Dan Shane, PhD

Phone: 319.384.3830
Email: dan-shane@uiowa.edu

Health Management and Policy
University of Iowa
145 N. Riverside Drive
Iowa City, IA 52242

Current Projects - (2)

Retention and Expansion of Hospital Services Offered by Rural Hospitals After Enrollment in 340B
The 340B Federal program is designed to provide hospitals with financial stability through provision of drug discounts which may, in turn, allow hospitals to maintain or expand their service line offerings. Using a series of event study analyses over an 11-year period, this study will examine the impact of enrollment in the 340B program on discontinuing services, maintaining services, and adding new services in eligible rural hospitals.
Research center: RUPRI Center for Rural Health Policy Analysis
Topics: Critical Access Hospitals (CAHs), Health services, Hospitals and clinics, Pharmacy and prescription drugs
Rural Implications of Increased Medicare Beneficiary Enrollment in ACOs and MA Plans
This project will leverage Centers for Medicare & Medicaid Services data showing the number of Medicare beneficiaries assigned to Accountable Care Organizations, in combination with enrollment in Medicare Advantage in rural counties, to describe implications for rural health care organizations.
Research center: RUPRI Center for Rural Health Policy Analysis
Topics: Health reform, Healthcare financing, Medicare, Medicare Advantage (MA)

Non-Metropolitan/Metropolitan Differences in Barriers to Care and Utilization of Preventive Care and Wellness Visits Among Traditional Medicare and Medicare Advantage
This project proposed to use the Medicare Current Beneficiaries Survey to examine differences across geography and plan type (Medicare Advantage vs. traditional) with regards to barriers to care (e.g., costs) and use of preventive services (e.g., flu shot).
Research center: RUPRI Center for Rural Health Policy Analysis
Topics: Health services, Healthcare access, Medicare Advantage (MA)
The Rural/Urban Impact of Insurance Coverage Changes
We examined 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 hypothesized that the effects of coverage changes differ by rural/urban status.
Research center: RUPRI Center for Rural Health Policy Analysis
Topics: Health services, Private health insurance

Rural-Urban Differences in Barriers to Care and Utilization of Preventive Care Among Traditional Medicare and Medicare Advantage Beneficiaries
Policy Brief
RUPRI Center for Rural Health Policy Analysis
Date: 11/2025
This policy brief examined rural and urban differences in barriers to care and use of preventive care services among enrollees in traditional Medicare and Medicare Advantage.
Rural Beneficiary Access to Medicare Advantage-Part D Plans
Policy Brief
RUPRI Center for Rural Health Policy Analysis, Rapid Response to Requests for Rural Data Analysis
Date: 08/2025
This policy brief updates RUPRI's analysis of Medicare Advantage Prescription Drug Plans (MA-PDs) including enhanced benefit plan availability and variations in characteristics across metropolitan, micropolitan, and noncore areas.
Evaluating Medicare Advantage Benchmark Setting Methodology on Rural Counties
Policy Brief
RUPRI Center for Rural Health Policy Analysis
Date: 01/2025
This brief explores how the process for setting benchmark payments for Medicare Advantage plans may create different incentives across rural and urban counties.

Medicare Advantage Plan Growth in Rural America: Availability of Supplemental Benefits
Policy Brief
RUPRI Center for Rural Health Policy Analysis
Date: 05/2024
This policy brief compares availability of Medicare Advantage plans providing supplemental health-related benefits and special supplemental benefits for the chronically ill in metropolitan, micropolitan, and noncore counties.

Distributional Analysis of Variation in Medicare Advantage Participation Within and Between Metropolitan, Micropolitan, and Noncore Counties
Policy Brief
RUPRI Center for Rural Health Policy Analysis, Rapid Response to Requests for Rural Data Analysis
Date: 08/2023
This brief identifies patterns and trends in Medicare Advantage participation (penetration rates, number of plans, and enrollment), both within and across metropolitan and nonmetropolitan counties.
Changes in Service Offerings Post-System Affiliation in Rural Hospitals
Policy Brief
RUPRI Center for Rural Health Policy Analysis
Date: 01/2023
This policy brief aims to understand the range of effects on service offerings after rural hospitals become part of, or leave, a regional or national healthcare system.

Effects of the Patient Protection and Affordable Care Act on Coverage and Access to Care in Metropolitan vs. Nonmetropolitan Areas Through 2016
Policy Brief
RUPRI Center for Rural Health Policy Analysis
Date: 08/2019
The Patient Protection and Affordable Care Act as a whole led to notable increases in coverage rate and better access to care in both metropolitan and nonmetropolitan areas, and the Medicaid expansion was the key driver of coverage gains in nonmetropolitan areas.

Telemedicine Use Decreases Rural Emergency Department Length of Stay for Transferred North Dakota Trauma Patients
Journal Article
Rural Telehealth Research Center
Date: 07/2017
This article examines the use of telemedicine to help improve care for trauma patients and to try to close the gap between rural and urban outcomes for these patients. The study involved patients treated in critical access hospitals and emergency departments.