Expanding Rural Health Insurance Coverage: How Do Insurance Reform Strategies Stack Up?
There is renewed interest in health insurance reform at both the state and federal level due to the continuing erosion of private insurance coverage and continuing increases in the number of uninsured. The purpose of this study is to inform policymakers about the current state of health insurance coverage in rural America, and to identify how specific reform strategies may differentially affect rural residents.
Using a combination of analytic strategies, including literature review, secondary data analyses, eligibility simulation models, and policy analyses, we will provide policymakers and rural health advocates with the necessary tools to develop reform strategies that meet the needs of rural residents. We seek to address the following research questions: 1)What does a comprehensive review of the literature and research synthesis reveal about rural-urban differences in health insurance coverage, the factors associated with these differences and how economic and/or policy changes affect these differences? 2) What is the current (as of 2005) status of health insurance coverage among rural residents, and how does this differ by region, socioeconomic status and degree of rurality? and, 3) What are the implications for rural residents of specific features of health insurance reform proposals under consideration at the time of analysis?
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Policy Brief on Federal Health Care Reform
In this policy brief, Dr. Andrew Coburn of the Muskie School discusses three of the main components of the Patient Protection and Affordable Care Act (ACA): health insurance coverage, delivery system improvement, and cost containment, highlighting some of the provisions of the law that have already been implemented and those where important implementation decisions will have to be made.