Topic: Critical Access Hospital Program

Interview of Tom Bell, March 6, 2026

Interviewed by Robert St. Peter

Tom Bell served as CEO of the Kansas Hospital Association from 2012 - 2020 when he retired. As the leader of the trade association representing Kansas hospitals, he provided education and advocacy for the 120 hospitals that were his association's members. Bell describes his work mainly as advocating for hospitals in the Kansas Legislature and with the Kansas Congressional Delegation on federal issues. During his interview he identifies several big state issues that impacted his members: Certificate of Need, scope of practice, rural hospitals, medicaid expansion and reimbursements (DRGs). The passage of the Critical Access Hospital Show Morelegislation saved a lot of hospitals and helped solve some problems. Bell said he was constantly looking for ways to balance the competing interests of all the parts of the health care system. He also noted the COVID pandemic had huge, negative impacts that are still being felt. The interview looks at the advantages or disadvantage of being a non-profit hospital vs a for-profit model. It also discussed the need for a state health planning agency to set policy. In response to the question, what are the "top issues that you think we as a state need to be addressing right now for the well-being of hospitals... and the community", Bell indicated workforce was at the top of the list as well as reimbursement and how to help the community access the best level of health care. He concluded the interview by saying, "...what's good for the hospital ought to be what's good for a particular community." Show Less

Interview of Robert Moser, March 10, 2026

Interviewed by Robert St. Peter

Dr. Moser had an unusual background because he went to pharmacy school before deciding to go to medical school. This interview really highlights the difficulties of practicing medicine in a rural area, and shows Moser's innovations in responding to those challenges. He did his residency in his hometown of Tribune, Kansas. He also credits the business training in Pharmacy school as being helpful in responding to challenges which included workforce issues. To meet that challenge, Dr. Moser used a multijurisdictional approach to expand staffing in both Greely and Wallace counties. Delivering babies was a Show Morerecurring problem - no backup, no personal time. Moser left Tribune in 2010 to work as Governor Brownback's Secretary of Health and Environment but left 3 years later because of opposition to medicaid expansion. In 2014 he joined the Kansas Heart-Stroke Collaborative - a CMS innovation - and also taught population health and family medicine at KU Medical Center. After surveying emergency room data regarding patients who came in with heart attacks and strokes, they were able to develop evidence-based guidelines for rural health care staff that improved patient outcomes. Show Less