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Rural Health Information Hub

Rural Health
Resources by Topic: Uninsured and underinsured

Health Insurance Coverage in the United States: 2018
Provides statistics on health insurance coverage in 2018 and also focuses on changes between 2017 and 2018. Table 5 and Appendix Table 4 list statistics for metropolitan and nonmetropolitan areas. Based on data from the Current Population Survey Annual Social and Economic Supplement and the American Community Survey.
Author(s): Edward R. Berchick, Jessica C. Barnett, Rachel D. Upton
Date: 09/2019
Type: Document
Sponsoring organization: U.S. Census Bureau
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The Geography of Uninsurance in Massachusetts: An Update for 2013-2017
Identifies high-uninsurance communities in Massachusetts using three measures: uninsurance rate, number of uninsured, and concentration of uninsured. Describes socioeconomic characteristics of high-uninsurance communities and uninsured residents. Supplemental tables include data by county, county subdivision, place, and additional geographies.
Additional links: Full Report
Author(s): Michael Karpman, Dulce Gonzalez, Sharon K. Long
Date: 08/2019
Type: Document
Sponsoring organizations: Blue Cross Blue Shield of Massachusetts Foundation, Urban Institute
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Medicaid: States' Use and Distribution of Supplemental Payments to Hospitals
Examines the use of disproportionate share hospital (DSH) payments given to hospitals with more Medicaid and uninsured patients. Addresses differences in state Medicaid expansion status, uninsured percentage, and uncompensated care in relation to DSH payments. Includes state data on DSH payments and uncompensated care costs by rural/urban hospital location, as well as data on Critical Access Hospital (CAH) and Sole Community Hospital DSH payments by state.
Additional links: Full Report
Date: 07/2019
Type: Document
Sponsoring organization: Government Accountability Office
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Balancing the Risk Pool: Enrolling Young Adults and Other Hard to Reach Populations
Discusses strategies and methods targeted toward hard to reach populations, including rural residents, young adults, immigrants, and the self-employed. Focuses on balancing the health insurance risk pool. Covers statistics on marketplace consumers and breaks down uninsured rates by state using 2017 data.
Date: 07/2019
Type: Presentation Slides
Sponsoring organization: Centers for Medicare and Medicaid Services
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Health and Health Care for Asian Americans, Native Hawaiians and Other Pacific Islanders (NHOPIs) in the United States
Compares the rates of poverty, job security, health status measures, and uninsured rates for Asian Americans, Native Hawaiians, and other Pacific Islander populations in the U.S.
Additional links: Infographic, Slides
Date: 05/2019
Type: Document
Sponsoring organization: KFF
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Small Area Health Insurance Estimates: 2017
Reports on health insurance coverage in the U.S. in 2017 and changes between 2016 and 2017, as well as changes between 2013 and 2017. Includes maps showing county-level uninsured rates.
Author(s): Lauren Bowers, Carolyn Gann
Date: 04/2019
Type: Document
Sponsoring organization: U.S. Census Bureau
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Health Insurance in Rural America
A set of interactive graphics providing urban and rural uninsured rates for people under age 65, based on data from the Small Area Health Insurance Estimates. Includes county-level data for 2017 and the change since 2013.
Date: 04/2019
Type: Website
Sponsoring organization: U.S. Census Bureau
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Rural Health Outcomes and Infrastructure in Arizona
Summarizes Arizona's health insurance coverage by county, rural population by county, and rural health infrastructure. Includes a map showing the location of Critical Access Hospitals, Rural Health Clinics, and Federally Qualified Health Centers in rural areas of the state.
Date: 02/2019
Type: Document
Sponsoring organization: Arizona Center for Rural Health
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Rural Patients with Chronic Disease: A Nonprofit Organization and a Health Department Leverage Federal Funding to Provide Health Education and Care Coordination
Features rural Alabama and North Carolina organizations that are using Federal Office of Rural Health Policy grants to improve health outcomes for patients with chronic disease through remote patient monitoring, health education, and network development.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 02/2019
Type: Document
Sponsoring organization: Rural Health Information Hub
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The Market Mechanism and Health Insurance in Rural Places: Lessons Learned from an Economics and Policy Perspective
Examines rural health insurance market challenges and related policy considerations. Outlines historical and economic reasons for rural "market failures," such as low population density and economies of scale. Reviews the success of previous policy interventions targeting rural health insurance markets and offers recommendations for future action.
Author(s): Abigail R. Barker, Timothy D. McBride, Keith J. Mueller, Kelsey A. Huntzberry
Date: 02/2019
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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