Meeting Archive:
Rural Implementation and Impact of Medicaid Expansions

Meeting Description:
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. 
Dr. Erika Ziller, Deputy Director of the Maine Rural Health Research Center, is conducting research under a 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.
On a March 18th webinar co-hosted by SHARE and the University of Minnesota Rural Health Research Center, Dr. Ziller will present 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.
Joining Dr. Ziller on the webinar will be Dr. Ira Moscovice, Director of the Minnesota Rural Health Research Center. Dr. Moscovice will respond to Dr. Ziller's presentation and add his perspective on the Medicaid expansion in rural areas based on his own expertise in the field of rural health.
Date: Tue, Mar 18, 2014
Time: 12:00 PM EDT
Duration: 1 hour
Host(s): Carrie Au-Yeung
 Presenter Information
Erika Ziller, PhD, MS
Speaker Photo

Dr. Erika Ziller is a Senior Research Associate and Deputy Director of the Maine Rural Health Research Center at the University of Southern Maine's Muskie School of Public Service. In this role, Dr. Ziller co-leads the Health Policy team within the Population Health and Health Policy reserach program.  
Dr. Ziller's research expertise is in the area of health insurance coverage and access to care for vulnerable populations, including low-income families and rural residents.  She has directed numerous studies using national data from the Medical Expenditure Panel Survey (MEPS), the Survey of Income and Program Participation (SIPP), and other sources to examine patterns of health insurance coverage and problems of health access among rural children and adults, earning national recognition as an expert in this field.

Ira Moscovice, PhD, MS
Speaker Photo

Dr. Moscovice is the Mayo Professor and Head of the Division of Health Policy and Management, School of Public Health, University of Minnesota. He has been the director of the University of Minnesota Rural Health Research Center since its inception in 1992.
Dr. Moscovice has more than 30 years of experience conducting rural health research. He has served as the principal investigator for numerous rural health projects funded by federal and state agencies and private foundations. His recent research projects include evaluations of the implementation and impact of rural health networks and managed care, an analysis of technology diffusion in rural areas, and an assessment of the quality of care provided by rural health professionals.