Rural Health
Resources by Topic: Uninsured and underinsured
Associations of Medical Debt With Health Status, Premature Death, and Mortality in the US
Results of a study of 2,943 counties, to examine whether medical debt in collections is associated with population health at the county level. Includes county-level maps showing rates and median amounts of medical debt as of 2018, and statistics with breakdowns by metropolitan or nonmetropolitan areas.
Author(s): Xuesong Han, Xin Hu, Zhiyuan Zheng, Kewei Sylvia Shi, K. Robin Yabroff
Citation: JAMA Network Open, 7(3), e2354766
Date: 03/2024
Type: Document
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Results of a study of 2,943 counties, to examine whether medical debt in collections is associated with population health at the county level. Includes county-level maps showing rates and median amounts of medical debt as of 2018, and statistics with breakdowns by metropolitan or nonmetropolitan areas.
Author(s): Xuesong Han, Xin Hu, Zhiyuan Zheng, Kewei Sylvia Shi, K. Robin Yabroff
Citation: JAMA Network Open, 7(3), e2354766
Date: 03/2024
Type: Document
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Use of In-Network Insurance Benefits Is Critical for Improving Retention in Telehealth-Based Buprenorphine Treatment
Evaluated 3,842 patients in an opioid use disorder (OUD) telehealth company to identify associations in insurance status and treatment program retention. Patient characteristic data includes breakdown by urbanicity, age, gender, race and ethnicity, buprenorphine status, and more.
Author(s): Arthur Robin Williams, Christopher Row, Lexie Minarik, et al.
Citation: Health Affairs Scholar, 2(3)
Date: 03/2024
Type: Document
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Evaluated 3,842 patients in an opioid use disorder (OUD) telehealth company to identify associations in insurance status and treatment program retention. Patient characteristic data includes breakdown by urbanicity, age, gender, race and ethnicity, buprenorphine status, and more.
Author(s): Arthur Robin Williams, Christopher Row, Lexie Minarik, et al.
Citation: Health Affairs Scholar, 2(3)
Date: 03/2024
Type: Document
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Closing the Coverage Gap: Policy Considerations for Public-Private Solutions to Expand Health Insurance in Georgia
Explores policy and funding considerations influencing the expansion of health insurance in Georgia, including current programs, population health and demographics, and Medicaid expansion models. Evaluates the suitability of the Arkansas "private option" expansion approach for Georgia, and discusses its implementation. Highlights rural concerns throughout.
Date: 02/2024
Type: Document
Sponsoring organization: Georgia Health Initiative
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Explores policy and funding considerations influencing the expansion of health insurance in Georgia, including current programs, population health and demographics, and Medicaid expansion models. Evaluates the suitability of the Arkansas "private option" expansion approach for Georgia, and discusses its implementation. Highlights rural concerns throughout.
Date: 02/2024
Type: Document
Sponsoring organization: Georgia Health Initiative
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How Does Cost Affect Access to Healthcare?
Explores trends in how costs affect access to healthcare using data from the 2022 National Health Interview Survey (NHIS). Covers the percentage of adults who delayed or went without care due to cost. Presents data by income level, health status, race and ethnicity, insurance status, and urban/rural residence. Also discusses insulin users who rationed insulin due to costs and the impact of medical debt on accessing care.
Author(s): Shameek Rakshit, Krutika Amin, Cynthia Cox
Date: 01/2024
Type: Document
Sponsoring organizations: KFF, Peterson Center on Healthcare
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Explores trends in how costs affect access to healthcare using data from the 2022 National Health Interview Survey (NHIS). Covers the percentage of adults who delayed or went without care due to cost. Presents data by income level, health status, race and ethnicity, insurance status, and urban/rural residence. Also discusses insulin users who rationed insulin due to costs and the impact of medical debt on accessing care.
Author(s): Shameek Rakshit, Krutika Amin, Cynthia Cox
Date: 01/2024
Type: Document
Sponsoring organizations: KFF, Peterson Center on Healthcare
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Tennessee Uninsured Adult Healthcare Safety Net: 2023 Annual Report
Reports on Tennessee's uninsured population, state safety net funding, and services provided in 2023. Describes and lists safety net service locations, including community and faith-based clinics, Federally Qualified Health Centers, and more. Provides county-by-county data on primary, oral, and specialty care population-to-provider ratios, and includes county-level maps identifying Health Resource Shortage Areas. Highlights issues affecting rural Tennessee throughout, including adequacy of healthcare and access to services.
Date: 01/2024
Type: Document
Sponsoring organization: Tennessee Department of Health
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Reports on Tennessee's uninsured population, state safety net funding, and services provided in 2023. Describes and lists safety net service locations, including community and faith-based clinics, Federally Qualified Health Centers, and more. Provides county-by-county data on primary, oral, and specialty care population-to-provider ratios, and includes county-level maps identifying Health Resource Shortage Areas. Highlights issues affecting rural Tennessee throughout, including adequacy of healthcare and access to services.
Date: 01/2024
Type: Document
Sponsoring organization: Tennessee Department of Health
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2024 Arkansas State Epidemiological Outcomes Workgroup: Annual Profile of Substance Use
Provides information on youth and adult substance abuse in Arkansas to help guide substance abuse prevention decision-making. Highlights consequences such as arrests, suicide, and depression and focuses on alcohol, tobacco, illicit drug, and prescription drug use. Includes county-level profiles and an overview of a variety of community and personal health indicators.
Additional links: County Report
Date: 2024
Type: Document
Sponsoring organizations: Arkansas Department of Human Services, UA Little Rock MidSOUTH Center for Prevention and Training, University of Arkansas for Medical Sciences
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Provides information on youth and adult substance abuse in Arkansas to help guide substance abuse prevention decision-making. Highlights consequences such as arrests, suicide, and depression and focuses on alcohol, tobacco, illicit drug, and prescription drug use. Includes county-level profiles and an overview of a variety of community and personal health indicators.
Additional links: County Report
Date: 2024
Type: Document
Sponsoring organizations: Arkansas Department of Human Services, UA Little Rock MidSOUTH Center for Prevention and Training, University of Arkansas for Medical Sciences
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Health Insurance Coverage and Experiences of Intimate Partner Violence and Postpartum Abuse Screening Among Rural US Residents Who Gave Birth 2016-2020
Examines the relationship among intimate partner violence (IPV), perinatal health insurance coverage, and postpartum IPV screening in rural U.S. communities. Utilizes 2016-2020 Pregnancy Risk Assessment Monitoring System data to analyze insurance status among rural residents, postpartum visits, and IPV screenings.
Author(s): Katy Backes Kozhimannil, Emily C. Sheffield, Alyssa H. Fritz, et al.
Citation: Journal of Rural Health, 40(4), 655-663
Date: 2024
Type: Document
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Examines the relationship among intimate partner violence (IPV), perinatal health insurance coverage, and postpartum IPV screening in rural U.S. communities. Utilizes 2016-2020 Pregnancy Risk Assessment Monitoring System data to analyze insurance status among rural residents, postpartum visits, and IPV screenings.
Author(s): Katy Backes Kozhimannil, Emily C. Sheffield, Alyssa H. Fritz, et al.
Citation: Journal of Rural Health, 40(4), 655-663
Date: 2024
Type: Document
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Medicaid and CHIP Renewal and Transition Resources for Partners
Offers resources for states, beneficiary and provider organizations, and other partners to better assist people with Medicaid or Children's Health Insurance Program (CHIP) coverage to renew their healthcare coverage or transition to insurance options that better suit their needs. Includes outreach materials for different population categories, including racial and ethnic populations, people with disabilities and older adults, and rural populations.
Date: 2024
Type: Website
Sponsoring organization: Centers for Medicare and Medicaid Services
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Offers resources for states, beneficiary and provider organizations, and other partners to better assist people with Medicaid or Children's Health Insurance Program (CHIP) coverage to renew their healthcare coverage or transition to insurance options that better suit their needs. Includes outreach materials for different population categories, including racial and ethnic populations, people with disabilities and older adults, and rural populations.
Date: 2024
Type: Website
Sponsoring organization: Centers for Medicare and Medicaid Services
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State and Local Estimates of the Uninsured Population in the U.S. Using the Census Bureau's 2022 American Community Survey
Uses data from the 2022 American Community Survey (ACS) to present state, county, and local estimates of the number of U.S. residents without health insurance and their demographic characteristics. Analyzes the population of uninsured individuals ages 0-64 by family income levels.
Date: 11/2023
Type: Database
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Uses data from the 2022 American Community Survey (ACS) to present state, county, and local estimates of the number of U.S. residents without health insurance and their demographic characteristics. Analyzes the population of uninsured individuals ages 0-64 by family income levels.
Date: 11/2023
Type: Database
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Geographic Variation in Health Insurance Coverage: United States, 2022
Reports on rates of people who had private health insurance, public insurance, and who were uninsured according to the 2022 National Health Interview Survey. Presents coverage rates by urbanization level for adults aged 18-64 and for children aged 0-17.
Author(s): Emily P. Terlizzi, Robin A. Cohen
Date: 11/2023
Type: Document
Sponsoring organization: National Center for Health Statistics
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Reports on rates of people who had private health insurance, public insurance, and who were uninsured according to the 2022 National Health Interview Survey. Presents coverage rates by urbanization level for adults aged 18-64 and for children aged 0-17.
Author(s): Emily P. Terlizzi, Robin A. Cohen
Date: 11/2023
Type: Document
Sponsoring organization: National Center for Health Statistics
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