Rural Health
Resources by Topic: Uninsured and underinsured
Uninsurance and Medicaid/CHIP Participation among Children and Parents: Variation in 2016 and Recent Trends
Examines insurance coverage for children and parents following state Medicaid expansions, with a focus on Medicaid and Children's Health Insurance Program (CHIP) participation. Includes metropolitan/nonmetropolitan comparisons. Discusses potential future policy impacts and the need for outreach and enrollment programs.
Author(s): Jennifer Haley, Genevieve M Kenney, Robin Wang, et al.
Date: 09/2018
Sponsoring organization: Urban Institute
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Examines insurance coverage for children and parents following state Medicaid expansions, with a focus on Medicaid and Children's Health Insurance Program (CHIP) participation. Includes metropolitan/nonmetropolitan comparisons. Discusses potential future policy impacts and the need for outreach and enrollment programs.
Author(s): Jennifer Haley, Genevieve M Kenney, Robin Wang, et al.
Date: 09/2018
Sponsoring organization: Urban Institute
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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.
Additional links: Full Report, 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
Sponsoring organizations: Georgetown University Health Policy Institute, North Carolina Rural Health Research Program
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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.
Additional links: Full Report, 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
Sponsoring organizations: Georgetown University Health Policy Institute, North Carolina Rural Health Research Program
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Health Insurance Coverage in the United States: 2017
Provides statistics on health insurance coverage in 2017 and also focuses on changes between 2016 and 2017. Tables 5 and A-4 list statistics for metropolitan and nonmetropolitan areas. Based on data from the Current Population Survey Annual Social and Economic Supplement and the American Community Survey.
Additional links: Visualizations
Author(s): Edward R. Berchick, Emily Hood, Jessica C. Barnett
Date: 09/2018
Sponsoring organization: U.S. Census Bureau
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Provides statistics on health insurance coverage in 2017 and also focuses on changes between 2016 and 2017. Tables 5 and A-4 list statistics for metropolitan and nonmetropolitan areas. Based on data from the Current Population Survey Annual Social and Economic Supplement and the American Community Survey.
Additional links: Visualizations
Author(s): Edward R. Berchick, Emily Hood, Jessica C. Barnett
Date: 09/2018
Sponsoring organization: U.S. Census Bureau
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Association of State Medicaid Expansion With Rate of Uninsured Hospitalizations for Major Cardiovascular Events, 2009-2014
Results of a study to investigate whether rates of uninsured hospitalizations for cardiovascular events and in-hospital mortality varied by Affordable Care Act Medicaid expansion at the state level. Features statistics including demographics with breakdowns by rural or urban/suburban location.
Author(s): Ehimare Akhabue, Lindsay R. Pool, Clyde W. Yancy, Philip Greenland, Donald Lloyd-Jones
Citation: JAMA Network Open 1(4)
Date: 08/2018
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Results of a study to investigate whether rates of uninsured hospitalizations for cardiovascular events and in-hospital mortality varied by Affordable Care Act Medicaid expansion at the state level. Features statistics including demographics with breakdowns by rural or urban/suburban location.
Author(s): Ehimare Akhabue, Lindsay R. Pool, Clyde W. Yancy, Philip Greenland, Donald Lloyd-Jones
Citation: JAMA Network Open 1(4)
Date: 08/2018
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5 Ways to Conduct Outreach in Rural Communities
Highlights 5 strategies to assist rural communities with outreach and enrollment of eligible children in Medicaid and Children's Health Insurance Program (CHIP).
Date: 07/2018
Sponsoring organizations: Centers for Medicare and Medicaid Services, InsureKidsNow.gov
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Highlights 5 strategies to assist rural communities with outreach and enrollment of eligible children in Medicaid and Children's Health Insurance Program (CHIP).
Date: 07/2018
Sponsoring organizations: Centers for Medicare and Medicaid Services, InsureKidsNow.gov
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Characteristics of the Remaining Uninsured: An Update
Compares characteristics of people who lacked health insurance in March 2015 with those of people who remained uninsured as of March 2017. Uses data from the Current Population Survey Annual Social and Economic Supplements, including socioeconomic and demographic characteristics and insurance eligibility, with breakdowns by urban and rural locations.
Author(s): Linea J. Blumberg, John Holahan, Michael Karpman, Caroline Elmendorf
Date: 07/2018
Sponsoring organizations: Robert Wood Johnson Foundation, Urban Institute
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Compares characteristics of people who lacked health insurance in March 2015 with those of people who remained uninsured as of March 2017. Uses data from the Current Population Survey Annual Social and Economic Supplements, including socioeconomic and demographic characteristics and insurance eligibility, with breakdowns by urban and rural locations.
Author(s): Linea J. Blumberg, John Holahan, Michael Karpman, Caroline Elmendorf
Date: 07/2018
Sponsoring organizations: Robert Wood Johnson Foundation, Urban Institute
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Medicaid Expansion and Community Health Centers: Care Quality and Service Use Increased for Rural Patients
Reports on a study to assess the impact of Medicaid expansion on quality of care and insurance coverage in rural and urban community health centers (CHCs), and to examine the impact of expansion on the volume of healthcare services provided by CHCs. Uses data from the 2011-15 or 2012-15 Uniform Data System collected by the Bureau of Primary Health Care of the Health Resources and Services Administration (HRSA).
Author(s): Megan B. Cole, Brad Wright, Ira B. Wilson, Omar Galárraga, Amal N. Trivedi
Citation: Health Affairs, 37(6), 900-907
Date: 06/2018
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Reports on a study to assess the impact of Medicaid expansion on quality of care and insurance coverage in rural and urban community health centers (CHCs), and to examine the impact of expansion on the volume of healthcare services provided by CHCs. Uses data from the 2011-15 or 2012-15 Uniform Data System collected by the Bureau of Primary Health Care of the Health Resources and Services Administration (HRSA).
Author(s): Megan B. Cole, Brad Wright, Ira B. Wilson, Omar Galárraga, Amal N. Trivedi
Citation: Health Affairs, 37(6), 900-907
Date: 06/2018
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Health Insurance Coverage by Occupation Among Adults Aged 18–64 Years — 17 States, 2013–2014
Examines changes in health insurance coverage between 2013 and 2014. Includes data on health insurance among employed workers by selected characteristics, including rural residence. Provides health insurance data by occupational group. Reports on 17 states that asked all Behavioral Risk Factor Surveillance System survey participants about healthcare coverage and asked employed participants about their industry and occupation.
Author(s): Winifred L. Boal, Jia Li, Aaron Sussell
Citation: MMWR (Morbidity and Mortality Weekly Report), 67(21), 593-598
Date: 06/2018
Sponsoring organization: Centers for Disease Control and Prevention
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Examines changes in health insurance coverage between 2013 and 2014. Includes data on health insurance among employed workers by selected characteristics, including rural residence. Provides health insurance data by occupational group. Reports on 17 states that asked all Behavioral Risk Factor Surveillance System survey participants about healthcare coverage and asked employed participants about their industry and occupation.
Author(s): Winifred L. Boal, Jia Li, Aaron Sussell
Citation: MMWR (Morbidity and Mortality Weekly Report), 67(21), 593-598
Date: 06/2018
Sponsoring organization: Centers for Disease Control and Prevention
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A Statewide Program Providing Colorectal Cancer Screening to the Uninsured of South Carolina
Describes the implementation and clinical outcomes of the Colorectal Cancer Prevention Network (CCPN), a South Carolina statewide partnership providing no cost access to colonoscopy screening to uninsured populations seeking medical care at Federally Qualified Health Centers (FQHCs), hospital-based indigent services, and other free medical clinics.
Author(s): Jan M. Eberth, Annie Thibault, Renay Caldwell, et al.
Citation: Cancer, 124(9), 1912-1920
Date: 05/2018
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Describes the implementation and clinical outcomes of the Colorectal Cancer Prevention Network (CCPN), a South Carolina statewide partnership providing no cost access to colonoscopy screening to uninsured populations seeking medical care at Federally Qualified Health Centers (FQHCs), hospital-based indigent services, and other free medical clinics.
Author(s): Jan M. Eberth, Annie Thibault, Renay Caldwell, et al.
Citation: Cancer, 124(9), 1912-1920
Date: 05/2018
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In Over Half of U.S. Counties, More Working-Age Men Than Women Are Uninsured
Compares health insurance coverage for working-age men and women in 2016 based on Small Area Health Insurance Estimates (SAHIE) data. Includes data for metropolitan and nonmetropolitan counties, as well as a map showing county-level estimates of the difference in uninsured rates between men and women.
Author(s): Rachel Upton
Date: 03/2018
Sponsoring organization: U.S. Census Bureau
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Compares health insurance coverage for working-age men and women in 2016 based on Small Area Health Insurance Estimates (SAHIE) data. Includes data for metropolitan and nonmetropolitan counties, as well as a map showing county-level estimates of the difference in uninsured rates between men and women.
Author(s): Rachel Upton
Date: 03/2018
Sponsoring organization: U.S. Census Bureau
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