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Vicksburg hospital, evicted by Merit Health, is now closed

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KPC Promise Hospital in Vicksburg is now closed, and the former medical director said community members are already feeling the effects.

The 35-bed long-term care facility had leased space on Merit Region's main campus since 2018.

“It's just been a month, but it's already taking a toll on families,” the former medical director Dr. Torrance Green said, adding that he's heard anecdotally that ERs and ICUs in Vicksburg are now backed up, which he directly tied to KPC Promise's absence in the community.

KPC Promise cared for people who had been in a hospital but needed further care than is available through home care, a nursing facility or a rehabilitation center. Many of the people they served were ICU patients who were not progressing swiftly enough, Green said.

Their patients, people who needed extended pulmonary, neurological, trauma and geriatric care, received daily monitoring from a physician and 24-hour coverage by licensed nurses and respiratory therapists which offered complex wound care, extended IV and other therapies, in addition to respiratory support.

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The hospital was officially evicted on June 8.

As of January, the hospital was behind on rent by about $1 million. Despite a payment plan and two checks totaling more than half a million dollars, according to Green, the larger health system followed up on its plans to terminate the hospital's lease.

Hospitals across the state are closing their doors, and those that aren't are shuttering service lines and laying off staff to stay open. A from the Center of Quality and Payment Reform says a third of Mississippi's rural hospitals are at risk of closure.

Green said the closure will end up costing .

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Merit's decision to evict the hospital came as a surprise to KPC Promise Kerry Goff and Green, who previously told Mississippi in May that it was “very disappointing.”

In a statement released in May, Goff said the hospital was looking into legal options and its best to stay open, while Green maintained optimism about coming to a resolution.

“I thought we would have been able to find a better resolve,” he said when reached by phone on Tuesday. “It just didn't pan out the way we wanted it to.”

According to Alicia Carpenter, Merit's marketing director, the hospital discharged all its patients prior to its last day in the space. Green said the last few patients they had went to Greenville, and local facilities in Vicksburg.

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Carpenter also said several Promise employees accepted positions at Merit, though Green refuted that.

“The compensation packages just weren't comparable, so a lot of them ended up to find temporary work,” he said. “Some folks did find work at clinics in the area.”

Green, a practicing nephrologist, is now spending more time at his clinic in Flowood.

“I just think that we have to be more aggressive about increasing the accountability of our facilities to our communities,” he said. “That link used to be held with the doctors, but now that most of the physicians are employed by hospitals, that accountability has been lost.

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“Until we get that back, we're going to see a lot more of these financial decisions happen without recourse.”

This article first appeared on Mississippi Today and is republished here under a Creative Commons license.

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Mississippi Today

On this day in 1964

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mississippitoday.org – Jerry Mitchell – 2024-05-02 07:00:00

May 2, 1964

Moore is holding a 1964 photograph of him and his younger brother, Charles, shortly before his brother was kidnapped and killed by Klansmen, along with Henry Hezekiah Dee. Credit: David Ridgen.

Henry Hezekiah Dee and Charles Eddie Moore, two 19-year-old Black Americans, were simply to get a ride back home. Instead, Klansmen abducted them, took them to the Homochitto National Forest, where they beat the pair and then drowned them in the Mississippi

When their bodies were found in an old part of the river, FBI agents initially thought they had found the bodies of three missing workers, James Chaney, Andrew Goodman and Michael Schwerner. 

Thanks to the work of Moore's brother, Thomas, and Canadian filmmaker David Ridgen, federal authorities reopened the case in 2005. Two years later, a federal jury convicted James Ford Seale. He received three sentences and died in prison. 

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Ridgen did a on the case for the CBC , “Somebody Knows Something.”

This article first appeared on Mississippi Today and is republished here under a Creative Commons license.

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Lt. Gov. Delbert Hosemann shuts down House Republican idea to let voters decide Medicaid expansion

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mississippitoday.org – Taylor Vance – 2024-05-01 20:01:39

After House Republicans asked Senate to agree to a proposal that would place expansion on November's statewide ballot, Senate leader Lt. Gov. Delbert Hosemann said the idea had no legs in his chamber and added that expansion talks were likely done for the year.

House Speaker Jason White, a Republican from , announced the idea in a statement Wednesday night and pointed out it had become clear over the last few days that House and Senate Republicans were still far from agreement over the best way to expand Medicaid coverage.

The bill narrowly escaped death on Wednesday afternoon until House Democrats forced a procedural vote that granted everyone more time to find compromise.

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“This proved that a consensus has formed and we all share the same goal: to provide healthcare access to low-income ,” White said. “Creating a referendum process for this issue is a clear direction forward. We hope that our colleagues in the Senate will take this opportunity to finally hear from the electorate once and for all.”

About an hour after White announced the referendum idea, Hosemann poured cold on the idea with a statement of his own.

“We had some discussions with senators today about the possibility of a non-binding referendum on the ballot and the idea was not well received,” Hosemann said. “We are disappointed in the outcome this year, but value the discussions which occurred this session — the first time this has seriously considered healthcare reform in our .

“I remain committed to finding ways to increase access for working Mississippians who otherwise do not have the resources for a simple check-up or an extended hospital stay,” Hosemann continued. “A strong work requirement, with necessary exceptions, is a bottom line for many Senators. We look forward to continuing the conversation on access to healthcare in the future.”

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READ MORE: Lawmakers buy one more day to reach Medicaid expansion compromise

The House's full proposal was not made available on Wednesday night, but White's statement said the proposed referendum would be two-fold: Voters would decide if they think Medicaid should be expanded to the working poor and if the program should include work requirements for recipients.  

House Democratic caucus leadership supported the House Republican effort, saying in a statement Wednesday night that if the language in the House's referendum is “very clear” and allows working Mississippians to get the “health care we know that they need,” then they would likely the new proposal. 

“We are excited about the opportunity to finally give the people of this state a to voice what we know to be — that they want this, and they want it as quickly as possible,” read a statement from Reps. Robert Johnson and Daryl Porter, the House Democratic leaders.

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The statewide ballot referendum idea was seen late Wednesday as a renewed chance for Republicans to find an expansion agreement — something that had become elusive during the first legislative session that expansion was earnestly considered.

At the heart of the Senate and House disagreement was a requirement that mandated Medicaid recipients work — a provision that the federal government had blocked in 13 other states.

House and Senate Republican negotiators earlier in the week agreed to a deal that would expand Medicaid only if a strict work requirement was approved by the federal government. House Republicans, who had previously proposed an expansion program that would go into effect even without federal approval of a work requirement, caved late Monday and agreed to the Senate Republicans' demand to include the make-or-break work requirement provision.

But House Democrats, who had for weeks vowed to not support any expansion plan that included a work requirement, fulfilled that promise on Wednesday and threatened to vote against the Republican bill on the House floor. The Democrats' dug-in position against the bill would likely have killed the proposal, which needed a three-fifths majority vote to pass.

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Rep. Bryant Clark, D-Ebenezer, said he was one of 29 Democrats who would not vote for the agreement as it stood on Wednesday. He said he was unsure whether he would support the issue going to a statewide referendum.

“I think we as a Legislature should do it — that's what people hired us to do,” Clark said. “I wouldn't be just totally opposed to that idea, but sometimes the devil is in the details. What would be put before the people? Would it be a clean expansion proposal, or something else? I am 85% sure the citizens of Mississippi would pass something that is a clean Medicaid expansion proposal.”

Note: This article will be updated.

This article first appeared on Mississippi Today and is republished here under a Creative Commons license.

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Mississippi Today

Lawmakers buy one more day to reach Medicaid expansion compromise

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mississippitoday.org – Geoff Pender, Bobby Harrison, Taylor Vance, Sophia Paffenroth and Adam Ganucheau – 2024-05-01 17:34:04

Facing a late Wednesday deadline, the House and Senate procedurally voted to give themselves at least one more day to deliberate a proposal that could make Mississippi the 41st to expand Medicaid under the Affordable Care Act.

House and Senate Republican negotiators earlier in the agreed to a deal that would expand Medicaid only if a strict work requirement for recipients was approved by the federal government. House Republicans, who had previously proposed an expansion program that would go into effect even without federal approval of a work requirement, caved late Monday and agreed to the Senate Republicans' demand to include the make-or-break work requirement provision.

But House Democrats, who had for weeks vowed to not support any expansion plan that included a work requirement, fulfilled that promise on Wednesday and threatened to vote against the Republican bill on the House floor. The Democrats' dug-in position against the bill would likely have killed the proposal, which needed a three-fifths majority vote to pass.

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With the federal Centers for Medicare and Medicaid Services under the Biden administration unlikely to approve Mississippi's Medicaid expansion plan with a work requirement, Senate Republican leaders have expressed optimism that Donald Trump would be reelected and that he would approve Mississippi's plan.

However, the realpolitik is that Trump has loudly voiced his opposition to Medicaid expansion, and his approval of Mississippi's work requirement would usher expansion in for the Magnolia state over the wishes of a Republican governor (Tate Reeves) whom he supports. When he was president, the Trump administration approved Medicaid work requirements for some states, but only as a means of limiting participation where it had already been expanded, not to a state implement expansion.

Waiting on approval from CMS under either Biden or Trump could keep Mississippi's expansion of coverage as it now stands in limbo indefinitely.

“We will vote for Medicaid expansion,” Rep. Robert Johnson III, the House minority leader, said after the recommittal on Wednesday. “This is not Medicaid expansion. At least we got a do-over.”

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Johnson said that shy of going back to the original House position — or removing the work requirement the Senate demanded — House Democrats want to language that says the state would reapply for work requirements each year while expansion remains in limbo until such time as a work requirement is approved. He said the Democrats told the Republican leadership that they would agree to the work requirement, but not reapplying on an annual basis for the work requirement wavier. Instead, he said the state should apply once for the work requirement and if it is rejected by federal officials the should act to remove the requirement.

“We're not saying we are against the work requirement,” he said, adding House Democrats oppose it because it would keep Medicaid from being expanded,

Johnson added, “We're saying fine, we will try that once and show you it will not work, then we move on (removing the work requirement and expanding the program).”

When it was clear the House Democrats' dissension might kill the expansion program, House Republicans moved to recommit the bill to conference committee. The Senate Republicans followed suit a few minutes later, effectively extending the deadline for a final plan to be hammered out between House and Senate negotiators until 8 p.m. Thursday.

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House and Senate Republican leaders declined to comment about what they may bring to the negotiations or what the next few hours may look like. House Democrats claimed a small victory and reiterated their desire to pass an expansion plan that would actually go into effect and coverage to an estimated 200,000 .

As news of the recommittal spread quickly through the Capitol on Wednesday afternoon, many people floated the notion of placing a Medicaid expansion issue on a statewide ballot, where voters could mandate what they wanted lawmakers to do.

“I have heard about that, but it would confuse voters with a work requirement,” Johnson said, adding he would support placing Medicaid expansion without a work requirement on the ballot.

Rep. Bryant Clark, D-Ebenezer, said he was one of 29 Democrats who would not vote for the agreement as it stood on Wednesday. He said he is unsure whether he would support the issue going to a statewide referendum.

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“I think we as a Legislature should do it — that's what people hired us to do,” Clark said. “I wouldn't be just totally opposed to that idea, but sometimes the devil is in the details. What would be put before the people? Would it be a clean expansion proposal, or something else? I am 85% sure the citizens of Mississippi would pass something that is a clean Medicaid expansion proposal.”

As the extraordinary politics played out on Wednesday, dozens of clergy and other citizens came to the Capitol to express their support of expansion. Many Capitol attendees specifically said they did not support the compromise plan that included the work requirement.

“There are people in Mississippi who are sick, hurting, in pain and broken,” said the Rev. Dawn Douglas Flowers, a minister at Parkway Hills United Methodist Church. “We have a way to enter into that brokenness and offer healing right away. I hope lawmakers can find a way to compromise and allow Medicaid expansion to happen now because what they've come up with is just a delay. The work requirement will not allow us to get help to people who need help . We can't just kick the can down the road any longer.”

This article first appeared on Mississippi Today and is republished here under a Creative Commons license.

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