The Center for Advancing Health Services, Policy & Economics Research (CAHSPER) develops actionable evidence to inform policies and interventions that improve health outcomes.

Research
We conduct high-impact funded research on health care access, quality, outcomes, financing, and affordability.

Training
We train and support the next generation of leaders in health services and policy research through mentorship and education.

Policy Impact
We advance population health by framing our research to inform the policy decisions of local, state, and national leaders.
Missouri Medicaid expansion and unwinding link to changes in hospital encounters and a drop in uncompensated care
Our Medicaid Policy Analysis Lab’s latest policy brief reviews changes in hospital encounters over time in Missouri, before and after the start of Medicaid expansion, concentrating on emergency department encounters and inpatient encounters and the “payer mix” hospitals received from those visits (e.g., private, Medicare, Medicaid, and uncompensated).
Lessons for rolling out the One Big Bill: Can states manage Medicaid changes? (Links to an external site)
As states prepare to manage much work to implement the aspects of the One Big Bill (H.R.1), lessons can be learned from states’ inability to manage the work they already are doing.
CAHSPER In the Media
Rural hospitals in Missouri struggle to turn a profit. Medicaid cuts could force some to close (Links to an external site)
Featuring Timothy McBride, CAHSPER co-director
How economic forces are reshaping the future of cardiac care (Links to an external site)
Featuring Karen Joynt Maddox, CAHSPER co-director