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This article is from a partnership that includesMTPR,NPR,and KFF Health News. It can be republished for free.

KALISPELL, Mont. On a cold February morning at the Flathead Warming Center, Tashya Evans waited for help with her Medicaid application as others at the shelter got ready for the day in this northwestern Montana city.

Evans said she lost Medicaid coverage in September because she hadnt received paperwork after moving from Great Falls, Montana. She has had to forgo the blood pressure medication she can no longer pay for since losing coverage. She has also had to put off needed dental work.

The teeth broke off. My gums hurt. Theres some times where Im not feeling good, I dont want to eat, she said.

Evans is one of about 130,000 Montanans who have lost Medicaid coverage as the state reevaluates everyones eligibility following a pause in disenrollments during the covid-19 pandemic. About two-thirds of those who were kicked off state Medicaid rolls lost coverage for technical reasons, such as incorrectly filling out paperwork. Thats one of the highest procedural disenrollment rates in the nation, according to a KFF analysis.

Even unsheltered people like Evans are losing their coverage, despite state officials saying they would automatically renew people who should still qualify by using Social Security and disability data.

As other guests filtered out of the shelter that February morning, Evans sat down in a spare office with an application counselor from Greater Valley Health Clinic, which serves much of the homeless population here, and recounted her struggle to reenroll.

She said that she had asked for help at the state public assistance office, but that the staff didnt have time to answer her questions about which forms she needed to fill out or to walk her through the paperwork. She tried the states help line, but couldnt get through.

You just get to the point where youre like, Im frustrated right now. I just have other things that are more important, and lets not deal with it, she said.

Evans has a job and spends her free time finding a place to sleep since she doesnt have housing. Waiting on the phone most of the day isnt feasible. Tashya Evans waits outside the Flathead Warming Center, a low-barrier shelter in Kalispell, Montana, on March 5. Evans had just finished work in time to join the line for a bed that evening.(Aaron Bolton/MTPR)

Theres no public data on how many unhoused people in Montana or nationwide have lost Medicaid, but homeless service providers and experts say its a big problem.

Those assisting unsheltered people who have lost coverage say they spend much of their time helping people contact the Montana Medicaid office. Sorting through paperwork mistakes is also a headache, said Crystal Baker, a case manager at HRDC, a homeless shelter in Bozeman.

Were getting mail thats like, Oh, this needs to be turned in by this date, and thats already two weeks past. So, now we have to start the process all over again, she said. Now, they have to wait two to three months without insurance.

Montana health officials told NPR and KFF Health News in a statement that they provided training to help homeless service agencies prepare their clients for redetermination.

Federal health officials have warned Montana and some other conservative states against disenrolling high rates of people for technicalities, also known as procedural disenrollment. They also warned states about unreasonable barriers to accessing help, such as long hold times on help lines. The Centers for Medicare & Medicaid Services said if states dont reduce the rate of procedural disenrollments, the agency could force them to halt their redetermination process altogether. So far, CMS hasnt taken that step.

Charlie Brereton, the director of the Montana health department, resisted calls from Democratic state lawmakers to pause the redetermination process. Redetermination ended in January, four months ahead of the federal deadline.

Im confident in our redetermination process, Brereton told lawmakers in December. I do believe that many of the Medicaid members whove been disenrolled were disenrolled correctly. Email Sign-Up

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Health industry observers say that both liberal-leaning and conservative-leaning states are kicking homeless people off their rolls and that the redetermination process has been chaotic everywhere. Because of the barriers that unsheltered people face, its easy for them to fall through the cracks.

Margot Kushel, a physician and a homeless researcher at the University of California-San Francisco, said it may not seem like a big deal to fill out paperwork. But, she said, put yourself in the position of an elder experiencing homelessness, especially those without access to a computer, phone, or car.

If they still qualify, people can usually get their Medicaid coverage renewed eventually and it may reimburse patients retroactively for care received while they were unenrolled.

Kushel said being without Medicaid for any period can be particularly dangerous for people who are homeless. This population tends to have high rates of chronic health conditions.

Being out of your asthma medicine for three days can be life-threatening. If you have high blood pressure and you suddenly stop your medicine, your blood pressure shoots up, and your risk of having a heart attack goes way up, she said.

When people dont understand why theyre losing coverage or how to get it back, that erodes their trust in the medical system, Kushel said.

Evans, the homeless woman, was able to get help with her application and is likely to regain coverage.

Agencies that serve unhoused people said it could take years to get everyone who lost coverage back on Medicaid. They worry that those who go without coverage will resort to using the emergency room rather than managing their health conditions proactively.

Baker, the case manager at the Bozeman shelter, set up several callbacks from the state Medicaid office for one client. The state needed to interview him to make sure he still qualified, but the state never called.

He waited all day long. By the fifth time, it was so stressful for him, he just gave up, she said.

That client ended up leaving the Bozeman area before Baker could convince him it was worth trying to regain Medicaid.

Baker worries his poor health will catch up with him before he decides to try again.

This article is from a partnership that includes MTPR, NPR, and KFF Health News. Related Topics Insurance Medicaid Multimedia States Audio Homeless Montana Contact Us Submit a Story Tip

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Science

NASA Confirms Solar Wind Stripped Mars’ Atmosphere Using MAVEN Data

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NASA Confirms Solar Wind Stripped Mars’ Atmosphere Using MAVEN Data

Mars used to be a wetter world. Scientists have long pointed to evidence like dried-up riverbeds and ancient lake basins. For that much water to exist, Mars would have needed a thicker atmosphere — one that could hold in heat and pressure. But today, Mars is cold, dry, and barely has any air. For the first time, NASA’s MAVEN spacecraft has directly observed a long-suspected process responsible for stripping away Mars’ atmosphere — sputtering. Understanding when and how that atmosphere disappeared is crucial for reconstructing the planet’s climate history and assessing its past potential to support life.

Sputtering

According to MAVEN’s findings from a new study, sputtering is a significant mechanism in atmospheric escape. In this mechanism energetic particles from solar wind collide with Mars’ upper atmosphere. These collisions, in principle, transfer enough energy to neutral atoms and help break them free from the planet’s gravitational pull, flinging them into space.

“It’s like doing a cannonball in a pool,” Shannon Curry, the principal investigator of the MAVEN mission at the University of Colorado Boulder who led the new study, said in a statement. “The cannonball, in this case, is the heavy ions crashing into the atmosphere really fast and splashing neutral atoms and molecules out.”

Using nine years of data, scientists created detailed maps of argon. The study also revealed that sputtering happens at a rate four times higher than previous models predicted, and intensifies during solar storms.

This suggests the process was far more extreme billions of years ago, when the young sun was more active and Mars had already lost its magnetic field. Without magnetic protection, the planet’s atmosphere was vulnerable to relentless solar wind. This accelerated the loss of atmosphere and leading to the disappearance of surface water.

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Business

River Island owners draw up rescue plan for high street chain

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River Island owners draw up rescue plan for high street chain

The family behind River Island, the high street fashion retailer, is drawing up a radical rescue plan which could put significant numbers of stores and jobs at risk.

Sky News has learnt that the chain’s owners have drafted in advisers from PricewaterhouseCoopers (PwC) to devise a formal restructuring plan.

The proposals, which are expected to be finalised within weeks, are subject to sign-off, with sources insisting this weekend that any firm decisions about the future of the business have yet to be taken.

River Island is one of Britain’s best-known clothing chains, operating roughly 230 stores across the country, and employing approximately 5,500 people.

Previously named Lewis and Chelsea Girl, the business was founded in 1948 by Bernard Lewis, finally adopting its current brand four decades later.

Accounts for River Island Clothing Co for the 52 weeks ending 30 December, 2023 show the company made a £33.2m pre-tax loss.

Turnover during the year fell by more than 19% to £578.1m.

More from Money

A restructuring plan is a court-supervised process which enables companies facing financial difficulties to compromise creditors such as landlords in order to avoid insolvency proceedings.

In recent years, it has been used by companies including the casual dining chain Prezzo and, more recently, Hobbycraft, the retailer now owned by Modella Capital.

One source said that if it proceeded a restructuring plan at River Island could emerge within weeks.

This weekend, it was unclear how many stores and jobs might be under threat from a formal rescue deal.

In its latest accounts at Companies House, River Island Holdings Limited warned of a multitude of financial and operational risks to its business.

“The market for retailing of fashion clothing is fast changing with customer preferences for more diverse, convenient and speedier shopping journeys and with increasing competition especially in the digital space,” it said.

“The key business risks for the group are the pressures of a highly competitive and changing retail environment combined with increased economic uncertainty.

“A number of geopolitical events have resulted in continuing supply chain disruption as well as energy, labour and food price increases, driving inflation and interest rates higher and resulting in weaker disposable income and lower consumer confidence.”

In January, Sky News reported that River Island had hired AlixPartners, the consulting firm, to undertake work on cost reductions and profit improvement.

AlixPartners’ role is now understood to have been superseded by that of PwC.

Retailers have complained bitterly about the impact of tax changes announced by Rachel Reeves, the chancellor, in last autumn’s Budget.

Since then, a cluster of well-known chains, including Lakeland and The Original Factory Shop, have been forced to seek new owners.

Poundland, the discount retail giant, is in the latter stages of an auction process, with Hilco Capital and Gordon Brothers remaining interested in acquiring it.

A spokesperson for River Island declined to comment.

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Sports

Panthers win epic double-overtime Game 2: Grades, big questions for both teams

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Panthers win epic double-overtime Game 2: Grades, big questions for both teams

We tried to tell you after Game 1. Unless one of these teams pulls ahead by a large margin early in the game, it’s likely that every contest between the Edmonton Oilers and the Florida Panthers in the 2025 Stanley Cup Final is going to be decided in the last 10 minutes — or at least one overtime period.

That’s what happened in Game 1 with the Oilers winning in overtime. It happened again Friday with the venerable Corey Perry scoring the game-tying goal with 18 seconds left to send it to OT. But it would take double overtime before another veteran, Brad Marchand, scored the game-winning goal to give the Panthers a 5-4 win. That draws the series level as the games head to South Florida, starting with Game 3 on Monday.

By now, you know how this works. How did both teams perform in another dramatic overtime contest? Who were the standout players for each side? And, as always, what are the major questions facing the Oilers and Panthers before Game 3?

The Oilers scored three first-period goals, only to give up two in the frame before giving up two more in the next period as they struggled to gain control.

Even with all of that, they found a way to score the game-tying goal late in the third period and force overtime for a consecutive game against the defending Stanley Cup champions.

There was so much up and down in Game 2, and yet the Oilers still had a chance to win — only to watch Marchand score the game-winner in double OT.

For as strong as the Oilers are at coming back, Game 2 reinforced the importance of taking advantage of their opportunities. They controlled possession in the third period with a 63.6% shot share and four high-danger scoring chances; they had a 51.2% shot share in the first OT, but still produced five high-danger scoring chances.

Heading to South Florida tied at 1-1 is still better than the alternative of trailing 0-2 in a series as they did a year ago. But given their OT chances, this was a missed opportunity to have a 2-0 lead heading into Game 3.

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Corey Perry ties game for Oilers with 18 seconds left

Corey Perry scores a miraculous goal for the Oilers with under 20 seconds left to send Game 2 to overtime.

How much risk is too much risk against a team that never really dies, but lives in a perpetual stasis knowing they could attack at any time?

This was arguably the most prominent question facing the Panthers in a first overtime during which they generated multiple scoring chances. There was the loose puck that slid underneath Stuart Skinner‘s pads that John Klingberg cleared out of the crease. There was the rebound that Skinner snared in mid-air, while Sam Reinhart‘s breakaway attempt went wide when it could have ended the game.

It began to appear as if the Panthers could be left to ruminate over another set of missed opportunities — only to have Marchand get his second breakaway of the evening to score the game-winning goal and tie the series at 1-1.

Marchand’s goal did more than just bring his team even against the Oilers. It was the difference between the Panthers gaining a sense of control after two games, or facing a 2-0 series hole after blowing third-period leads in both contests.


Arda Öcal’s Three Stars of Game 2

Aside from the fact that “The Rat King” already has two traditions in his short stint with the Panthers — another visit to Dairy Queen which occurred after yesterday’s team dinner, according Emily Kaplan, in addition to the team shooting plastic rats at him after wins — he scored a shorthanded, go-ahead goal in the middle frame. It was Marchand’s second shorthanded goal against a Canadian team on June 6 in history — he also against the Vancouver Canucks in 2011.

Then he scored the game winner in double overtime, also on a breakaway, capping an incredible game.

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Brad Marchand wins it in 2OT for Panthers

Brad Marchand’s second goal of the night wins it in Game 2 for the Panthers in double overtime in Edmonton.

McDavid finished with three assists, including one that would have been the best career assist for many NHL players — and the best in the postseason in many instances — except for the fact that McDavid seems to be doing things like this every single game.

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McDavid wizardry sets up Draisaitl for Oilers goal

The Oilers take the lead for the second time after Connor McDavid’s sensational assist to Leon Draisaitl.

3. The first period

What a way to start Game 2! The Panthers struck first thanks to Sam Bennett on the power play, then the Oilers scored two goals in under two minutes thanks to Evander Kane and Evan Bouchard. Seth Jones tied it up, but then a minute later, Connor McDavid made another McMagic kind of play, blowing by Aleksander Barkov and making Aaron Ekblad look silly before making a sublime pass to Leon Draisaitl. Just a reminder, this was all in the first period!

There were also 11 total penalties in the opening 20 minutes, but it didn’t feel like it ruined the flow at all … if anything, the power plays and 4-on-4 hockey it added it!


Players to watch in Game 3

Bouchard’s Game 2 performance adds to a tricky conversation facing the Oilers once they reach the offseason. But there’ll be more on that shortly. Game 2 was his seventh multi-point performance, and was also the second time this postseason he finished with three points in a single game.

Here’s where the nuance comes into play. Bouchard was involved in all but one of the Oilers’ goals. If not for Connor McDavid, he would have led them with 34:29 in ice time, which is slightly more than three Spongebob episodes. Receiving that much ice time further cements the trust he’s gained from Oilers coach Kris Knoblauch. However, he was on the ice for three goals against, including both of Marchand’s breakaways, while also being assessed for a pair of cross-checking penalties.

There’s still more to be said about how this postseason ends for the Oilers and Bouchard. But when it does? The two sides will need to agree on a new contract for the standout blueliner. Already on a bridge deal, he’s a pending restricted free agent who appears in line to earn a significant raise from the $4.3 million annual salary he’s earned the last two seasons. How will his play in the rest of the series influence those conversations?

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Oilers take lead on Evan Bouchard deflection

Evan Bouchard scores on a second-chance opportunity after getting the puck back off of a deflection.

What’s a more bizarre realization? The fact that Tkachuk hadn’t recorded a shot on goal until late in the third period — only to then have that shot registered for someone else? Or is it be the notion that this was the sixth time during these playoffs that he didn’t finish with a shot on goal?

Or is it the fact that the Panthers have lost only one of those games in which Tkachuk didn’t get a shot on goal?

Although the Panthers found the necessary offensive contributions to win Game 2, there’s no denying that Tkachuk will be central to their plans should they ultimately win this series. This postseason has seen Tkachuk respond by having a point in all but one of those games after he finished with no shots on goal (two of those shotless games were consecutive). Goals, while crucial, are only just part of the equation for Tkachuk, who had only one of the Panthers’ 60 hits. More is needed from Florida’s superstar.


Big questions for Game 3

Can the Oilers find more consistency early and not rely on their late-game heroics to win?

Two games of a series might be enough of a sample size to state that the Oilers must improve their play right off the hop, instead of trying to consistently rely on their late-game abilities which has been the case in both games thus far.

Look no further than the first period of Game 2. Although giving up two goals didn’t help their cause, they found ways to regain control. They had a 55% shot share overall while logging 14 shots on goal, which led to them scoring three goals, including Leon Draisaitl’s power-play goal that gave them a 3-2 lead heading into the second.

But that’s what made the second such a jarring one compared to how they started. They were limited to just nine shots, gave up two goals and were largely playing without the puck as they had a shot share below 30% before they rallied to tie the game late in the third to force what became a double-overtime contest.

Even though they lost by the closest of margins, how they played in the second could have been the difference between a 2-0 lead versus that of their current series split.

What must the Panthers do to put the Oilers away in the third period?

In Game 1, the Oilers ended the Panthers’ 31-game streak of winning when they had a lead after two periods. It nearly happened again Friday, with Perry’s late third-period goal that would force double overtime — only for Marchand’s second of the night to win the game.

After allowing three goals in the first period, the Panthers had a 70.45% shot share in the second. They had eight high-danger scoring chances in that frame, and made it count with two goals for a 4-3 lead entering the third.

Everything looked as if they were going to win Game 2 until, well, the Oilers came back to tie the game in the final frame … again.

Once the game was in OT, Florida had numerous chances to score the game-winning goal in both periods before Marchand tallied the game-winner.

There’s no need to fully delve into how much the Panthers know about the Oilers’ ability to come back, given what happened last season when Edmonton came back from down 3-0 tie force Game 7. But it is worth noting that Edmonton came into Game 2 scoring 15 goals in the final five minutes of regulation this postseason, while also being 4-0 in overtime, which just reinforces how nothing is really safe against the Oilers.

In a way, the Panthers survived in a way most haven’t this postseason. They might not be so lucky the next time.

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