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Rural Health
Resources by Topic: Health insurance

Rural Implications of the Affordable Care Act Outreach, Education, and Enrollment
Outlines opportunities for rural communities to benefit from the Affordable Care Act and discusses the importance of efforts aimed at furthering outreach, education, and enrollment in health insurance in rural areas.
Date: 01/2014
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Private Health Insurance: The Range of Base Premiums for Individuals Age 19 and 64 in the Individual Market by State in January 2013
Reports on the range of health insurance premiums offered to different categories of consumers in the individual market in the month of January 2013. As of 2014, insurers are no longer able to use gender or health status to set premiums and are restricted in the amount they can vary premiums based on age and tobacco use. Enclosure II, beginning on page 107, reports base premiums for an urban and rural zip code in four select states, one from each census region: Illinois, Nevada, Pennsylvania, and Texas.
Additional links: Full Report
Date: 01/2014
Sponsoring organization: Government Accountability Office
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Indian Health Care: Impact of the Affordable Care Act (ACA)
Summarizes key changes made in the re-authorization of the Indian Health Care Improvement Act (IHCIA), including the Affordable Care Act (ACA) provisions related to American Indians and Alaska Natives enrolled in and receiving services from Medicare, Medicaid, and the Children's Health Insurance Program (CHIP).
Date: 01/2014
Sponsoring organization: Congressional Research Service
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Evaluation of the Medicare Frontier Extended Stay Clinic Demonstration: Report to Congress
Reports on the results of a Medicare Frontier Extended Stay Clinic (FESC) demonstration project that used an enhanced clinic model in frontier areas to address the needs of seriously ill or injured patients who could not be transferred to a hospital or needed monitoring and observation for a limited period of time. Includes an overview of the demonstration and key findings from the project.
Date: 2014
Sponsoring organization: U.S. Department of Health and Human Services
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Promising Approaches to Integrating Community Health Workers into Health Systems: Four Case Studies
Identifies the scope of practice, supervision, financing, and the workforce standards implemented by states and employers in the development of community health worker (CHW) programs. Four case studies that include rural counties illustrate the challenges and opportunities for integrating CHWs into health systems.
Author(s): Lauren Eyster, Randall R. Bovbjerg
Date: 12/2013
Sponsoring organization: Urban Institute
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Summary Health Statistics for the U.S. Population: National Health Interview Survey, 2012
Summarizes data from a national survey on topics that include health status, health insurance coverage, injury, healthcare access and utilization, and limitations in activities. Includes some data by place of residence for large metropolitan statistical areas (MSAs), small MSAs, and nonmetro (not in an MSA) areas.
Date: 12/2013
Sponsoring organization: National Center for Health Statistics
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CDC Health Disparities and Inequalities Report - United States, 2013
Addresses the differences in mortality and disease risk factors related to behaviors, access to healthcare, and social determinants of health in both rural and urban settings.
Citation: MMWR (Morbidity and Mortality Weekly Report), 62(3)
Date: 11/2013
Sponsoring organization: Centers for Disease Control and Prevention
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Geography and the Medicaid Mental Health Care Infrastructure: Implications for Health Care Reform
Examines the availability of outpatient mental health facilities that accept Medicaid across U.S. counties and whether specific population groups such as minorities, people living in poverty, and rural residents may be less likely to access these facilities.
Author(s): Janet R. Cummings, Hefei Wen, Michelle Ko, Benjamin G. Druss
Citation: JAMA Psychiatry, 70(10), 1084-1090
Date: 10/2013
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Impact of Rural Residence on Forgoing Healthcare after Cancer Because of Cost
Discusses the rural-urban disparities when rural patients who are cancer survivors forgo healthcare because of the cost.
Author(s): Nynikka R.A. Palmer, Ann M. Geiger, Lingyi Lu, L. Douglas Case, Kathryn E. Weaver
Citation: Cancer Epidemiology, Biomarkers & Prevention, 22(10), 1668-1676
Date: 10/2013
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Income, Poverty, and Health Insurance Coverage in the United States: 2012
Presents data on income, poverty, and health insurance coverage in the United States in both rural and urban areas based on information collected in 2013 and earlier, using the Current Population Survey Annual Social and Economic Supplements (CPS ASEC). Includes metropolitan and outside metropolitan comparisons.
Author(s): Carmen DeNavas-Walt, Bernadette D. Proctor, Jessica C. Smith
Date: 09/2013
Sponsoring organization: U.S. Census Bureau
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