Cutler Institute for Health and Social Policy

Population Health and Health Policy

Andrew Coburn

Associate Dean, Muskie School of Public Service; Research Professor, Public Health

Office

124A Wishcamper Center

Contact Information

Phone: (207) 780-4435

Education: Brown University, AB, 1972; Harvard University, EdM, 1975; Brandeis University, PhD, 1981

Areas of Expertise: Health insurance, rural health, patient safety and quality, and Medicaid policy

Dr. Coburn has had a long-standing commitment to the application of health services research in policy decision making. For over 25 years, he and his colleagues at the Muskie School's Cutler Institute for Health and Social Policy have worked with the Medicaid programs in Maine and other states on a variety of collaborative research, evaluation, and policy development initiatives. Coburn has conducted research on the impact of nursing home case mix payment, home and community-based waiver programs, and Medicaid physician payment changes.

A national expert on rural health, Coburn is the founding director of the Maine Rural Health Research Center, one of seven national centers funded by the federal Office of Rural Health Policy (HRSA). He is a member of the Rural Policy Research Institute's Expert Health Panel, has served on the Institute of Medicine's Committee on the Future of Rural Health Care, and has testified many times in Washington on rural health issues.

He earned his master of education from the Harvard University, and holds a doctorate in social policy from Brandeis University’s Heller School for Social Policy and Management.

Publications

Datesort descending Title Type
2001 Patterns of Health Insurance Coverage among Rural and Urban Children Report
2003 Health Insurance Coverage in Rural America Report
2004 Assuring Rural Hospital Patient Safety: What Should Be the Priorities? Journal Article
2006 Review of State Flex Program Plans 2004-2005 Report
2006 Out-of-Pocket Health Spending and the Rural Underinsured Journal Article
2006 Prioritizing Patient Safety Interventions in Small and Rural Hospitals Journal Article
2007 Exploring the Community Impact of Critical Access Hospitals Report
2007 The Community Impact of Critical Access Hospitals [Policy Brief] Report
2007 What We Know and Do Not Know About Tiered Provider Networks Journal Article
2008 The Community Benefit and Impact of Critical Access Hospitals: The Results of the 2007 CAH Survey [Briefing Paper] Report
2008 The Community Benefit and Impact of Critical Access Hospitals: The Results of the 2007 CAH Survey [Policy Brief] Research and Policy Brief
2008 Developing Indicators to Document the Community Impact of Critical Access Hospitals Research and Policy Brief
2008 Strategies for Improving Patient Safety in Small Rural Hospitals Book Chapter
2008 Consolidated Imaging: Implementing a Regional Health Information Exchange System for Radiology in Southern Maine Book Chapter
2008 Rural Adults Face Parity Problems and Other Barriers to Appropriate Mental Health Care Research and Policy Brief
2009 Profile of Rural Health Insurance Coverage: A Chartbook Book/Monograph
2009 Health Insurance Profile Indicates Need to Expand Coverage in Rural Areas Research and Policy Brief
2009 Implementing Patient Safety Initiatives in Rural Hospitals Journal Article
2011 Provision of Long Term Care Services by Critical Access Hospitals Research and Policy Brief
2011 Evidenced-based Falls Prevention in Critical Access Hospitals Research and Policy Brief
2012 Promoting a Culture of Safety: Use of the Hospital Survey On Patient Safety Culture in Critical Access Hospitals [Briefing Paper] Report
2012 Promoting a Culture of Safety: Use of the Hospital Survey On Patient Safety Culture in Critical Access Hospitals [Policy Brief] Research and Policy Brief
2013 Challenges and Opportunities for Improving Mental Health Services in Rural Long-Term Care Report

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Dr. Ziller to speak on Rural Implementation and Impact of Medicaid Expansions

The impact of the ACA Medicaid expansion on health care coverage and access in rural areas is largely unknown and will depend on the different state policy contexts in which the expansions are implemented and on existing system capacity. Understanding how many rural residents are likely to become newly eligible for Medicaid under the ACA, as well as their characteristics and health status, will provide important information to aid policymakers in structuring outreach and enrollment strategies and ensuring that the healthcare infrastructure and delivery systems in rural areas can address the needs of these individuals.

On March 18th, Dr. Ziller, Deputy Director of the Maine Rural Health Research Center at the University of Southern Maine, will present via a SHARE webinar, nationally representative information identifying rural-urban differences among low-income non-elderly adults (18 to 65) in the following areas:

  • Medicaid eligibility, pre-ACA
  • Medicaid participation, pre-ACA
  • New Medicaid eligibility in 2014

Dr. Ziller will also analyze the characteristics associated with any rural-urban differences in the above areas. Characteristics to be considered include age, gender, employment, education, income, Census region, health status, current relationship to primary care provider, primary care supply, and FQHC availability.

This webinar is based on Dr. Ziller's research under a State Health Access Reform Evaluation (SHARE) grant to inform federal and state implementation of the ACA Medicaid expansion by estimating the size and characteristics of the rural population likely to be newly eligible.
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