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Rural Health
Resources by Topic: Uninsured and underinsured

Sociodemographic and Geographic Disparities of Prostate Cancer Treatment Delay in Tennessee: A Population-Based Study
Examines 2005-2015 Tennessee Cancer Registry data of adults with prostate cancer to determine the relationship between population characteristics and prostate cancer treatment delay. Discusses geographic residence, insurance status, and social determinants of health (SDOH) such as race, marital status, and others. An urban versus rural breakdown is included.
Author(s): Francisco A. Montiel Ishino, Emmanuel A. Odame, Kevin Villalobos, et al.
Citation: American Journal of Men's Health, 15(6)
Date: 11/2021
Type: Document
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Disparities in Breast Cancer Survivors in Rural West Texas
Examines a rural Texan county with increased breast cancer mortality to understand the relationship between sociodemographic variables and breast cancer outcomes. Reviews data from 406 women between 1995 and 2014 to explore survival probability among variables such as race and ethnicity, insurance status, age, zip code, and stage of cancer, among others.
Author(s): Hafiz Khan, Drew Rasmussen, Kemesha Gabbidon, et al.
Citation: Cancer Control, 28
Date: 09/2021
Type: Document
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Preconception Health Disparities and Birth Outcomes among Foreign-Born and Native-Born Hispanic Women in Oklahoma
Evaluates the birth outcomes for Hispanic Oklahoma women, comparing those born in and out of the United States. Considers the mother's age, education, health insurance, and rurality. Makes recommendations to improve birth outcomes.
Date: 08/2021
Type: Document
Sponsoring organization: Oklahoma State Department of Health
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Small Area Health Insurance Estimates: 2019
Reports on health insurance coverage in the U.S. in 2018 and changes between 2018 and 2019, as well as changes between 2013 and 2019. Includes maps showing county-level uninsured rates.
Author(s): Sara Robinson, Katherine Ann Willyard
Date: 06/2021
Type: Document
Sponsoring organization: U.S. Census Bureau
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Access to Marketplace Plans with Low Premiums on the Federal Platform Part II: Availability among Uninsured Non-elderly Adults under the American Rescue Plan
Analyzes the expanded access to federally-sponsored Health Insurance Marketplace low premium plans among eligible uninsured non-elderly adults under the American Rescue Plan (ARP). Table 2 provides demographic data on zero- and low-premium plan availability pre- and post-ARP by rural status, age, income, and race/ethnicity. Includes uninsured non-elderly adult data by state for zero- and low-premium plan availability for both pre- and post-ARP.
Author(s): D. Keith Branham, Ann B. Conmy, Thomas DeLeire, et al.
Date: 04/2021
Type: Document
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Access to Marketplace Plans with Low Premiums on the Federal Platform Part I: Availability among Uninsured Non-Elderly Adults and Healthcare.gov Enrollees Prior to the American Rescue Plan
Analyzes access to federally-sponsored Health Insurance Marketplace low premium plans among uninsured non-elderly adults as of March 1, 2021, prior to the enhanced subsidies created by American Rescue Plan (ARP). Table 2 includes demographic data for the uninsured non-elderly adult population and current HealthCare.gov enrollees on zero- and low-premium plan availability by rural status, age, income, and race/ethnicity.
Author(s): D. Keith Branham, Ann B. Conmy, Thomas DeLeire, et al.
Date: 03/2021
Type: Document
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Chart Book: The Far-Reaching Benefits of the Affordable Care Act's Medicaid Expansion
Compares states that expanded Medicaid coverage and those that did not expand Medicaid coverage using a variety of measures such as healthcare access and health outcomes. Addresses the impact on rural hospitals for Medicaid revenue, operating margins, and uncompensated care on page 18.
Date: 10/2020
Type: Document
Sponsoring organization: Center on Budget and Policy Priorities
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Uninsured Rates Across Kansas Counties, September 2020
Provides data and statistics on uninsured rates in Kansas. Fact sheets feature state maps with county-level information on child and adult uninsured rates and numbers, as well as potential eligibility for Medicaid and KanCare. Includes rural and urban comparisons.
Author(s): Phillip Steiner, Wen-Chieh Lin
Date: 09/2020
Type: Website
Sponsoring organization: Kansas Health Institute
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The Improved Health Outcomes Program (iHOP): A Unique Model to Promote Provider-Driven Research in a Medicaid Population
Describes the iHOP program, a grant-funded partnership between a Medicaid managed care insurer, the University of Louisville, and healthcare providers in Kentucky. The program operated from 2007-2018 and was designed to address the healthcare needs of Medicaid and uninsured populations across the state. Includes information on specific project initiatives, including those focused on special populations such as refugees, Latinos, and rural individuals.
Author(s): Tara J. Schapmire, Jill Bell, Mark. P. Pfeifer
Citation: International Journal of Environmental Research and Public Health, 17(14), 5079
Date: 07/2020
Type: Document
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COVID-19 Presents Significant Risks for American Indian and Alaska Native People
Discusses the disproportionate risks American Indian and Alaska Native (AI/AN) people face as a result of the COVID-19 pandemic. Provides race/ethnicity breakdowns for risk of serious illness after contracting COVID-19 and uninsured rates among nonelderly individuals. Includes the percent of COVID-19 deaths and cases, as well as the percent of the total population made up by AI/AN individuals for Arizona, New Mexico, Wyoming, and other states.
Date: 05/2020
Type: Document
Sponsoring organization: KFF
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