Are you missing out on free money? The IRS estimates that 1.3 million Americans are missing out on their 2022 income tax refunds because they haven’t filed their taxes. That totals about $1.2 billion in unclaimed money.

Many taxpayers are missing out on income tax returns because they haven’t filed. Some are years late.

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The final deadline to be eligible is April 15. If people miss it, the money becomes property of the U.S. Treasury.

How many people in Mississippi could get a check?

According to the IRS, Mississippi taxpayers are owed about $9.9 million.

Approximately 11,800 people who haven’t filed their 2022 taxes could get a refund. The median amount is $635, so half of refunds could be more than that.

What if I didn’t file my 2022 taxes? When is the deadline?

You have until April 15, 2026, to file back-year returns.

The IRS said you might still be eligible for the check, but only people who have filed their taxes will get one.

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If you owe money or haven’t filed for 2023 or 2024 tax years, your check could be held. The money could also be garnished for unpaid child support or federal student loans.

People also have to file their 2025 taxes to get any refunds that might be owed.

Bonnie Bolden is the Deep South Connect reporter for Mississippi with USA TODAY NETWORK. Email her at bbolden@gannett.com.



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Kids Markets eyes southeast Mississippi expansion

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Kids Markets eyes southeast Mississippi expansion


MANDEVILLE, La. — Kids Markets, a youth-run pop-up market that helps children operate small businesses, is looking to expand into southeast Mississippi and the Gulf Coast by partnering with existing community events, including farmers markets. 

Trista Allain, who manages Kids Markets events in the New Orleans area, said the goal is to connect with local Mississippi organizers and build the program by adding youth vendors to established markets and community gatherings. 

Trista Allain, who manages Kids Markets in the New Orleans area, attends Kids Market in Mandeville, Louisiana. (Kristen Kaylor)

Allain said giving children the chance to run their own booths helps them practice real-world skills and build confidence as young entrepreneurs. 

“The goal for these kids in the long run is to give them the opportunity to see what it’s like to have lifelong experiences, money management, communication skills,” Allain said. “It helps them to build that as a general foundation for them going forward into adulthood.” 

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Kids Markets is a farmers market run entirely by children ages 5-17, with vendors selling a variety of goods, including food, drinks, handmade crafts and jewelry, according to the organization’s website. The group started in 2017 in Utah and has expanded to 360 cities, with 80,000 youth entrepreneurs participating. 

Families who already attend Kids Markets said they would consider traveling to Mississippi if markets are launched there. 

A family stands behind a table of baked goods under an orange tent with a sign that reads, “Welcome to the Cake Drop!”
Members of the Pinestraw family stand at their “Cake Drop” booth during Kids Market in Mandeville, Louisiana. Kids Markets allows youth vendors ages 5 to 17 to sell goods at pop-up markets. (Kristen Kaylor)

Jayde Pinestraw, 13, of Hammond, Louisiana, was one of the vendors at a Kids Markets event March 28 at the Mandeville Trailhead Community Farmers Market in Mandeville, Louisiana. She helped sell baked treats at her family’s booth, The Cake Drop LLC. 

Jayde said being able to sell at Kids Markets has given her a boost in confidence and helped her connect with other vendors her age. 

“My favorite part is getting to meet new people and interacting and being more confident with talking to people,” Jayde said. 

Her father, Jarrad Pinestraw, said the markets have had a positive impact on his children by pushing them to interact with people and practice skills that they carry beyond the booth.

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A large black display board reads, “Lid’s custom crafts,” and shows photos and prices for items such as bracelets, hair bows, ornaments and jelly.
A price-and-product display board shows items for sale at a Kids Market booth in Mandeville, Louisiana, including crafts and handmade goods. (Kristen Kaylor)

“This is actually our maybe fifth or sixth market with the Kids Market, and I think it’s helped tremendously with their confidence,” Jarrad said. “Before we started, they were very shy, but now they have more people skills. They learn to be more independent, and they also learn how to communicate in general with other people.” 

Jarrad said that if Kids Markets expands into Mississippi, his family would be interested in attending those markets to grow The Cake Drop. 

Allain said the current goal is to find and partner with local Mississippi events to help Kids Markets gain traction. Residents can find future Kids Markets locations and more information by visiting the Kids Markets Facebook page or the organization’s website. 

This article first appeared on RHCJC and is republished here under a Creative Commons Attribution 4.0 International License.



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Mississippi reveals its full history for America’s anniversary year, a contrast to federal efforts

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Mississippi reveals its full history for America’s anniversary year, a contrast to federal efforts


JACKSON, Miss. (AP) — The glass panels of the Lynching Victims Monolith are simple, etched with the names of more than 600 victims of documented racial killings in Mississippi, along with the attackers’ motives.

One man, Malcolm Wright, was beaten to death in front of his family in 1949. His offense? “Hogging the road.” Further research revealed that his mule-drawn wagon was, to his killers, moving too slowly.

The panels are among thousands of exhibits and artifacts inside the Mississippi Civil Rights Museum and the adjoining Museum of Mississippi History. Called the Two Mississippi Museums, the massive complex in sight of the state Capitol is a central part of the state’s America 250 celebration.

“That’s just the people that we know about,” Kiama Johnson, who was visiting from Monroe, Louisiana, said of the victim panels as she sat beyond the display and fought back tears. “Just imagine the ones that we don’t. Imagine the ones that’s never going to be written in history books.”

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Mississippi’s warts-and-all approach to reflecting its history as part of the state’s official commemoration of the nation’s 250th anniversary is a stark contrast with what has taken place at the national level since President Donald Trump returned to the White House in January 2025.

Easing the discomfort of a sometimes brutal American history has been a central theme of Trump’s administration. He signed an executive order his first day back in office eliminating diversity, equity and inclusion efforts in the federal government. That, along with a March 2025 executive order, ” Restoring Truth and Sanity to American History,” have led to signs being changed at federal parks, exhibits being altered or in some cases removed, and military bases being renamed.

Part of the Republican administration’s preparations to celebrate the 250th anniversary have included putting pressure on federal institutions, including the Smithsonian, to tell a version of history that is less focused on discrimination and episodes of racial violence.

In Mississippi, a temporary exhibit created specifically for the commemoration — Mississippi Made — fills a space that is routinely changed to entice visitors to return. But it is housed in a space where achievement is intertwined with the state’s dark past involving Native Americans, enslaved people and the Civil Rights era.

Nan Prince, director of collections for the Mississippi Department of Archives & History, said the instructions were simple from scholars, politicians, staff members, and civic and civil rights groups when the museums were being conceived and built.

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“Don’t brush over anything, don’t whitewash anything,” she said. “Just tell the absolute truth.”

‘We weren’t going to hide anything’

Jackson Mayor John Horhn was a state senator when he began pushing for the Civil Rights Museum in 1999. His efforts finally got a boost when Haley Barbour, a former Republican National Committee chairman, became governor.

Plans for the museum eventually were combined with a parallel effort to move the state history museum from the Capitol grounds, with the complex opening in 2017.

The approach to creating a state history museum was the same — tell the full story, beginning with how Native Americans were removed from the land.

“We said at the beginning we weren’t going to hide anything,” Barbour said in an interview, noting that he grew up in an era of segregation. “We weren’t gonna try to justify what was done. That’s what the people wanted — to say, ‘Look, we’re not proud of this, but we’re not going to deny it.’”

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Other states have made sure to highlight their diversity in their presentations for the 250th anniversary. The America 250 description for neighboring Alabama includes milestones in the Civil Rights Movement.

Mississippi takes its history head-on. Its “America 250 MS” platform says the state’s history mirrors the American story, with the removal of Native Americans making way for slavery and slavery leading to the Civil War, followed by Reconstruction and the Jim Crow era.

Horhn praised the willingness of Mississippi leaders to use the museums to tell the state’s full story.

“We still have issues, we still have a lot of challenges,” he said. “But it’s a demonstration that progress has been made.”

‘It just made me want to weep’

The History Museum opens into a gallery that explores Mississippi’s first people, the Native Americans. The entrance is dominated by a 500-year-old canoe, a vivid reminder that Native Americans were here thousands of years before settlers arrived and forced them out, taking the land to begin growing cotton, which was tended by enslaved people.

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Across the lobby sits the Civil Rights Museum. The first audio exhibit is abrupt: “We don’t serve your kind,” a menacing voice tells visitors, triggered when they cross the museum threshold.

It is one of several phrases once commonplace in the nation’s segregated past that bombard visitors at the opening to the gallery.

The museum also does not shy away from presenting one of the state’s most infamous racial killings, that of Emmett Till. The 14-year-old was kidnapped, tortured and killed in 1955 after being accused of whistling at a white woman in a rural Mississippi grocery store.

Till’s murder was a pivotal moment in the Civil Rights Movement. Thousands came to his funeral in Chicago, and his mother, Mamie Till Mobley, insisted on an open casket so the country could see the gruesome state of her son’s body.

At the end of the narrative, by Oprah Winfrey, visitors can see the .45-caliber pistol used to kill the teenager.

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Lindsay Ward, 49, cried in the lobby after touring the Civil Rights Museum. Raised in what she described as a sheltered world in Salt Lake City, she said she had not had any exposure to the topics she encountered during her visit — “this heaviness,” as she put it.

Ward, now living in Denver, said she was troubled by how recent some events were.

“We’re not talking about hundreds and hundreds of years ago. We’re talking 60 years. It just made me want to weep,” she said. “It doesn’t feel great, but it’s important we understand what happened in the past.”

Connor Lynch, a history teacher and social justice advocate from Chicago, said deciding how history will be told has always been a struggle.

“All we have is human narrative” and that comes with bias, he said. “I do believe that no matter what sort of erasure the country might be doing, we know the stories. We know the truth.”

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‘A very difficult history,’ on full display

For the America 250 celebration, the museums created ”Mississippi Made,” which highlights the state’s products and achievements.

There is the common household cleaner Pine-Sol, a Nissan Frontier and a Toyota Corolla, a section citing the state’s involvement in the U.S. space program and medical advances such as the first human lung transplant.

There is something else — a display by renowned Mississippi quilter Hystercine Rankin. It is a quilt telling the story of her father being killed in 1939.

Jessica Walzer, the exhibit curator, said she included it because it is one of the few story quilts in the museums’ collection and because it tells part of Mississippi’s history.

“I think it’s important to have something kind of striking like that to kind of remind us that Mississippi also has this very difficult history that a lot of people have been through,” she said.

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Prince, the state director of collections, said such truth had long been denied. Visitors to antebellum homes, for instance, heard about the families who lived there, but “they would never once tell you about the people that lived behind the house or the people that built the house or the people that worked the fields,” she said.

“For so long,” she said, “we just tried to gloss over that because it was uncomfortable.”



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