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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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Amy Carruth named director of Mississippi State Hospital – SuperTalk Mississippi

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Amy Carruth named director of Mississippi State Hospital – SuperTalk Mississippi


Mississippi State Hospital now has a new director.

Following the retirement of 36-year veteran administrator James “Bo” Chastain, the behavioral health facility has announced Brandon native Amy Carruth as its director. Carruth was hired from within after having spent the last 14 years in several key roles, including deputy hospital administrator and director of quality assurance.

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Throughout her tenure, she has led policy development, strategic planning, and organization-wide quality improvement initiatives, helping strengthen operations and support high-quality patient care across the hospital.

Recognized for her expertise in Joint Commission standards, Carruth has guided Mississippi State Hospital through multiple accreditation surveys while leading continuous improvement efforts across the organization. She has also helped modernize organizational workflows, implement evidence-based quality improvement practices, and strengthen accountability through data-informed decision-making, officials say.

During the COVID-19 pandemic, Carruth coordinated infection prevention efforts, implementing evolving safety standards, developing operational procedures and supporting the rollout of employee vaccinations. Her leadership helped position the hospital to continue delivering care while adapting to unprecedented challenges.

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In addition to her administrative responsibilities, Carruth has served as the designated institutional official for the medical center’s psychiatry residency program, overseeing graduate medical education and supporting the development of future psychiatrists.

Before joining Mississippi State Hospital in 2012, Carruth served in leadership positions with the Mississippi Department of Public Safety, the Mississippi Public Employees’ Retirement System, and the Mississippi Emergency Management Agency, where she gained extensive experience in public administration, organizational leadership, and strategic planning.

“At the core of Mississippi State Hospital’s mission is the belief that every person served here deserves compassionate, high-quality care,” Carruth said. “I’m proud to be a part of this agency and our mission, and I look forward to continuing the legacy of providing hope, safety and recovery to Mississippians in need.”

Mississippi State Hospital a publicly funded behavioral health facility operated under the direction of the Mississippi Department of Mental Health. It is located on 350 acres in Rankin County near Pearl and Brandon, and is colloquially known as Whitfield.



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Bobby Harrison: Mississippi Democrats hope they are not saying ‘if’ again after midterm elections

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Bobby Harrison: Mississippi Democrats hope they are not saying ‘if’ again after midterm elections


“If” has often been the refrain for many Mississippi Democrats after losing statewide elections, as they have done with regularity since 2003.

“If we only had a candidate who could energize true Democrats to the polls, we could win those statewide elections,” is a paraphrase of the full refrain.

That “if” has to be in the back of Lowndes County District Attorney Scott Colom’s mind as the Democrat campaigns to upend incumbent Republican U.S. Sen. Cindy Hyde-Smith in the November midterm election.

In short, what Colom has to ponder is some people’s belief that a lot of Mississippians support many of the principles of national Democrats but are not voting because Mississippi candidates generally avoid those issues or campaign with a more conservative bent.

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Colom’s already herculean task is made even more difficult by the fact that independent Ty Pinkins, a former Democrat, is also in the race and could possibly siphon votes from him.

Colom, obviously, needs every Democratic vote in his bid to upset Hyde-Smith and become the first Democratic senator from Mississippi since the 1980s and the first Black Mississippi senator since the 1800s.

Recent Democratic campaigns

Former Attorney General Jim Hood, the last Mississippi Democrat to win a statewide election, was accused of not embracing his party as he campaigned with his hunting dog, rifle and pickup truck in his 2019 loss to Republican Tate Reeves in the governor’s race.

After the 2023 election, former Northern District Public Service Commissioner Brandon Presley faced much of the same criticism after his unsuccessful attempt to defeat Reeves. Most would concede that Presley ran closer to the national Democratic Party than did Hood.

The results, though, were close to the same.

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In his 2020 campaign against Hyde-Smith, former U.S. Rep. Mike Espy came closer to running as a national Democrat than both Presley and Hood. For that effort, Espy garnered more votes than any Democrat in a statewide campaign since Bill Waller in his victorious 1971 gubernatorial race.

But Espy garnered a lower percentage of votes in a higher-turnout election than did Hood or Moore.

In 2019, Reeves defeated Hood 52% to 47%, or by a little more than 45,000 votes. In a lower-turnout election four years later, Reeves beat Presley 51% to 48%, or by fewer than 27,000 votes.

In the 2020 Senate election, Hyde-Smith won 54% to 44%, or by fewer than 131,000 votes in the highest turnout election in the state’s history. Remember, Espy garnered more votes than any Democrat since Waller in the 1971 gubernatorial election.

What the numbers mean for midterm election

Based on the numbers, can the argument be confirmed that some Mississippians are sitting at home on election day who could sway the election to a Democrat if they could be inspired to go to the polls?

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In considering that question, it is important to keep in mind that Mississippi is generally near the bottom each election cycle in terms of voter participation.

According to the University of Florida Election Lab, nationally 66.4% of eligible voters cast a ballot in 2020. That year 60.6% of eligible Mississippians did so.

If Mississippians had equaled that national participation in 2020, an additional 126,500 people would have voted.

If that had occurred and all the additional voters had cast Espy ballots, which of course would not have happened, he still would have lost to Hyde-Smith by about 5,000 votes.

But that was a presidential election, and by happenstance an election that set both a national and Mississippi record for the number of voters. A midterm election, such as the upcoming Colom vs. Hyde-Smith contest, is a different story. The turnout will be much lower – perhaps closer to a Mississippi gubernatorial turnout.

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In that instance, new voters perhaps could make a difference for Colom if – there is that word again –  he could equal Presley’s or even Hood’s performance.

Colom, though, must walk that fine line of attracting those mysterious hard-to-find Mississippi progressives while not scaring away moderate voters who might be considering him in the current political environment where Trump and the Republicans have lost some of their luster nationally and perhaps even in true-red Mississippi.

If – if – Colom could accomplish those goals, perhaps he could give Mississippi Democrats something to cheer about for the first time in a long time.

Bobby Harrison, Mississippi Today’s senior capitol reporter, covers politics, government and the Mississippi State Legislature. He can be reached at [email protected]

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Quality, in-depth journalism is essential to a healthy community. The Dispatch brings you the most complete reporting and insightful commentary in the Golden Triangle, but we need your help to continue our efforts. In the past week, our reporters have posted 34 articles to cdispatch.com. Please consider subscribing to our website for only $2.30 per week to help support local journalism and our community.

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Mississippi gas prices drop ahead of Fourth of July weekend

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Mississippi gas prices drop ahead of Fourth of July weekend


GULFPORT, Miss. (WLOX) — Gas prices in Mississippi have fallen ahead of the Fourth of July holiday weekend, with AAA reporting the average price for regular unleaded at $3.46 a gallon, down eight cents from last week.

Prices along the coast are even lower.

AAA spokesman Don Redman said the drop is tied to a decline in crude oil prices.

“We’ve definitely seen a decrease statewide,” Redman said.

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Redman said lower crude oil prices can mean lower gas prices, since crude oil is used to make gasoline.

“When we were at the height of this war, we touched over $115 a barrel, but we’re currently looking at $70 a barrel and that absolutely has had an impact,” Redman said.

AAA said prices had been higher in recent weeks because of uncertainty in the global oil market, including the conflict in Iran.

Gulfport-area driver David Depreo said the lower prices are a welcome change from paying more than $3.50 a gallon.

“It sure is nice to see this,” Depreo said.

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Depreo said the higher prices had taken a financial toll on his family.

“It’s put pressure on everybody. I’m retired, but I have younger children with kids and it’s a struggle for them,” Depreo said.

He said the savings will add up at the pump.

“I’m gonna probably save $10–$15. I fill up every half a tank and keep a full tank,” Depreo said.

Redman said drivers are not out of the woods yet.

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“I think we’re always going to be in a state of flexibility in terms of prices and seeing that light at the end of the tunnel really will come when a permanent treaty is signed with Iran,” Redman said.

AAA expects more than 60 million Americans to hit the road this holiday weekend.

See a spelling or grammar error in this story? Report it to our team HERE.

Copyright 2026 WLOX. All rights reserved.



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