Maine Rural Health Research Center

Current Projects

  • Eligibility Transitions under the Affordable Care Act: Policy Considerations for Ensuring Coverage Continuity Among Rural Residents
    This study will assess rural versus urban income volatility, the potential effects on states' efforts to ensure continuous health insurance coverage to individuals enrolled in Medicaid expansions or Exchange plans under the Affordable Care Act, and develop policy recommendations to address any observed differences.
    Topics: Health insurance and the uninsured, Medicaid and S-CHIP
  • Healthcare Use and Access Among Rural & Urban Non-elderly Disabled Medicare Beneficiaries
    This project will explore healthcare use and barriers to healthcare access among disabled Medicare beneficiaries under 65 in rural and urban areas. The study will be based on quantitative analyses of the 2009-2013 Medicare Current Beneficiary Survey.
    Topics: Disabilities, Health disparities, Medicare
  • Impact of the Opioid Crisis on Rural Emergency Departments
    This study will use data from the Nationwide Emergency Department Sample and information from a panel of rural emergency care experts to assess the impact of the opioid crisis on rural emergency departments. Findings will inform policies designed to help rural healthcare systems and communities address the growing problem of opioid abuse.
    Topics: Emergency medical services (EMS), Mental health, Substance abuse
  • Rural Demography and Aging: The LTSS Imperative in Rural America
    The proposed project aims to create a current, broad-ranging, detailed profile of health care/LTSS needs and use patterns among rural and urban older adults through a literature review and analysis of data sets including the American Community Survey, the Area Health Resource File, and the Medicare Current Beneficiary Survey.
    Topics: Aging, Rural statistics and demographics
  • Rural Health Clinic Financial Performance and Productivity
    This study will use Medicare cost reports for independent and provider-based clinics to provide a detailed national picture of the financial and operational performance of RHCs and describe variations in performance related to revenue, costs, staffing, payer mix, productivity levels, and hours of operation across independent and provider-based clinics. The project will also develop measures that can be used to benchmark RHC performance over time.
    Topics: Medicare, Rural Health Clinics (RHCs)
  • Rural Health Clinics Chartbook: Community Characteristics and Financial and Operational Performance
    Rural Health Clinics (RHCs) address geographic access barriers for rural Medicare and Medicaid beneficiaries and, over time, have come to be recognized for their role in serving vulnerable rural populations. This project will produce a comprehensive, descriptive chartbook detailing the characteristics and status of RHCs nationally.
    Topic: Rural Health Clinics (RHCs)
  • Understanding Rural-Urban Mortality Differences
    This study will address rural-urban mortality gaps in our understanding of rural mortality disparities using the 1985-2009 National Health Interview Survey (NHIS), linked to national death certificate data, to explore the individual-level characteristics and health behaviors of rural and urban adults and their association with mortality.
    Topic: Health disparities