Medicaid enrollment in Missouri begins; applications appear vigorous

Written by Timothy McBride, co-director, Center for Health Economics and Policy The expansion of Medicaid in Missouri began in 2021, and after resolution of a lawsuit at the Missouri Supreme Court in July, enrollment applications were accepted starting on October 2021. As of January 21, 2022, enrollment in the adult expansion group (AEG) had reached […]

Premature Birth: Paving the Path for my Granddaughter

Written by Ebony B. Carter, MD, MPH, assistant professor, Department of Obstetrics and Gynecology, Washington University School of Medicine Embed from Getty Images “In the shadows of our finest medical facilities, where kings and shahs travel thousands of miles for the world’s best medical care, black babies continue to die.” My mother opened nearly every […]

Preterm birth rates in immigrant populations on the rise under trump administration

Written by Monica Villarruel, MPH, 2019 practicum student at the Center for Community Health Partnership & Research at the Institute for Public Health; and Clark-Fox Institute Policy Scholar A 2018 study led by researchers at the Harvard Chan School of Public Health demonstrated a connection between sociopolitical stressors and rising rates of premature births among […]

Policy Perspectives

A “Friday Nighter” with Missouri State Representative Deborah Lavender By Emily Davis, MD/MPH Student at Washington University “What is the one thing you want to get done this year?” That is the question Missouri State Representative Deb Lavender (D) posed to a group of students, faculty, and members of the community at a recent Friday […]

Policy matters for doctors-in-training & their future patients

Written by Akua Nuako, medical student class of 2021, Washington University in St. Louis I am often awestruck by the ingenuity of today’s medical advancements. During my first year of medical school, I’ve been captivated by research on promising developments like cancer treatments that only target malignant cells, gene editing that addresses health issues rooted […]

Moving toward a healthier Missouri: Re-instituting therapy services in Missouri Medicaid

Originally posted by the Clark-Fox Policy Institute, written by Mary Mellem, Gary Parker, and Atia Thurman In October 2017, the Center for Health Economics & Policy at the Institute for Public Health and the Clark-Fox Policy Institute at the Brown School at Washington University hosted Transforming Healthcare in Missouri: Ideas for Innovation and Investment to generate […]

Repeal or replace? Is a bipartisan approach to repairing Obamacare feasible?

Written by Timothy D. McBride, PhD, MS, co-director for the Center for Health Economics and Policy  The effort to “repeal and replace” Obamacare (the Affordable Care Act, ACA) has been a major goal of the Republicans since the ACA was passed. Achieving this goal has been elusive – first President Obama blocked all such efforts, […]

Transforming healthcare by transforming payment

The Center for Health Economics and Policy co-hosted a major health policy event this October. Together with the Clark-Fox Policy Institute, we convened nearly 150 providers, researchers, policymakers, and patient advocates to discuss ideas for transforming healthcare in Missouri. One theme repeated throughout the day was that we as a society need to shift our […]

Facilitating health insurance enrollment and decision support

Written by Mary Politi, PhD, professor in the School of Medicine At the time of publishing, Mary Politi was an associate professor in the School of Medicine At an enrollment event in 2015, I met a woman from a rural county in Missouri who was an outspoken supporter of the Affordable Care Act (ACA). She […]

Drug policy, public health, and wellness

Written by Richard Grucza, PhD, MPE, associate professor in the Department of Psychiatry at the Washington University School of Medicine My colleagues and I have long been interested in policies that restrict young peoples’ legal access to alcohol and tobacco. We’ve learned that restricting drinking or smoking during the teen years has long term benefits such […]

Public health and social work in the political process

I recently returned to Washington University after a yearlong stint as the American Public Health Association’s Public Health Fellow in Government in Washington D.C. While there, I worked as congressional staff for Sen. Kirsten Gillibrand (D-New York). This fellowship offered a chance-of-a-lifetime opportunity to work directly on federal policymaking. While challenging, scary, and sometimes even comical, this experience was […]

Drug pricing: Where do we go after the election?

Martin Shkreli. Valeant Pharmaceuticals. Mylan. Just a year ago, most Americans devoted little time and attention to the question of pharmaceutical pricing. Now, after a series of highly publicized scandals involving individuals and companies who hike the prices of products like the EpiPen or Daraprim with impunity, public awareness of these issues has dramatically increased […]

Why policy* is the perfect fit for public health and social work professionals

Written by Susan Stepleton PhD, chair of the policy specialization at the Brown School When I mention to someone that I work at the Brown School, a typical assumption – voiced or unvoiced – is “Oh, you teach about poverty or epidemiology or child welfare or LGBTQ issues or homelessness.” Well, yes, of course we […]

Economics, policy, and racial disparities

Health disparities has been an important topic for public health researchers for years, with much or most of the focus on disparities across racial groups in the US, where we see wide disparities on almost every outcome measure. In the St. Louis area and region, health disparities remains a critical topic where if anything the […]