Cutler Institute for Health and Social Policy

Population Health and Health Policy

Health Insurance Dynamics of Uninsured Rural Families

1/1/2004 - 1/31/2005
Principal Investigator: 
Andrew Coburn

Numerous studies have found higher uninsured rates among rural versus urban residents, yet our understanding of the health insurance coverage of rural families remains limited. This is because the previous studies have focused on the insurance status of rural individuals despite growing recognition among researchers and policymakers that health insurance is what the Institute of Medicine (IOM) calls "A Family Matter" (IOM 202).

To better understand the dynamics of insurance coverage among rural and urban families, this study will use the Medical Expenditure Panel Survey (MEPS) to compare family health insurance coverage among non-elderly rural and urban families. This study has three objectives: 1) In households with at least one uninsured member, to determine if there are rural-urban differences in family-level insurance status (fully insured, partially insured, or completely uninsured; 2) Among families with mixed coverage, to identify the insurance status of other family members (Medicare, Medicaid, employer-sponsored, and non-group private); and, 3) To determine what employment and socioeconomic characteristics are associated with rural families health insurance mix and whether these characteristics are the same or different than for urban families.

Given that current strategies to address the uninsured appear to be focused almost exclusively on incremental health insurance reform, the findings from this study will assist policy-makers in determining how to build on existing insurance systems in ways that will be most effective for rural families.

Start Date: 
Thu, 2004-01-01
End Date: 
Mon, 2005-01-31
Legacy Muskie ID: 

Nellie Mae Education Foundation nominates Pious Ali for the Lawrence W. O'Toole Award

Pious Ali

Pious Ali, Youth and Community Engagement Specialist in Cutler’s Children, Youth, and Families Programs, has been nominated for the Lawrence W. O’Toole Award by the Nellie Mae Education Foundation. Pious is one of six nominees from the New England states.

The Nellie Mae Education Foundation believes that student-centered learning – where learning is personalized, engaging, competency-based and not restricted to the classroom – will prepare young people to graduate high school ready to contribute to their communities and succeed. This award is given out each year to an individual, school district, or non-profit that has exhibited great leadership in moving student-centered approaches to learning forward in the New England region.

The winner will be selected by online voting and will be awarded a $100,000 grant to help advance student centered learning!


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