Cutler Institute for Health and Social Policy

Integrated Care Management in Rural Communities


With a focus on older adults, the purpose of this paper is to better understand the opportunities and challenges reform initiatives under the Affordable Care Act present for rural communities:  How easily can current models for integrating care be adapted to a rural context and culture?  How well do they account for gaps and variations in local delivery systems, capacity and infrastructure?  Which strategies offer the greatest promise for addressing the needs of rural residents? 

This paper highlights a number of promising strategies for implementing integrated care in rural communities, recognizing that fulfilling the promise of even the most flexible and adaptive model for integrated care requires an investment in relationship building, workforce, and infrastructure. 

Suggested Citation: Griffin E, Coburn AF. Integrated Care Management in Rural Communities. Portland, ME: University of Southern Maine, Muskie School of Public Service, Maine Rural Health Research Center; May, 2014. Working Paper #54.

To view or download the associated Research & Policy Brief, please visit the Maine Rural Health Research Center website at:

Publication Type: 
Working Paper
Publish Date: 
May 1, 2014