Pam Silberman, JD, DrPH
North Carolina Rural Health Research and Policy Analysis Center
Phone: 919.966.4525
Email: pam_silberman@unc.edu
- Completed Projects - (6)
- Publications - (3)
Completed Projects - (6)
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Early Rural Experiences of Changes to Medicaid
This project will 1) develop baseline state-level snapshots of rural enrollment in Medicaid and 2) estimate and model enrollment expansion in each state. We will also conduct a baseline provider key informant interviews in late 2013 to gauge expected effects, with follow up interviews in Summer 2014 as a sentinel warning system of early effects of changes to Medicaid in order to inform timely policy development.
Research center: North Carolina Rural Health Research and Policy Analysis Center
Topics: Federally Qualified Health Centers (FQHCs), Hospitals and clinics, Medicaid and CHIP
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Impact of The Medicaid Budget Crisis on Rural Communities: A 50-State Survey
The impact of the Medicaid budgetary crisis on rural communities across the US will be assessed through a 50-state survey of state Medicaid agencies, state Offices of Rural Health and state rural health associations.
Research center: North Carolina Rural Health Research and Policy Analysis Center
Topic: Medicaid and CHIP
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Medicaid Managed Care in Rural Areas: Innovative Case Management Strategies
Research center: North Carolina Rural Health Research and Policy Analysis Center
Topics: Care management, Medicaid and CHIP
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Premium Assistance Programs: Exploring Public-Private Partnerships as a Vehicle for Expanding Health Insurance to Rural Uninsured
This project examines the experience of states that have implemented premium assistance programs in rural areas to determine whether there are certain design features or certain types of rural communities where these programs may be more feasible.
Research center: North Carolina Rural Health Research and Policy Analysis Center
Topics: Private health insurance, Uninsured and underinsured
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State Facts about Medicaid: Rural Specific Data
This project will develop state-specific fact sheets which will include information on the groups covered (and income eligibility), structure of the state's SCHIP program, services covered, delivery system, some provider payment information for certain safety net providers, and percentage of the state's rural and urban population that are enrolled in Medicaid. Additional information comparing urban and rural areas of the state will be provided, when available. The rural and urban comparisons will include total numbers of Medicaid recipients, Medicaid expenditures, and enrollment in different types of managed care plans.
Research center: North Carolina Rural Health Research and Policy Analysis Center
Topics: Medicaid and CHIP, Rural statistics and demographics
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Tracking the Implementation of Medicaid Managed Care in Rural Areas
Research center: North Carolina Rural Health Research and Policy Analysis Center
Topic: Medicaid and CHIP
Publications - (3)
2017
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A Positive Association Between Hospice Profit Margin and the Rate at Which Patients Are Discharged Before Death
Journal Article
North Carolina Rural Health Research and Policy Analysis Center
Date: 07/2017
The links between the increasing live discharge rate from hospice and the quality of care is examined.
2015
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Rural Medicare Beneficiaries Have Fewer Follow-Up Visits and Greater Emergency Department Use Post-Discharge
Journal Article
North Carolina Rural Health Research and Policy Analysis Center
Date: 09/2015
Compares rates of post hospital discharge care among Medicare beneficiaries in rural and urban settings. Discusses the effect on policies for follow-up care and readmission penalties.
2002
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Tracking Medicaid Managed Care in Rural Communities: A Fifty-State Follow-Up
Journal Article
North Carolina Rural Health Research and Policy Analysis Center
Date: 08/2002
This article updates a 1997 study examining implementation of rural Medicaid-managed care programs.