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Rural Health
Resources by Topic: State-by-state data

Are Marketplace Premiums Higher in Rural than in Urban Areas?
Examines monthly health insurance premium differences among 499 rural and urban premium rating regions for the Affordable Care Act (ACA) compliant nongroup marketplaces in the U.S. Includes state-by-state data for average monthly premium costs in rural and urban areas during 2016 and 2017.
Author(s): Erik Wengle, Linda J Blumberg, John Holahan
Date: 11/2018
Type: Document
Sponsoring organizations: Robert Wood Johnson Foundation, Urban Institute
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Information on Medicare Telehealth
Report to Congress, as mandated by the 21st Century Cures Act, examining how Medicare patients are using telehealth, particularly in rural areas, with breakdowns by race/ethnicity, age group, and primary diagnoses including mental health issues. Includes an analysis of Medicare claims data regarding high volume services that could be delivered through telehealth, an overview of telehealth models funded by the Center for Medicare and Medicaid Innovation, and state-level breakdowns of Medicare telehealth data. Discusses who may benefit from telehealth expansion and barriers to expansion.
Date: 11/2018
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Uninsured Rates in Urban and Rural America
Highlights a collection of interactive graphics providing data on uninsured rates for people under age 65 in completely rural counties, counties that are mostly rural, and counties that are mostly urban. Includes state and county-level data.
Date: 11/2018
Type: Website
Sponsoring organization: U.S. Census Bureau
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Geographic Availability of Low-Dose Computed Tomography for Lung Cancer Screening in the United States, 2017
Includes state-level tables and maps showing locations of lung cancer screening sites and percentage of population ages 55-79 lacking access to a center, and lung cancer mortality versus accessibility of screening centers. Helps identify rural areas in need of screening program creation or expansion.
Author(s): Jan M. Eberth, Parisa Bozorgi, Logan M. Lebrón, et al.
Citation: Preventing Chronic Disease, 15
Date: 10/2018
Type: Document
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Health Insurance Coverage in Small Towns and Rural America: The Role of Medicaid Expansion
Analyzes health insurance coverage for low-income, rural adults in 46 states. Includes an examination of American Community Survey data to determine uninsured rates by age for 2008-2009 and 2015-2016. Covers effects of the Affordable Care Act (ACA) in small towns and rural areas, including Medicaid expansion. Provides county-level data, information on health insurance coverage for children, and maps in the additional links.
Additional links: Full Report, Interactive Map: The Percent of Adults in Small Towns and Rural Areas Covered by Medicaid, 2015/16, Interactive Map: The Percent of Children in Small Towns and Rural Areas Covered by Medicaid, 2015/16, Press Release, Update: State Data on Health Coverage in Small Towns and Rural Areas, 2015/16
Author(s): Jack Hoadley, Joan Alker, Mark Holmes
Date: 09/2018
Type: Document
Sponsoring organizations: Georgetown University Health Policy Institute, North Carolina Rural Health Research Program
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Declines in Child Poverty Continue in 2017: Overall Rate Still Above Pre-Recession Level
Examines trends in child poverty from 2007 through 2017, with information for rural areas, suburban areas, and cities. Appendix Table 1 provides state-by-state data.
Additional links: Appendix Table 1
Author(s): Jessica A. Carson, Andrew Schaefer, Marybeth J. Mattingly
Date: 09/2018
Type: Document
Sponsoring organization: Carsey School of Public Policy
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Household Food Security in the United States in 2017
Reports on household food security, food expenditures, and the use of federal food and nutrition assistance programs in 2017. Includes food insecurity statistics for metropolitan and nonmetropolitan areas.
Additional links: Report Summary, Statistical Supplement
Author(s): Alisha Coleman-Jensen, Matthew P. Rabbitt, Christian A. Gregory, Anita Singh
Date: 09/2018
Type: Document
Sponsoring organization: USDA Economic Research Service
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Update: Independently Owned Pharmacy Closures in Rural America, 2003-2018
Provides updated information on independently owned rural pharmacy closures from 2003 to 2018. Includes state-level data on rural pharmacy closures. Builds on past publications from RUPRI regarding rural pharmacy closures.
Author(s): Abiodun Salako, Fred Ullrich, Keith J. Mueller
Date: 07/2018
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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The Opioid Epidemic: National Trends in Opioid-Related Overdose Deaths from 2000 to 2016
Details the rates of death caused by opioid overdoses throughout the U.S. from 2000-2016. Compares deaths caused by heroin and non-heroin opioids, as well as death rates in nonmetro, small/medium metro, and large metro areas. Companion Brief details overdose rates by state.
Additional links: The Opioid Epidemic: State Trends in Opioid-Related Overdose Deaths from 2000 to 2016
Author(s): Colin Planalp, Megan Lahr
Date: 06/2018
Type: Document
Sponsoring organization: State Health Access Data Assistance Center
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Obesity Prevalence Among Adults Living in Metropolitan and Nonmetropolitan Counties — United States, 2016
Reports on obesity prevalence among adults in metropolitan and nonmetropolitan counties based on 2016 Behavioral Risk Factor Surveillance System (BRFSS) data. Includes metro/nonmetro data by age, sex, race/ethnicity, education, income, and employment status. Also provides state-by-state data on obesity prevalence in metro and nonmetro counties.
Author(s): Elizabeth A. Lundeen, Sohyun Park, Liping Pan, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 67(23), 653-658
Date: 06/2018
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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