Cutler Institute for Health and Social Policy

Population Health and Health Policy

National Rural Hospital Flexibility Monitoring Project [Flex Monitoring Team Project]

Duration: 
1/1/2008 - 1/31/2009
Director: 
Andrew Coburn
Principal Investigator: 
Andrew Coburn
Collaborators: 
University of Minnesota Rural Health Research Center and the University of North Carolina-Chapel Hill, Rural Health Research and Policy Analysis Center
Abstract: 

The Rural Health Research Centers at the Universities of Minnesota, North Carolina-Chapel Hill, and Southern Maine (the Flex Monitoring Team), are the recipients of a 5-year cooperative agreement award from the Federal Office of Rural Health Policy to continue to monitor and evaluate the Medicare Rural Hospital Flexibility Grant Program (Flex Program). The Flex Monitoring Team will continue to develop relevant quality, financial and community impact performance measures and reporting systems to help state and federal policy makers and rural health care providers understand the impact of the Flex Program. The Team's research will assess the impact of the Flex program on rural hospitals and communities and examine the ability of the State Offices of Rural Health to achieve overall Flex Program objectives. These objectives include improving access to quality health care services; improving the financial and administrative performance of Critical Access Hospitals (CAHs); and engaging rural communities in health care system development.

Project URL: 
http://flexmonitoring.org
Start Date: 
Tue, 2008-01-01
End Date: 
Sat, 2009-01-31
Legacy Muskie ID: 
5 708

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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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