RUPRI Center for Rural Health Policy Analysis

Current Projects

  • An Empirical Study of Health Insurance Firm Participation over Time in Rural Counties
    We examine changes in firm participation in multiple health insurance markets (FEHBP, MA, HIMs) over time in rural counties. We hypothesize that participation is related inversely to population density, as it becomes more difficult to spread risk, and as network formation becomes more challenging as primary and specialty care become less available.
    Topics: Health insurance and the uninsured, Health policy, Medicare Advantage (MA)
  • Analysis of Trends in Characteristics of Rural Beneficiaries Enrolling in Medicare Advantage Plans
    This study will compare characteristics of rural and urban beneficiaries enrolling in Medicare Advantage (MA) plans, including their age, health status, income, and race/ethnicity. We will analyze the consequences of increasing use, promoted by policy choices, of a market-based approach in the Medicare program.
    Topics: Health policy, Medicare Advantage (MA), Rural statistics and demographics
  • Health Insurance Marketplaces, Medicaid, and Uncompensated Care: The Rural Impact
    This project provides an in-depth analysis of Health Insurance Marketplace (HIM) plan design, specifically measuring the availability and prevalence of high-deductible plans in rural as compared to urban areas.
    Topics: Health disparities, Health insurance and the uninsured, Health policy, Medicaid and S-CHIP
  • Rural Community Response to Hospital Closure
    The Rural Community Response to Hospital Closure project will study how rural communities adapt to local hospital closure. Within selected communities, the project will evaluate the impact of hospital closure on multiple community health-related services and characteristics.
    Topics: Health policy, Healthcare financing, Hospitals and clinics
  • The Rural MACRA Experience
    The Rural MACRA Experience project will study rural effects of the new Medicare Quality Payment Program (QPP) implementation and operation. Rural QPP effects may include provider eligibility, program preparation and data collection challenges, data analysis bias, and differential fiscal impact.
    Topics: Healthcare financing, Medicare, Physicians
  • The Rural/Urban Impact of Insurance Coverage Changes
    We will examine the impacts of changes in health insurance coverage during the last several years on use of health services and health outcomes separately for rural and urban areas. Due to differences in demand and supply level factors, we hypothesize that the effects of coverage changes differ by rural/urban status.
    Topics: Health insurance and the uninsured, Health policy, Health services
  • What Does Healthcare Delivery System Reconfiguration Portend for Rural Health?
    The purpose of this project is to understand the dynamic relationships between healthcare system changes and healthcare network configurations that involve rural providers.
    Topics: Health policy, Quality
  • What Makes Successful Rural Accountable Care Organizations Successful?
    The U.S. Department of Health and Human Services plans to shift at least 50% of traditional Medicare spending into alternative payment models by 2018. Affordable Care Organizations (ACOs) represent a popular model in both the Medicare and Medicaid programs. This study used multiple methods to find what makes a successful ACO.
    Topics: Health policy, Medicare, Quality