Andrea Radford, DrPH

Completed Projects - (3)
Publications - (13)

Completed Projects - (3)

Rural Health Clinics: Medicare & Medicaid Profile
This study builds on our work with the 2009 RHC Medicare claims. This project will result in the development of a longitudinal data collection/tracking mechanism of key RHC Medicare claims data and cost report elements (provider-based cost reports only at this point in time). RHC Medicaid data for a sample of states will be requested and analyzed to determine utilization patterns and identification of potential quality metrics.
Research center: North Carolina Rural Health Research and Policy Analysis Center
Topics: Healthcare access, Medicare, Rural Health Clinics (RHCs)
Rural Hospital Participation in the 340B Drug Discount Program
The 340B drug discount program enables certain types of safety net organizations to obtain deeply discounted medications, at prices below the 'best price' typically offered to Medicaid agencies. This study used telephone interviews and mail surveys to explore the experiences that rural hospitals have had in seeking 340B eligibility status.
Research centers: NORC Walsh Center for Rural Health Analysis, North Carolina Rural Health Research and Policy Analysis Center
Topics: Hospitals and clinics, Pharmacy and prescription drugs
Use of Rural Health Clinics by Medicare Beneficiaries
Determination of Medicare beneficiaries utilization of available RHCs and development of a descriptive profile of Medicare beneficiaries who utilize RHCs including both geographic and diagnostic elements and a comparison to Medicare beneficiaries who utilize FQHCs.
Research center: North Carolina Rural Health Research and Policy Analysis Center
Topics: Medicare, Rural Health Clinics (RHCs)

Publications - (13)

2014

Safety Net Clinics Serving the Elderly in Rural Areas: Rural Health Clinic Patients Compared to Federally Qualified Health Center Patients
Policy Brief
North Carolina Rural Health Research and Policy Analysis Center
Date: 05/2014
This brief, the third and final in a series on rural health centers (RHC), uses data from 2009 Medicare outpatient provider claims to look at clinic locations, number of beneficiaries served, and number of/cost per claim for each type of rural safety net clinic, as well as beneficiaries' ages, health problems, and distance traveled for care.

2013

Profile of Rural Health Clinics: Clinic & Medicare Patient Characteristics
North Carolina Rural Health Research and Policy Analysis Center
Date: 03/2013
This brief presents a summary of the geographic distribution and clinic-level characteristics of rural health clinics, as well as an overview of the Medicare beneficiaries they served.

2012

Profile of Rural Health Clinics: Medicare Payments & Common Diagnoses: Review of 2009 Medicare Outpatient Claims Data
North Carolina Rural Health Research and Policy Analysis Center
Date: 12/2012
Using data extracted from 2009 Medicare outpatient provider claims, this brief presents a summary profile of Medicare billing and reimbursement activity for independent and provider-based RHCs.
Why Use Swing Beds? Conversations With Hospital Administrators and Staff (Findings Brief)
North Carolina Rural Health Research and Policy Analysis Center
Date: 04/2012
In this study, we interview hospital administrators and staff about the use of swing beds. Topics include the role of swing beds in patient care, swing bed volume and financial considerations, swing beds in the context of all community post-acute skilled care, and swing beds as a benefit for community residents.

2010

States' Use of Cost-Based Reimbursement for Medicaid Services at Critical Access Hospitals
North Carolina Rural Health Research and Policy Analysis Center
Date: 04/2010
This brief documents which states utilize a cost-based reimbursement methodology for Medicaid.
The Effect of Medicare Part D Plan Switching and Formulary Changes on Sole Community Pharmacies and the Patients They Serve
North Carolina Rural Health Research and Policy Analysis Center, RUPRI Center for Rural Health Policy Analysis
Date: 03/2010
This brief presents findings from a 2008 survey of 401 pharmacist-owners of sole community independent pharmacies.

2009

Profile of Sole Community Pharmacists' Prescription Sales and Overall Financial Position
Rapid Response to Requests for Rural Data Analysis
Date: 08/2009
We conducted a survey of community pharmacists who owned the only retail outlets in their communities. Pharmacist-owners in independent pharmacies located at least 10 miles from the next closest retail pharmacy were interviewed to determine their reliance on prescription sales and to understand their stores' current financial positions.
Workforce Issues Among Sole Community Pharmacies
North Carolina Rural Health Research and Policy Analysis Center, RUPRI Center for Rural Health Policy Analysis
Date: 07/2009
This brief explores the shared experiences of sole community pharmacist-owners regarding the challenges facing the pharmacy workforce in their communities and their concerns about their pharmacies' futures.
The Key Role of Sole Community Pharmacists in Their Local Healthcare Delivery Systems
North Carolina Rural Health Research and Policy Analysis Center
Date: 03/2009
This brief presents findings from a survey of 401 community pharmacists who are the only retail providers in their communities. It documents their extended relationships with other healthcare providers and the additional healthcare services these pharmacists provide to their patients.

2007

One Year In: Sole Community Rural Independent Pharmacies and Medicare Part D (Findings Brief)
North Carolina Rural Health Research and Policy Analysis Center, RUPRI Center for Rural Health Policy Analysis
Date: 10/2007
This brief describes the experiences of 51 rural independently-owned pharmacies that are the sole providers of pharmacy services in their communities one year after implementation of the Medicare Part D prescription drug benefit.
One Year In: Sole Community Rural Independent Pharmacies and Medicare Part D (Final Report)
North Carolina Rural Health Research and Policy Analysis Center, RUPRI Center for Rural Health Policy Analysis
Date: 09/2007
This report describes the experiences of 51 rural, independently owned pharmacies that are the sole providers of pharmacy services in their communities one year after implementation of the Medicare Part D prescription drug benefit.
Rural Hospitals' Experience With the 340B Drug Pricing Program
Policy Brief
NORC Walsh Center for Rural Health Analysis, North Carolina Rural Health Research and Policy Analysis Center
Date: 09/2007
This policy brief describes the results of surveys of rural hospitals participating in the 340B drug-pricing program and of rural eligible but non-participating hospitals. It includes information on factors affecting participation in the program and the benefits and challenges of participation.
The Experience of Rural Independent Pharmacies With Medicare Part D: Reports From the Field
Journal Article
North Carolina Rural Health Research and Policy Analysis Center, RUPRI Center for Rural Health Policy Analysis
Date: 2007
Describes first-hand reports from rural pharmacist-owners about their experiences with Medicare Part D plans in the first 7 months of 2006 in order to gain a more thorough understanding of the challenges faced by rural independent pharmacies as a result of program implementation.