Kerry James

North Carolina Rural Health Research and Policy Analysis Center

Phone: 919.966.9985
Fax: 919.966.5764
E-mail: kerry_james@unc.edu

Rural Health Research and Policy Analysis Center
University of North Carolina - Chapel Hill
725 Airport Road CB 7590
Chapel Hill, NC 27599-7590

Completed Projects (1)

Rural Informal Safety Net: The Development of a Research and Evaluation Design and a Preliminary Assessment
Research center: North Carolina Rural Health Research and Policy Analysis Center
Funder: Office of Rural Health Policy (ORHP)
Topics: Health insurance and the uninsured, Health services

Publications (1)

Tracking Medicaid Managed Care in Rural Communities: A Fifty-State Follow-Up
Author(s): Pam Silberman, Stephanle Poley, Kerry James, Rebecca Slifkin
Research center: North Carolina Rural Health Research and Policy Analysis Center
Topic: Medicaid and S-CHIP
Citation: Health Affairs, 21(4), 255-263
Date: 08 / 2002
Updates a 1997 study examining implementation of rural Medicaid managed care programs. Among its findings are that there have been significant state-level changes in the types of programs offered; there has been an overall increase in the percentage of urban and rural counties with Medicaid managed care programs; and SCHIP expansion has had little impact on the operation of fully capitated Medicaid managed care programs in rural areas because the increased number of children covered has not been large enough to affect health plans' participation. Concludes that looking only at the increase in rural Medicaid managed care since 1997 could lead to a false impression. While the number of rural counties with fully capitated programs has increased, states' more recent experiences suggest that health plans are pulling out of rural areas just as they are pulling out of urban ones. States may find it difficult to find commercial HMOs willing to participate in Medicaid managed care at prices that states can afford.

Topics Centers Researchers Other Resources Search		Kerry James North Carolina Rural Health Research and Policy Analysis Center Phone: 919.966.9985 Fax: 919.966.5764 E-mail: kerry_james@unc.edu Rural Health Research and Policy Analysis Center University of North Carolina - Chapel Hill 725 Airport Road CB 7590 Chapel Hill, NC 27599-7590 Completed Projects (1) Rural Informal Safety Net: The Development of a Research and Evaluation Design and a Preliminary Assessment Research center: North Carolina Rural Health Research and Policy Analysis Center Funder: Office of Rural Health Policy (ORHP) Topics: Health insurance and the uninsured, Health services Publications (1) Tracking Medicaid Managed Care in Rural Communities: A Fifty-State Follow-Up Author(s): Pam Silberman, Stephanle Poley, Kerry James, Rebecca Slifkin Research center: North Carolina Rural Health Research and Policy Analysis Center Topic: Medicaid and S-CHIP Citation: Health Affairs, 21(4), 255-263 Date: 08 / 2002 Updates a 1997 study examining implementation of rural Medicaid managed care programs. Among its findings are that there have been significant state-level changes in the types of programs offered; there has been an overall increase in the percentage of urban and rural counties with Medicaid managed care programs; and SCHIP expansion has had little impact on the operation of fully capitated Medicaid managed care programs in rural areas because the increased number of children covered has not been large enough to affect health plans' participation. Concludes that looking only at the increase in rural Medicaid managed care since 1997 could lead to a false impression. While the number of rural counties with fully capitated programs has increased, states' more recent experiences suggest that health plans are pulling out of rural areas just as they are pulling out of urban ones. States may find it difficult to find commercial HMOs willing to participate in Medicaid managed care at prices that states can afford.