In support of its mission, MFH publishes the Show Me Series, which includes studies on a variety of health system issues as well as reports on statewide public opinion polling. These papers consider topics of significance to Missouri which have relevance both to other states and to the nation.

Content for the papers comes from both Foundation staff researchers and national and local field-specific experts.

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Show Me Series Reports:

Show Me Series Report 10: Expanding Insurance Coverage for Workers in Small Businesses
Lessons from Massachusetts and California

View the Entire Report (PDF) | Fact Sheet (PDF)

This paper analyzes state government policy options designed to increase health insurance coverage for small business employees. Based on a review of the recent reform efforts in California and Massachusetts, the study evaluates the effectiveness of such policies with particular attention to their applicability to Missouri.

Prepared at The Urban Institute by:
Linda Blumberg, PhD
John Holahan, PhD
Date: March 2007

Show Me Series Report 9: Health Insurance Coverage of Dual-Income Families
The Free-Rider Effect and the Cost to Employers
View the Entire Report (PDF) | Summary (PDF)

This paper shows that companies providing health insurance to the spouses of their employees are assuming additional health care costs of more than $46 billion nationally, including $891 million for companies in the state of Missouri. It examines the “free-rider effect,” and the distribution of costs associated with employer-sponsored insurance (ESI) among dual-income families.

Prepared at Emory University by:
Kenneth E. Thorpe, PhD
Jennifer Flome, MPH
Katya Galactionova, MA
Date: December 2006

Report 8: Comparison of Missouri Uninsurance Survey Data Sources
View the Entire Report (PDF) | Fact Sheet (PDF)

This paper compares two recent surveys, the Missouri Health Care Insurance and Access (MHCIA) Survey and the Current Population Survey (CPS), which found differing percentages of Missourians that were uninsured in 2004. It discusses the sampling procedures and methodologies of each survey, concludes that the MHCIA provides a low estimate while CPS provides a high estimate and offers a new estimate for the numbers and percentages of Missourians that are uninsured.

Prepared by Timothy D. McBride, PhD, St. Louis University
Date: January 2006

Report 7: Profiles of Medicaid Reform A Look at Other States
View the: Entire Report (PDF)

This paper profiles five states (Florida, Maine, Massachusetts, Oregon and Tennessee) and examines recent changes implemented in their Medicaid programs. The discussion considers the various Medicaid cost-containment measures used by these states, as well as the effect the changes have had both in terms of cost savings and human impact.

Prepared by: M. Ryan Barker, MSW, Missouri Foundation for Health
Date: Fall 2005

Report 6: Missourians' Attitudes on Health Care - A Bi-Partisan Analysis of Survey Findings
View the: Entire Report (PDF) | Fact Sheet (PDF)

This report presents the results of a survey conducted by Lake Snell Perry & Associates and the Tarrance Group immediately following the November 2004 election on a variety of health care issues. The survey data demonstrate concern for the quality of health care in the state, for the growing number of uninsured individuals, and for helping seniors and low-income families with health care costs.

Conducted and Analyzed by: Lake Snell Perry & Associates, Inc., Washington, D.C., and the Tarrance Group, Alexandria, VA.
Date: Winter 2005

Report 5: Economic and Health Benefits of Missouri Medicaid
View the: Entire Report | Fact Sheet
Appendix A - Computing State and County Level Economic Impacts for Missouri Using the IMPLAN Input-Output Model
Appendix B - Economic Impact of Federal Matching Dollars for Existing State of Missouri Funding for Medicaid, FY 2003
Appendix C - Economic Impact of Federal Matching Dollars for Existing State of Missouri Funding for SCHIP, FY 2003
Appendix D - Economic and Health Effects of Medicaid Cost-Containment Options

This paper addresses both the costs and the benefits of the Medicaid program for the state of Missouri. It breaks down Medicaid costs by health care service rendered and according to specific populations covered by the program. The paper also examines the impact of Missouri's Medicaid program on health related outcomes, access to health care and the uninsured rate.

Prepared by: Joel Ferber, JD, Legal Services of Eastern Missouri, Inc.
Economic Research by Heather L. Bednarek, PhD, Muhammad Q. Islam, PhD, St. Louis University
Date: Spring 2004

Report 4: A Profile of Medicaid in Missouri - Report on Survey Findings
Prepared by Lake Snell Parry & Associates, Inc.
View the: Report

The following report contains the results of a survey about the Missouri Medicaid Program, conducted by Lake Snell Perry & Associates, Inc. It reveals strong support for Missouri Medicaid across ages and ethnicities in all regions of the state without regard to political affiliation.

Conducted and Analyzed by Lake Snell Perry & Associates, Inc. of Washington, D.C.
Date: Winter 2004

Prepared by Kenneth E. Thorpe, PhD, Emory University
Date: 2003

Report 2: Health Care Expenditures and Insurance in Missouri
View the: Press Release | Fact Sheet (PDF) | Full Study | Summary Report

This paper presents an estimate of personal health care spending and the distribution of health insurance coverage in Missouri in the year 2003. Several data sources were used to develop estimates as no single repository for this varied information exists.

Prepared by Kenneth E. Thorpe, PhD, Emory University
Date: 2003

Prepared by M. Ryan Barker, MSW, Missouri Foundation for Health
Date: June 2003