Casey Balio, PhD

Rural Health Equity Research Center

Phone: 630.561.6713
Email: balioc@etsu.edu
X: @caseybalio
LinkedIn: Casey on LinkedIn

Center for Rural Health and Research and Department of Health Services Management & Policy
East Tennessee State University
2109 W Market St, #116
Johnson City, TN 37604


Current Projects - (3)

  • Comparing Across Health Indices: Differences by Rurality, Missingness, and Associations With Health Outcomes
    The purpose of this study is to describe and compare existing area-level indices of vulnerability by rurality and to examine associations between indices and health outcomes of interest by area-level measures of rurality.
    Research center: Rural Health Equity Research Center
    Topics: Health disparities and health equity, Healthcare access, Poverty, Rural statistics and demographics, Social determinants of health, Uninsured and underinsured
  • Considerations for the Use of Area-Level Vulnerability and Resilience Indices and Rurality in Funding Formulas
    The purpose of this study is to model potential funding formulas within states to understand how structural elements in formulas (i.e., inclusion of the Social Vulnerability Index, use of rural carve-outs or floor amounts, and other factors) affect county-level allocations compared to simple, population-based formulas.
    Research center: Rural Health Equity Research Center
    Topics: Health disparities and health equity, Healthcare financing, Public health, Social determinants of health
  • Going Beyond Hospital Closures: Estimating Rural and Urban Changes in Access to Hospital Service Lines
    Rural hospital closures have been prominent in the last decade and are an important reflection of decreases in access to essential healthcare services. However, hospital closures alone may overlook other decreases to access through service line closures. This study estimates hospital service line closures over time and by rurality.
    Research center: Rural Health Equity Research Center
    Topics: Critical Access Hospitals (CAHs), Health services, Healthcare access, Hospitals and clinics

Completed Projects - (2)

  • Assessment of the Area Deprivation Index in Rural Areas
    The Area Deprivation Index (ADI) was created by University of Wisconsin researchers to provide a score for neighborhoods based on their level of disadvantage. This study characterized differences in ADI in rural vs urban areas, summarized the existing literature on ADI, and described expert considerations for utilizing the ADI for future policy.
    Research center: Rural Health Equity Research Center
    Topics: Frontier health, Health disparities and health equity, Poverty, Rural statistics and demographics, Social determinants of health
  • Following the Money: Do Block Grant Resources Reach Rural Communities?
    This project applied a mixed methods design to describe the distribution of block grant resources from federal agencies through states to the local level in rural and non-rural communities in the United States. Findings could guide federal agencies and policy makers to develop strategies to more effectively target block grant resources to ensure that the needs of vulnerable rural populations are addressed.
    Research center: Rural Health Equity Research Center
    Topics: Health services, Healthcare financing, Public health, Rural statistics and demographics

Publications - (2)

2024

2023

  • State Priorities and Needs: The Role of Block Grants
    Journal Article
    Rural Health Equity Research Center
    Date: 11/2023
    This study looks at state-level funding allocations for 5 federal block grant programs from 2015-2019, and associations with state-level measures of need that align with the purposes of each block grant program.