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Rural Health Information Hub

Rural Health
Resources by Topic: Uninsured and underinsured

Statement by Julie Petersen, PMH Medical Center, before the Committee on Appropriations Subcommittee on Labor, Health and Human Services, Education and Related Agencies
Testimony presented at a May 7, 2015 Labor-HHS Subcommittee hearing on rural health. Provides an overview of rural healthcare innovations in Washington State. Discusses challenges facing the state's Critical Access Hospitals and other small rural hospitals.
Author(s): Julie Petersen
Date: 05/2015
Type: Document
Sponsoring organization: Senate Committee on Appropriations
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The Role of Health Literacy and Communication Habits on Previous Colorectal Cancer Screening among Low-Income and Uninsured Patients
Presents an analysis of a survey of low-income uninsured patients in rural and urban areas who received financial help for a colonoscopy in a primary care clinic to identify any significant relationships between limited health literacy, communication skills, and adherence to colorectal cancer screening guidelines.
Author(s): Chinedum O. Ojinnaka, Jane N. Bolin, David A. McClellan, et al.
Citation: Preventive Medicine Reports, 2, 158-163
Date: 02/2015
Type: Document
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2013 Small Area Health Insurance Estimates (SAHIE): An Overview
Selected data and maps of health insurance coverage based on the 2013 Small Area Health Insurance Estimates. Maps show county-level data on uninsured adults, children, and uninsured by income level. Includes maps showing changes in uninsured rates from 2008 to 2013.
Date: 2015
Type: Document
Sponsoring organization: U.S. Census Bureau
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The Effects of Expanding Public Insurance to Rural Low-Income Childless Adults
Details a study on the effects of the Affordable Care Act (ACA) Medicaid expansion on healthcare usage for rural adults without children in Wisconsin from 2007-2012. Discusses the frequency and type of care sought after participants gained coverage. Records visits in 3 categories: Emergency department visits, hospitalizations, and outpatient visits.
Author(s): Marguerite E. Burns, Laura Dague, Thomas DeLeire, et al.
Citation: Health Services Research, 49(s2), 2173-2187
Date: 12/2014
Type: Document
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Characteristics of Medicaid and Uninsured Hospitalizations, 2012
Provides data on hospital stays in 2012 where the payer was Medicaid or the patient was uninsured. Table 2 provides data on rural versus urban hospitals and Table 3 provides data for patients who were residents of rural areas.
Author(s): Lorena Lopez-Gonzalez, Gary T. Pickens, Raynard Washington, Audrey J. Weiss
Date: 10/2014
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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Rural Border Health Chartbook II
Presents an analysis of border counties, both urban and rural, by comparing these counties to other counties within the four border states, and to rural and urban counties in the rest of the U.S. Provides county-level rates and statistics for sociodemographic factors, the physical environment, access to care, and health outcomes.
Additional links: Fact Sheet
Author(s): Grishma P. Bhavsar, Amy Brock Martin, Janice C. Probst, et al.
Date: 10/2014
Type: Document
Sponsoring organization: Rural and Minority Health Research Center (formerly the South Carolina Rural Health Research Center)
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Health Insurance Coverage in the United States: 2013
Reports on health insurance coverage, including data on private insurance, government insurance coverage, and the uninsured. Table 5 (page 11) offers metropolitan and non-metropolitan data. Based on data from the 2014 Current Population Survey Annual Social and Economic Supplement.
Author(s): Jessica C. Smith, Carla Medalia
Date: 09/2014
Type: Document
Sponsoring organization: U.S. Census Bureau
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Uninsurance, Underinsurance, and Health Care Utilization in Mexico by US Border Residents
Examines the relationship between health insurance coverage plans provided in the U.S. and the use of healthcare services accessed in Mexico by residents (immigrants and native-born) who live in the U.S. along the Mexican border.
Author(s): Dejun Su, William Pratt, Jim P. Stimpson, Rebeca Wong, Jose A. Pagán
Citation: Journal of Immigrant and Minority Health, 16(4), 607–612
Date: 08/2014
Type: Document
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How Does Medicaid Expansion Affect Insurance Coverage of Rural Populations?
Examines how states' decisions on Medicaid expansion are impacting rural areas in the U.S. Uses population estimates, the status of state expansion as of July 2014, and state-level insurance estimates to answer two primary questions: how is Medicaid expansion affecting rural populations, and how would it differ if every state were to expand Medicaid?
Author(s): Kristie Thompson, Brystana Kaufman, Mark Holmes
Date: 07/2014
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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The Affordable Care Act and Insurance Coverage in Rural Areas
Examines differences in urban and rural populations and health insurance coverage patterns and assesses how ACA coverage reforms will affect rural and metropolitan areas in different ways.
Author(s): Vann Newkirk, Anthony Damico
Date: 05/2014
Type: Document
Sponsoring organization: KFF
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