Kansas City hospital care ranked 3rd most segregated, St. Louis ranks 2nd: report

Abstract: In St. Louis and Kansas City, the vast majority of their hospitals land at the extremes of our inclusivity scale,”  said Vikas Saini. “Some are super over-serving, if you will, black and Hispanic and poor populations, and others are really under-serving, and there are not many that are kind of in the middle.” Saini said in order to have fair, quality and equitable health care for everybody, we have to change the way we organize and pay for hospital care. “It can’t be this kind of market competition, revenue-seeking model,” he said. Saini said he dreams of a health care system where hospitals are given a budget to care for an entire community, rather than on a patient-by-patient basis.