Michael D. Shambaugh-Miller, PhD

Contact information for this researcher is no longer available, but you can still access their previous work.


Completed Projects - (1)

Locating Community Pharmacies (Independent and Chain) in Rural America
A comprehensive database of all rural U.S. pharmacies including pharmacy name, pharmacy type (chain or independent), town, ZIP code, county, state, RUCA code, and Federal Information Processing Standards will be developed. The databases will be usable in most widely used statistics and geographic information systems software packages.
Research center: RUPRI Center for Rural Health Policy Analysis
Topics: Health services, Pharmacy and prescription drugs

Publications - (8)

  • Analysis of Availability of Medicare+Choice, Commercial HMO, and FEHBP Plans in Rural Areas: Implications for Medicare Reform
    RUPRI Center for Rural Health Policy Analysis
    Date: 03/2003
    Examines viability of introducing private competition into the Medicare program. Discusses availability of Medicare+Choice1 (M+C), commercial HMO, and Federal Employees Health Benefits Program (FEHBP) plans in rural (nonmetropolitan) counties.
  • Availability and Use of Health Plan Choices in Rural America: Medicare+Choice, Commercial HMO, and Federal Employees Health Benefit Program Plans
    RUPRI Center for Rural Health Policy Analysis
    Date: 10/2003
    Discusses availability of Medicare + Choice (M+C), commercial HMO, and Federal Employee Health Benefit Program (FEHBP) insurance plans, and the potential impact of M+C service delivery area changes on health care access in rural areas.
  • Changing Rural Populations and Impact on Public Policy
    RUPRI Center for Rural Health Policy Analysis
    Date: 10/2002
    Population movement in rural areas and health policy issues
  • Definition of Rural in the Context of the MMA Access Standards for Prescription Drug Plans
    North Carolina Rural Health Research and Policy Analysis Center, RUPRI Center for Rural Health Policy Analysis
    Date: 09/2004
    Assesses how the definition of rural affects the potential impact of the specific access standards in the Proposed Rule to implement Title I of the MMA, and finds that the congressional objective to achieve convenient access to pharmacies (other than mail order) would be more fully realized if the Proposed Rule definition of rural is changed.
  • Health Services at Risk in "Vulnerable" Rural Places
    RUPRI Center for Rural Health Policy Analysis
    Date: 10/2002
    Discusses implications of a method to identify places in rural America that are at risk of being without healthcare services because they may lack a sufficient number of people to support a practice/provider, who are able to pay the full cost of care, or the population size and composition do not warrant the level of services currently available.
  • Medicare Physician Payment
    RUPRI Center for Rural Health Policy Analysis
    Date: 01/2003
    Examines how the Resource-Based Relative Value Scale (RBRVS) has replaced the 25 year-old Medicare CPR charge system.
  • Medicare Physician Payment: Practice Expense
    RUPRI Center for Rural Health Policy Analysis
    Date: 10/2003
    Examines the physician practice expense component of Medicare payment, which proportionately results in greater geographic physician payment variation than does the physician work payment. The practice expense adjustment methodology warrants careful validation to demonstrate that the index measures actual geographic practice cost differences. A complete understanding of the reasons for different payments will inform both physicians who want to know why the same procedure results in less reimbursement in one place than it does in another and policymakers who want to address that concern.
  • Reliance on Independently Owned Pharmacies in Rural America
    Policy Brief
    RUPRI Center for Rural Health Policy Analysis
    Date: 11/2007
    Provides locations of independently owned pharmacies in rural America that are the sole sources of access to local pharmaceutical services. In over 2,000 rural communities, the only local pharmacy is independently owned, and in 1,044 of those communities, there is no other pharmacy within 10 miles.