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Rural Health Information Hub

Healthcare Access in Rural Communities – Resources

Selected recent or important resources focusing on Healthcare Access in Rural Communities.

Private Health Insurance: State and Federal Oversight of Provider Networks Varies
Describes oversight responsibilities for the Centers for Medicare & Medicaid, the Department of Labor, and state governments for ensuring adequate private health insurance plans and provider networks. Examines processes for determining adequacy through surveys and interviews with stakeholders from state agencies and medical association groups as well as a review of relevant laws and regulations. Outlines factors for inadequacy including health workforce shortages and distance from in-network services in rural areas.
Additional links: Full Report
Date: 12/2022
Type: Document
Sponsoring organization: Government Accountability Office
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Health Insurance in Rural Communities, with Abigail Barker and Timothy McBride
An episode of the Exploring Rural Health podcast featuring Abigail Barker and Timothy McBride, co-investigators at the Rural Policy Research Institute (RUPRI) Center for Rural Health Policy Analysis. Discusses their findings about rural health insurance coverage shared in the recently published chartbook, An Insurance Profile of Rural America.
Date: 12/2022
Type: Audio
Sponsoring organization: Rural Health Information Hub
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Interest in Using Over-the-Counter Oral Contraceptive Pills: Findings from the 2022 KFF Women's Health Survey
Presents findings from the national 2022 KFF Women's Health Survey about the preferences of reproductive age females for an over the counter (OTC) contraceptive pill. Offers data demonstrating their preferences and reasons for their preferences, and compares data by race/ethnicity, income, insurance status, and rural and urban location.
Author(s): Michelle Long, Brittni Frederiksen, Usha Ranji, Karen Diep, Alina Salganicoff
Date: 11/2022
Type: Document
Sponsoring organization: KFF
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Geospatial Analysis of Access to Health Care and Internet Services in the US
Study examining access to healthcare and internet services based on 2015-2019 American Community Survey data. Discusses implementations of findings for telemedicine expansion and the need for improved internet access to address rural-urban health disparities.
Author(s): Emefah C. Loccoh, Amanda Nguyen, Gaeun Kim, Haider J. Warraich
Citation: JAMA Network Open, 5(11), e2243792
Date: 11/2022
Type: Document
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Health, Work, and Care in Rural America
Report examining rural access to paid leave from work, the economic impacts of limited access to paid leave, and distances to hospital-based and skilled nursing care. Offers a broad view of rural economic and health dynamics, travel burdens to access hospital-based care, and presents policy recommendations to address paid leave as a social determinant of health.
Author(s): Vicki Shabo, Hannah Friedman
Date: 11/2022
Type: Document
Sponsoring organization: New America
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Health Care Access and Use Among Adults With and Without Vision Impairment: Behavioral Risk Factor Surveillance System, 2018
Analyzes insurance status, access to usual source of care, healthcare utilization, and unmet healthcare needs due to cost among adults with vision impairment. Utilizes 2018 Behavioral Risk Factor Surveillance System data to examine 426,302 adults by age, sex, race/ethnicity, poverty level, health status and behaviors, disability type, U.S. region and territory, and metropolitan or nonmetropolitan status.
Author(s): Qi Cheng, Catherine A. Okoro, Isabel Mendez, et al.
Citation: Preventing Chronic Disease, 19
Date: 11/2022
Type: Document
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An Insurance Profile of Rural America: Chartbook
Provides information on the health insurance status of rural Americans under the age of 65. Describes trends in sources of health insurance coverage, insurance market dynamics in rural communities, and trends in out-of-pocket expenditures. Compares metro and non-metro data on insurance coverage by region and sociodemographic characteristics; the relationship of health status to insurance coverage; affordability; trends in Marketplace and Medicare Advantage coverage offerings at the county level; and more.
Author(s): Timothy McBride, Abigail Barker, Emily Hernandez, et al.
Date: 10/2022
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Health Care Access Among Self-Employed Workers in Nonmetropolitan Counties
Webinar recording highlighting a May 2022 report that examines access to healthcare for self-employed workers, their families, and their households in rural areas. Utilizes 2014-2020 data to discuss health insurance coverage and affordability, availability of healthcare services, and changes in work, income, health status, and healthcare access.
Additional links: Presentation Slides
Author(s): Elizabeth A. Dobis, Jessica E. Todd
Date: 10/2022
Type: Video/Multimedia
Sponsoring organization: North Central Regional Center for Rural Development
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Nowhere to Go: Maternity Care Deserts Across the U.S. 2022
Explores maternal healthcare access and provides county-level U.S. maps that show maternity care deserts, hospitals and birth centers that offer obstetric (OB) care, distribution of OB providers, percentage of women without health insurance, percentage of births covered by Medicaid, and more. Includes rural versus urban characteristics of maternity care deserts as well as access and policy discussions specific to rural areas.
Date: 10/2022
Type: Document
Sponsoring organization: March of Dimes
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'Filling the Cracks': How a Rural Maine Community Kept its 24/7 Urgent Care Open with Paramedics
Features a pilot program serving rural Maine where paramedics take shifts staffing the local health center after-hours and on weekends.
Author(s): Gretel Kauffman
Citation: Rural Monitor
Date: 10/2022
Type: Document
Sponsoring organization: Rural Health Information Hub
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Last Updated: 4/5/2024