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Rural Health Information Hub

Rural Health
Resources by Topic: Uninsured and underinsured

Improving Access to Affordable and Equitable Health Coverage: A Review from 2010 to 2024
An issue brief that provides commentary and data on how the Affordable Care Act (ACA) has impacted access to health insurance coverage. Provides uninsurance rates by demographic groups and discusses the effect of the ACA on rural areas.
Author(s): Thomas Buchmueller, Amelia Whitman, Christie Peters, Nancy De Lew
Date: 06/2024
Type: Document
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Association of Uninsured Status and Rurality with Risk of Financial Toxicity after Pediatric Trauma
Analyzes the risk of financial toxicity associated with pediatric traumatic injury for rural versus urban families. Utilizes 2016-2019 National Inpatient Sample patient data. Includes data on financial toxicity associated with uninsured status, rural versus urban insurance type, and rural versus urban demographic, clinical, and hospital characteristics.
Author(s): Amulya Vadlakonda, Nam Yong Cho, Nikhil Chervu, et al.
Citation: Surgery, 176(2), 455-461
Date: 05/2024
Type: Document
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Health Disparities in Tennessee
Examines health disparities experienced by Tennessee residents. Measures include life expectancy, health equity, healthcare access, mental health and trauma, infectious disease, chronic disease, cancer, reproductive health, and age-specific health. Features statistics with breakdowns by race, ethnicity, gender, and urban or rural location.
Date: 05/2024
Type: Document
Sponsoring organization: Tennessee Department of Health
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Who is at Risk Amid the H5N1 Influenza Outbreak? Characteristics and Health Coverage of Animal Production Workers
Analyzes demographic characteristics of animal production and aquaculture workers to determine risk for contracting H5N1 influenza, also known as bird flu. Characteristics include race and ethnicity, immigration status, insurance status, household income, and English proficiency in the 7 impacted states. Discusses policy measures to address health threats.
Author(s): Josh Michaud, Drishti Pillai, Samantha Artiga, Jennifer Kates
Date: 05/2024
Type: Document
Sponsoring organization: KFF
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Annual Insurance Update 2024: Health Insurance in Kansas
Reports on health insurance coverage across Kansas and nationwide, including 2009-2022 trends in coverage. Presents 2021 county-level data on uninsured rates by age group and urban/rural classification, as well as Medicaid and Children's Health Insurance Program (CHIP) enrollment by county.
Author(s): Angela S Wu, Kaci Cink, Cynthia Snyder, Wen-Chieh Lin
Date: 04/2024
Type: Document
Sponsoring organization: Kansas Health Institute
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Arizona Rural Maternity Care
Offers data on rural maternity healthcare access and mortality in Arizona. Highlights rural and urban comparisons of healthcare access and health insurance coverage. Includes recommendations for improving access and mortality rates.
Author(s): Bryna Koch, Daniel Derksen
Date: 04/2024
Type: Document
Sponsoring organization: Arizona Center for Rural Health
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2024 Annual Disability Infographic: Experiences of People with Disabilities in Rural America
Infographic on disability in rural America using American Community Survey data. Includes data on prevalence, employment, poverty for children, and insurance coverage.
Date: 03/2024
Type: Document
Sponsoring organizations: Center for Research on Disability, Research and Training Center on Disability in Rural Communities
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ADSC Compendium: Part of the 2024 Annual Disability Statistics Collection
Presents statistics on Americans with disabilities across key social and economic indicators derived from American Community Survey (ACS) data, including employment, educational attainment, health and healthcare, and more. Section 10 presents data on people with disabilities in rural areas, and compares the prevalence of disability, demographic characteristics, employment status, income, and insurance coverage status across metropolitan, micropolitan, and noncore areas.
Additional links: Annual Report on People with Disabilities in America 2024
Date: 03/2024
Type: Document
Sponsoring organization: Center for Research on Disability
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National Hospital Care Survey Demonstration Projects: Examination of Maternal Health Outcomes by Housing Assistance Status
Compares maternal health outcomes for patients receiving housing assistance to those who did not receive assistance using National Hospital Care Survey and U.S. Department of Housing and Urban Development linked data. Offers data breakdown by rurality of hospital location, health insurance coverage, maternal age, gestational age, delivery method, and length of hospital stay. Discusses possibilities for future use of linked data research.
Author(s): Josephine M. Alford, Lello Guluma, Doreen M. Gidali, Geoffrey Jackson
Date: 03/2024
Type: Document
Sponsoring organization: National Center for Health Statistics
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The State of Georgia's Healthcare System
Fact sheet on income-based gaps in healthcare coverage in Georgia. Provides county-level maps and data on areas with the most significant coverage gaps, economic impacts of uninsured population, rural hospital and provider shortages, and more.
Date: 03/2024
Type: Document
Sponsoring organization: Georgia Budget & Policy Institute (GBPI)
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