Center for Advancing Health Services Policy & Economics Research
@cahsperiph.bsky.social
Center for Advancing Health Services Policy & Economics Research, Washington University in St. Louis.
Analyzing The Drugs Selected For The 2028 Medicare Drug Price Negotiation Cycle
by @cahsperiph.bsky.social affiliated scholar @rachelsachs.bsky.social
| Health Affairs www.healthaffairs.org/content/fore...
by @cahsperiph.bsky.social affiliated scholar @rachelsachs.bsky.social
| Health Affairs www.healthaffairs.org/content/fore...
Health Affairs Journal
www.healthaffairs.org
February 8, 2026 at 2:15 PM
Analyzing The Drugs Selected For The 2028 Medicare Drug Price Negotiation Cycle
by @cahsperiph.bsky.social affiliated scholar @rachelsachs.bsky.social
| Health Affairs www.healthaffairs.org/content/fore...
by @cahsperiph.bsky.social affiliated scholar @rachelsachs.bsky.social
| Health Affairs www.healthaffairs.org/content/fore...
ACA Marketplace (Obamacare) signups drop 1.2 million (-4.9%) in 2026, as consumers face increase in premiums
ACA marketplace enrollment down -12% in Missouri, over 51,000 in 2026
siftingandwinnowing.substack.com/p/aca-signup...
ACA marketplace enrollment down -12% in Missouri, over 51,000 in 2026
siftingandwinnowing.substack.com/p/aca-signup...
January 29, 2026 at 10:59 AM
ACA Marketplace (Obamacare) signups drop 1.2 million (-4.9%) in 2026, as consumers face increase in premiums
ACA marketplace enrollment down -12% in Missouri, over 51,000 in 2026
siftingandwinnowing.substack.com/p/aca-signup...
ACA marketplace enrollment down -12% in Missouri, over 51,000 in 2026
siftingandwinnowing.substack.com/p/aca-signup...
Missouri Medicaid Update:
Applications down 11% in 2025 during open enrollment period; but approvals up 26%
Latest report may reflect improved processing times and drop in pending applications
siftingandwinnowing.substack.com/p/missouri-m...
Applications down 11% in 2025 during open enrollment period; but approvals up 26%
Latest report may reflect improved processing times and drop in pending applications
siftingandwinnowing.substack.com/p/missouri-m...
January 24, 2026 at 6:57 PM
Missouri Medicaid Update:
Applications down 11% in 2025 during open enrollment period; but approvals up 26%
Latest report may reflect improved processing times and drop in pending applications
siftingandwinnowing.substack.com/p/missouri-m...
Applications down 11% in 2025 during open enrollment period; but approvals up 26%
Latest report may reflect improved processing times and drop in pending applications
siftingandwinnowing.substack.com/p/missouri-m...
The Economics of Healthcare: Myths, Policy, and Reform with Dr. Timothy McBride
(co-Director of @cahsperiph.bsky.social) thecatalyst2.substack.com/p/the-econom...
(co-Director of @cahsperiph.bsky.social) thecatalyst2.substack.com/p/the-econom...
The Economics of Healthcare: Myths, Policy, and Reform with Dr. Timothy McBride
Alternative title: Everything you wanted to know about healthcare - from the ACA to Medicaid - bu...
thecatalyst2.substack.com
January 21, 2026 at 12:21 PM
The Economics of Healthcare: Myths, Policy, and Reform with Dr. Timothy McBride
(co-Director of @cahsperiph.bsky.social) thecatalyst2.substack.com/p/the-econom...
(co-Director of @cahsperiph.bsky.social) thecatalyst2.substack.com/p/the-econom...
Missouri Medicaid Financing Update: Medicaid expansion completely funded by federal funds to date
Medicaid expansion completely funded by federal funds: matching funds and over $1 billion MO received and put into a reserve. But reserves will be exhausted in 2026 open.substack.com/pub/siftinga...
Medicaid expansion completely funded by federal funds: matching funds and over $1 billion MO received and put into a reserve. But reserves will be exhausted in 2026 open.substack.com/pub/siftinga...
January 15, 2026 at 1:00 PM
Missouri Medicaid Financing Update: Medicaid expansion completely funded by federal funds to date
Medicaid expansion completely funded by federal funds: matching funds and over $1 billion MO received and put into a reserve. But reserves will be exhausted in 2026 open.substack.com/pub/siftinga...
Medicaid expansion completely funded by federal funds: matching funds and over $1 billion MO received and put into a reserve. But reserves will be exhausted in 2026 open.substack.com/pub/siftinga...
CMS reports that over 833,810 fewer people have signed up for ACA marketplace (“Obamacare”) plans.
In 11 states (including Missouri) signups for plans dropped by more than 10%. In MO, signups dropped 11.3% (-46,054), from 407,782 in 2025 to 361,728 in 2026. See
open.substack.com/pub/siftinga...
In 11 states (including Missouri) signups for plans dropped by more than 10%. In MO, signups dropped 11.3% (-46,054), from 407,782 in 2025 to 361,728 in 2026. See
open.substack.com/pub/siftinga...
January 13, 2026 at 2:33 PM
CMS reports that over 833,810 fewer people have signed up for ACA marketplace (“Obamacare”) plans.
In 11 states (including Missouri) signups for plans dropped by more than 10%. In MO, signups dropped 11.3% (-46,054), from 407,782 in 2025 to 361,728 in 2026. See
open.substack.com/pub/siftinga...
In 11 states (including Missouri) signups for plans dropped by more than 10%. In MO, signups dropped 11.3% (-46,054), from 407,782 in 2025 to 361,728 in 2026. See
open.substack.com/pub/siftinga...
Missouri Medicaid Financing Update
Medicaid expansion completely funded by federal funds to date; Missouri received over $1 billion from federal government and put this into reserve, using this to fund expansion. But likely these funds will be exhausted in 2026 open.substack.com/pub/siftinga...
Medicaid expansion completely funded by federal funds to date; Missouri received over $1 billion from federal government and put this into reserve, using this to fund expansion. But likely these funds will be exhausted in 2026 open.substack.com/pub/siftinga...
Missouri Medicaid Financing Update
Medicaid expansion completely funded by federal funds to date; Missoureceived over $1 billion from feds and put this into reserve, using this to fund expansion, but likely will be exhausted in 2026
open.substack.com
January 12, 2026 at 12:15 AM
Missouri Medicaid Financing Update
Medicaid expansion completely funded by federal funds to date; Missouri received over $1 billion from federal government and put this into reserve, using this to fund expansion. But likely these funds will be exhausted in 2026 open.substack.com/pub/siftinga...
Medicaid expansion completely funded by federal funds to date; Missouri received over $1 billion from federal government and put this into reserve, using this to fund expansion. But likely these funds will be exhausted in 2026 open.substack.com/pub/siftinga...
Federal government awards $50 billion to states for rural healthcare. How much does Florida get?
The Centers for Medicare and Medicaid Services awarded money through it's Rural Health Transformation Program.
[with comments from @cahsperiph.bsky.social Co-Director]
www.fox4now.com/arcadia/fede...
The Centers for Medicare and Medicaid Services awarded money through it's Rural Health Transformation Program.
[with comments from @cahsperiph.bsky.social Co-Director]
www.fox4now.com/arcadia/fede...
Federal government awards $50 billion to states for rural healthcare. How much does Florida get?
Donald Trump's administration awarded $50 billion in federal funding to support rural healthcare. But it comes after deep cuts to Medicaid could force some rural hospitals to close.
www.fox4now.com
January 11, 2026 at 3:54 PM
Federal government awards $50 billion to states for rural healthcare. How much does Florida get?
The Centers for Medicare and Medicaid Services awarded money through it's Rural Health Transformation Program.
[with comments from @cahsperiph.bsky.social Co-Director]
www.fox4now.com/arcadia/fede...
The Centers for Medicare and Medicaid Services awarded money through it's Rural Health Transformation Program.
[with comments from @cahsperiph.bsky.social Co-Director]
www.fox4now.com/arcadia/fede...
Missouri Medicaid 2025 Update: Annual Summary
Medicaid enrollment stable (up 0.2%), but stability hides significant underlying changes in categories of recipients
Open enrollment in progress, applications up 29% in Nov but pending applications down
siftingandwinnowing.substack.com/p/missouri-m...
Medicaid enrollment stable (up 0.2%), but stability hides significant underlying changes in categories of recipients
Open enrollment in progress, applications up 29% in Nov but pending applications down
siftingandwinnowing.substack.com/p/missouri-m...
January 8, 2026 at 11:44 AM
Missouri Medicaid 2025 Update: Annual Summary
Medicaid enrollment stable (up 0.2%), but stability hides significant underlying changes in categories of recipients
Open enrollment in progress, applications up 29% in Nov but pending applications down
siftingandwinnowing.substack.com/p/missouri-m...
Medicaid enrollment stable (up 0.2%), but stability hides significant underlying changes in categories of recipients
Open enrollment in progress, applications up 29% in Nov but pending applications down
siftingandwinnowing.substack.com/p/missouri-m...
Updated:
MISSOURI Medicaid DASHBOARD
with NOV 2025 data on enrollment, applications, managed care
First report after open enrollment started; applications up but below 2024 levels. Enrollment steady at about 1.3 million;
@cahsperiph.bsky.social analysis
cahsper.wustl.edu/impact/medic...
MISSOURI Medicaid DASHBOARD
with NOV 2025 data on enrollment, applications, managed care
First report after open enrollment started; applications up but below 2024 levels. Enrollment steady at about 1.3 million;
@cahsperiph.bsky.social analysis
cahsper.wustl.edu/impact/medic...
December 24, 2025 at 2:50 AM
Updated:
MISSOURI Medicaid DASHBOARD
with NOV 2025 data on enrollment, applications, managed care
First report after open enrollment started; applications up but below 2024 levels. Enrollment steady at about 1.3 million;
@cahsperiph.bsky.social analysis
cahsper.wustl.edu/impact/medic...
MISSOURI Medicaid DASHBOARD
with NOV 2025 data on enrollment, applications, managed care
First report after open enrollment started; applications up but below 2024 levels. Enrollment steady at about 1.3 million;
@cahsperiph.bsky.social analysis
cahsper.wustl.edu/impact/medic...
"Missouri has released their first report on Medicaid applications" since open enrollment for the ACA. "applications to Medicaid rose 29% in Nov 2025; however, that level of applications is 13% below the number of applications received in November 2024...too early to tell what this drop indicates"
"Medicaid enrollment dropped slightly in Nov 2025 but has been roughly steady for months" but this does not "capture important changes in categories...enrollment dropped for custodial adults, people with disabilities & children, while enrollment grew for AEG, pregnant women, and the elderly."
Missouri Medicaid November 2025 Update:
First Report on Open Enrollment
Enrollment is steady, but the number of applications to Medicaid rose 29% from Oct to Nov 2025; however that level of applications is 13% below number of applications received in Nov 2024
open.substack.com/pub/timothym...
First Report on Open Enrollment
Enrollment is steady, but the number of applications to Medicaid rose 29% from Oct to Nov 2025; however that level of applications is 13% below number of applications received in Nov 2024
open.substack.com/pub/timothym...
December 21, 2025 at 3:37 PM
"Missouri has released their first report on Medicaid applications" since open enrollment for the ACA. "applications to Medicaid rose 29% in Nov 2025; however, that level of applications is 13% below the number of applications received in November 2024...too early to tell what this drop indicates"
"Medicaid enrollment dropped slightly in Nov 2025 but has been roughly steady for months" but this does not "capture important changes in categories...enrollment dropped for custodial adults, people with disabilities & children, while enrollment grew for AEG, pregnant women, and the elderly."
Missouri Medicaid November 2025 Update:
First Report on Open Enrollment
Enrollment is steady, but the number of applications to Medicaid rose 29% from Oct to Nov 2025; however that level of applications is 13% below number of applications received in Nov 2024
open.substack.com/pub/timothym...
First Report on Open Enrollment
Enrollment is steady, but the number of applications to Medicaid rose 29% from Oct to Nov 2025; however that level of applications is 13% below number of applications received in Nov 2024
open.substack.com/pub/timothym...
December 21, 2025 at 3:35 PM
"Medicaid enrollment dropped slightly in Nov 2025 but has been roughly steady for months" but this does not "capture important changes in categories...enrollment dropped for custodial adults, people with disabilities & children, while enrollment grew for AEG, pregnant women, and the elderly."
Reposted by Center for Advancing Health Services Policy & Economics Research
Missouri Medicaid November 2025 Update:
First Report on Open Enrollment
Enrollment is steady, but the number of applications to Medicaid rose 29% from Oct to Nov 2025; however that level of applications is 13% below number of applications received in Nov 2024
open.substack.com/pub/timothym...
First Report on Open Enrollment
Enrollment is steady, but the number of applications to Medicaid rose 29% from Oct to Nov 2025; however that level of applications is 13% below number of applications received in Nov 2024
open.substack.com/pub/timothym...
December 20, 2025 at 7:00 PM
Missouri Medicaid November 2025 Update:
First Report on Open Enrollment
Enrollment is steady, but the number of applications to Medicaid rose 29% from Oct to Nov 2025; however that level of applications is 13% below number of applications received in Nov 2024
open.substack.com/pub/timothym...
First Report on Open Enrollment
Enrollment is steady, but the number of applications to Medicaid rose 29% from Oct to Nov 2025; however that level of applications is 13% below number of applications received in Nov 2024
open.substack.com/pub/timothym...
Missouri Medicaid November 2025 Update:
First Report on Open Enrollment
Enrollment is steady, but the number of applications to Medicaid rose 29% from Oct to Nov 2025; however that level of applications is 13% below number of applications received in Nov 2024
open.substack.com/pub/timothym...
First Report on Open Enrollment
Enrollment is steady, but the number of applications to Medicaid rose 29% from Oct to Nov 2025; however that level of applications is 13% below number of applications received in Nov 2024
open.substack.com/pub/timothym...
December 20, 2025 at 7:00 PM
Missouri Medicaid November 2025 Update:
First Report on Open Enrollment
Enrollment is steady, but the number of applications to Medicaid rose 29% from Oct to Nov 2025; however that level of applications is 13% below number of applications received in Nov 2024
open.substack.com/pub/timothym...
First Report on Open Enrollment
Enrollment is steady, but the number of applications to Medicaid rose 29% from Oct to Nov 2025; however that level of applications is 13% below number of applications received in Nov 2024
open.substack.com/pub/timothym...
First ACA Marketplace Snapshot Report for 2026:
Mixed and confusing results?
New consumers down -3.9%; existing selections up 9.9%.
In Missouri, existing selections down 6.6%
timothymcbride.substack.com/p/first-mark...
Mixed and confusing results?
New consumers down -3.9%; existing selections up 9.9%.
In Missouri, existing selections down 6.6%
timothymcbride.substack.com/p/first-mark...
December 10, 2025 at 10:54 AM
First ACA Marketplace Snapshot Report for 2026:
Mixed and confusing results?
New consumers down -3.9%; existing selections up 9.9%.
In Missouri, existing selections down 6.6%
timothymcbride.substack.com/p/first-mark...
Mixed and confusing results?
New consumers down -3.9%; existing selections up 9.9%.
In Missouri, existing selections down 6.6%
timothymcbride.substack.com/p/first-mark...
October 2025 Update:
Missouri Medicaid enrollment steady; pending applications drop considerably
Update from @cahsperiph.bsky.social
open.substack.com/pub/timothym...
Missouri Medicaid enrollment steady; pending applications drop considerably
Update from @cahsperiph.bsky.social
open.substack.com/pub/timothym...
December 6, 2025 at 3:41 PM
October 2025 Update:
Missouri Medicaid enrollment steady; pending applications drop considerably
Update from @cahsperiph.bsky.social
open.substack.com/pub/timothym...
Missouri Medicaid enrollment steady; pending applications drop considerably
Update from @cahsperiph.bsky.social
open.substack.com/pub/timothym...
October 2025 MO Medicaid update: pending applications drop considerably
"significant drop in number of pending applications...70% drop in pending applications from July to October 2025...average days to complete application dropped from 40 to 21 days"
timothymcbride.substack.com/p/october-20...
"significant drop in number of pending applications...70% drop in pending applications from July to October 2025...average days to complete application dropped from 40 to 21 days"
timothymcbride.substack.com/p/october-20...
December 5, 2025 at 11:30 AM
October 2025 MO Medicaid update: pending applications drop considerably
"significant drop in number of pending applications...70% drop in pending applications from July to October 2025...average days to complete application dropped from 40 to 21 days"
timothymcbride.substack.com/p/october-20...
"significant drop in number of pending applications...70% drop in pending applications from July to October 2025...average days to complete application dropped from 40 to 21 days"
timothymcbride.substack.com/p/october-20...
Total enrollment MO Medicaid program rose slightly in Oct but there are shifts in enrollment
Falling:
custodial adults (-20%)
disabled (-13%)
children (-7%),
Rising:
expansion group (+9%)
pregnant women (+31%)
elderly (+5%)
since unwinding
timothymcbride.substack.com/p/october-20...
Falling:
custodial adults (-20%)
disabled (-13%)
children (-7%),
Rising:
expansion group (+9%)
pregnant women (+31%)
elderly (+5%)
since unwinding
timothymcbride.substack.com/p/october-20...
December 5, 2025 at 11:26 AM
Total enrollment MO Medicaid program rose slightly in Oct but there are shifts in enrollment
Falling:
custodial adults (-20%)
disabled (-13%)
children (-7%),
Rising:
expansion group (+9%)
pregnant women (+31%)
elderly (+5%)
since unwinding
timothymcbride.substack.com/p/october-20...
Falling:
custodial adults (-20%)
disabled (-13%)
children (-7%),
Rising:
expansion group (+9%)
pregnant women (+31%)
elderly (+5%)
since unwinding
timothymcbride.substack.com/p/october-20...
Reposted by Center for Advancing Health Services Policy & Economics Research
October 2025 Update:
Missouri Medicaid enrollment steady; pending applications drop considerably
Update from @cahsperiph.bsky.social open.substack.com/pub/timothym...
Missouri Medicaid enrollment steady; pending applications drop considerably
Update from @cahsperiph.bsky.social open.substack.com/pub/timothym...
October 2025 Update: Missouri Medicaid enrollment steady; pending applications drop considerably
Enrollment in Missouri Medicaid up slightly, pending applications down 51%; shifts in enrollment categories underway.
open.substack.com
December 4, 2025 at 12:04 PM
October 2025 Update:
Missouri Medicaid enrollment steady; pending applications drop considerably
Update from @cahsperiph.bsky.social open.substack.com/pub/timothym...
Missouri Medicaid enrollment steady; pending applications drop considerably
Update from @cahsperiph.bsky.social open.substack.com/pub/timothym...
October 2025 Update:
Missouri Medicaid enrollment steady; pending applications drop considerably
Update from @cahsperiph.bsky.social open.substack.com/pub/timothym...
Missouri Medicaid enrollment steady; pending applications drop considerably
Update from @cahsperiph.bsky.social open.substack.com/pub/timothym...
October 2025 Update: Missouri Medicaid enrollment steady; pending applications drop considerably
Enrollment in Missouri Medicaid up slightly, pending applications down 51%; shifts in enrollment categories underway.
open.substack.com
December 4, 2025 at 12:04 PM
October 2025 Update:
Missouri Medicaid enrollment steady; pending applications drop considerably
Update from @cahsperiph.bsky.social open.substack.com/pub/timothym...
Missouri Medicaid enrollment steady; pending applications drop considerably
Update from @cahsperiph.bsky.social open.substack.com/pub/timothym...
Updated:
MISSOURI Medicaid DASHBOARD
with OCTOBER 2025 data on enrollment, applications, managed care & geographic distribution
Enrollment steady at about 1.27 million; @cahsperiph.bsky.social analysis
cahsper.wustl.edu/impact/medic...
MISSOURI Medicaid DASHBOARD
with OCTOBER 2025 data on enrollment, applications, managed care & geographic distribution
Enrollment steady at about 1.27 million; @cahsperiph.bsky.social analysis
cahsper.wustl.edu/impact/medic...
December 3, 2025 at 9:39 PM
Updated:
MISSOURI Medicaid DASHBOARD
with OCTOBER 2025 data on enrollment, applications, managed care & geographic distribution
Enrollment steady at about 1.27 million; @cahsperiph.bsky.social analysis
cahsper.wustl.edu/impact/medic...
MISSOURI Medicaid DASHBOARD
with OCTOBER 2025 data on enrollment, applications, managed care & geographic distribution
Enrollment steady at about 1.27 million; @cahsperiph.bsky.social analysis
cahsper.wustl.edu/impact/medic...
Read @cahsperiph.bsky.social policy brief cited here at
cahsper.wustl.edu/items/change...
To see the data in a dashboard or maps go here:
cahsper.wustl.edu/impact/medic...
cahsper.wustl.edu/items/change...
To see the data in a dashboard or maps go here:
cahsper.wustl.edu/impact/medic...
November 26, 2025 at 11:03 PM
Read @cahsperiph.bsky.social policy brief cited here at
cahsper.wustl.edu/items/change...
To see the data in a dashboard or maps go here:
cahsper.wustl.edu/impact/medic...
cahsper.wustl.edu/items/change...
To see the data in a dashboard or maps go here:
cahsper.wustl.edu/impact/medic...
Quote from article citing @cahsperiph.bsky.social work:
November 26, 2025 at 10:51 PM
Quote from article citing @cahsperiph.bsky.social work:
Missourians brace for health insurance premium spikes with federal subsidies set to expire
Research by @cahsperiph.bsky.social cited
missouriindependent.com/2025/11/26/m...
Research by @cahsperiph.bsky.social cited
missouriindependent.com/2025/11/26/m...
Missourians brace for health insurance premium spikes with federal subsidies set to expire • Missouri Independent
The open enrollment period for Affordable Care Act plans ends Jan. 16. For some, the extra costs for 2026 will mean they go without coverage.
missouriindependent.com
November 26, 2025 at 10:49 PM
Missourians brace for health insurance premium spikes with federal subsidies set to expire
Research by @cahsperiph.bsky.social cited
missouriindependent.com/2025/11/26/m...
Research by @cahsperiph.bsky.social cited
missouriindependent.com/2025/11/26/m...
Reposted by Center for Advancing Health Services Policy & Economics Research
🗣 Don’t miss out, STL! Free STL health + social services event on Dec 13! Bring proof of income for @heatupstl assistance apps.
📍1000 Vandeventer, 10am–2pm
Resources are limited—sign up thinkhealthstl.org
#CommunityHealth #CommunityFirst
📍1000 Vandeventer, 10am–2pm
Resources are limited—sign up thinkhealthstl.org
#CommunityHealth #CommunityFirst
November 26, 2025 at 3:11 PM
🗣 Don’t miss out, STL! Free STL health + social services event on Dec 13! Bring proof of income for @heatupstl assistance apps.
📍1000 Vandeventer, 10am–2pm
Resources are limited—sign up thinkhealthstl.org
#CommunityHealth #CommunityFirst
📍1000 Vandeventer, 10am–2pm
Resources are limited—sign up thinkhealthstl.org
#CommunityHealth #CommunityFirst