View and compare the payor mix Missouri hospitals experienced for emergency department and inpatient services from 2016 to 2024, with dates of key events and policies annotated, based on analysis of Hospital Industry Data Institute (HIDI) data.
There were several key events that affected the payor mix (i.e., the share of reimbursement from private insurance, Medicare, Medicaid, etc.) hospitals in Missouri experienced between 2020 and 2024:
- Start of the COVID-19 Public Health Emergency (PHE) that included temporary provisions for continuous coverage of Medicaid enrollees.
- Implementation of the Medicaid expansion, which passed in 2020, and was implemented starting July 2021.
- End of the formal COVID-19 PHE and the start of the unwinding, i.e., the gradual rollback, of policies on temporary coverage and regulatory flexibilities.
These dashboards allow users to view the effects of these events on both emergency department and inpatient hospital encounters in Missouri.
The Center for Advancing Health Services, Policy & Economics Research released a related policy brief that reports changes in the payor mix that covered Missouri hospital inpatient and emergency department services over time. A reduction in encounters not covered by insurance – and an increase in encounters covered by Medicaid – implies a decreased burden on patients as well as an improvement in net revenues for hospitals.