One year after Boone Health and Audrain County leaders signed a Letter of Intent to bring a critical access hospital back to Mexico — a city in central Missouri — the facility remains closed. The original hospital shut down in 2022. So why the delay? Boone Health CEO Brady Dubois, visiting Mexico on Monday, told Missourinet the biggest hurdle is understanding all the variables involved.

“When you take the amount of funds out of the Medicaid system with the Medicaid population, not only in this county but across the state, things looked different six months ago,” said Dubois. “Here in Audrain County, you’re looking at 27%, give or take a percentage or two, the citizens are on Medicaid.”

Dubois told Missourinet that much has changed since the project began, from Medicaid funding to constru

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