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Dan Shane, PhD

RUPRI Center for Rural Health Policy Analysis

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 - (3)

  • Non-Metropolitan/Metropolitan Differences in Barriers to Care and Utilization of Preventive Care and Wellness Visits Among Traditional Medicare and Medicare Advantage
    This project proposes 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)
  • 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)

Completed Projects - (1)

  • 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

Publications - (7)

2025

  • 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.

2024

2023

2019

2017