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Rural Health Information Hub

Rural Health
Resources by Topic: Uninsured and underinsured

Changing Rural and Urban Enrollment in State Medicaid Programs
Examines changes in Medicaid enrollment from 2012 to 2015 in both expansion and non-expansion states, and compares findings by state based on metropolitan, micropolitan, and rural (noncore) location.
Author(s): Abigail R. Barker, Kelsey Huntzberry, Timothy D. McBride, Keith J. Mueller
Date: 05/2017
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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The Role of Medicaid in Rural America
Uses data from the 2013-2015 American Community Survey to examine the role of Medicaid in rural areas, and discuss how potential expansions or cuts could affect rural healthcare. Highlights the importance of Medicaid for many rural residents who are often faced with limited access to insurance and providers, longer travel times, and greater health needs when compared to their urban counterparts. Includes several charts and graphs to illustrate important statistics and demographic comparisons.
Author(s): Julia Foutz, Samantha Artiga, Rachel Garfield
Date: 04/2017
Type: Document
Sponsoring organization: KFF
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Rural Hospital Environmental Impact Study
Examines the rapidly changing healthcare landscape, particularly as it relates to rural Texas, by focusing on four areas: the state of healthcare, rural hospital closures and vulnerabilities, the impact of the Affordable Care Act, and uninsurance rates. Presents information about the current and future state of healthcare in rural Texas to support rural health policymakers.
Date: 03/2017
Type: Document
Sponsoring organization: Texas Organization of Rural & Community Hospitals
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Uninsured Rates Decrease for Most Counties From 2014 to 2015
Two maps comparing county-level uninsured rates in 2014 and 2015.
Date: 03/2017
Type: Map/Mapping System
Sponsoring organization: U.S. Census Bureau
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Small Area Health Insurance Estimates: 2015
Reports on health insurance coverage in the United States in 2015 and changes between 2014 and 2015. Includes maps showing county-level uninsured rates.
Additional links: SAHIE Highlights Brief Maps, 2015
Author(s): Lauren Bowers, Carolyn Gann, Stefan Elser
Date: 03/2017
Type: Document
Sponsoring organization: U.S. Census Bureau
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Chartbook: Trends in Rural Children's Health and Access to Care
Findings brief discussing changing status of rural and urban children from 2003-2012, with a focus on their demographics, financial access to care, reported use of care, and health status. Features statistics including poverty rate, insurance coverage, and race or ethnicity, with breakdowns by urban, large rural, and small rural location.
Additional links: Fact Sheet
Author(s): Janice C. Probst, Karen M. Jones
Date: 01/2017
Type: Document
Sponsoring organization: Rural and Minority Health Research Center (formerly the South Carolina Rural Health Research Center)
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Veterans in Rural America: 2011-2015
Reports detailed demographic, social, and economic characteristics of rural veterans, based primarily on 2011–2015 American Community Survey (ACS) 5-year estimates. Includes comparisons of rural veterans to both urban veterans and rural nonveterans. Topics addressed include health insurance coverage, disability status and service-connected disability, and use of VA healthcare.
Additional links: Rural Veterans State Tables
Author(s): Kelly Ann Holder
Date: 01/2017
Type: Document
Sponsoring organization: U.S. Census Bureau
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More Than 95 Percent of U.S. Children Had Health Insurance in 2015
Reports on the percent of children with any type of health insurance in 2015 by state and region for rural, suburban, and urban areas. Includes changes in health insurance coverage since 2014 and since 2008.
Author(s): Michael J. Staley
Date: 2017
Type: Document
Sponsoring organization: Carsey School of Public Policy
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Impact of a Community Dental Access Program on Emergency Dental Admissions in Rural Maryland
Describes the expansion of a rural Maryland community dental access program (CDP) that serves uninsured and underinsured low-income residents following a funding increase from the Health Resources and Services Administration's Federal Office of Rural Health Policy in 2012. Tracks claims data between 2011–2015, comparing CDP claim rates to Medicaid-funded visits to local emergency departments for non-traumatic dental needs, estimating cost savings from the expanded CDP.
Author(s): Sandi Rowland, Jonathan P. Leider, Clare Davidson, Joanne Brady, Alana Knudson
Citation: American Journal of Public Health, 106(12), 2165-2170
Date: 12/2016
Type: Document
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The Impact of State Medicaid Expansion Under the Affordable Care Act on Health Insurance Coverage at the County Level
Compares health insurance coverage in 2013, prior to the Affordable Care Act, and in 2015. Includes data on health insurance coverage for metropolitan and nonmetro counties. Discusses the impact of Medicaid expansion on health insurance coverage.
Author(s): Danielle C. Rhubart
Date: 12/2016
Type: Document
Sponsoring organization: Carsey School of Public Policy
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