Established in 1992

The Maine Rural Health Research Center draws on the multidisciplinary faculty and research resources and capacity of the Cutler Institute for Health and Social Policy within the USM Muskie School of Public Service. The Center’s mission is to inform health care policymaking and the delivery of rural health services through high quality, policy relevant research, policy analysis and technical assistance on rural health issues of regional and national significance.


The Maine Rural Health Research Center focuses on barriers to health access for rural residents and related topics, including insurance coverage, Medicaid, behavioral health, long term services & supports, and challenges faced by rural providers (rural health clinics & critical access hospitals) in delivering and sustaining services.


For over 25 years, the Maine Rural Health Research Center’s research agenda has focused on some of the most intractable health access problems facing rural residents, especially those with mental health and substance abuse issues and those facing financial barriers due to lack of insurance and under-insurance.

About the Center

The Center is committed to enhancing policymaking and improving the access, delivery and financing of rural health services by effectively linking its research to the policy development process through appropriate dissemination strategies.

Latest Publications


Maternal opioid use disorder at delivery hospitalization in a rural state: Maine, 2009-2018

Rural–urban differences in hospitalizations for opioid use–associated infective endocarditis in the United States, 2003–2016

Area deprivation index and rurality in relation to lung cancer prevalence and mortality in a rural state

Health Care Use and Access among Rural and Urban Nonelderly Adult Medicare Beneficiaries

Behavioral Health in Rural America: Challenges and Opportunities

Behavioral Health in Rural America: Challenges and Opportunities. Executive Summary

What Is Rural? Challenges and Implications of Definitions that Inadequately Encompass Rural People and Places.
Link to Full Text

Rural Health Clinic Costs and Medicare Reimbursement