Skip to main content

Rural Project Examples: Health insurance

funded by the Federal Office of Rural Health Policy Nebraska Association of Local Health Directors ACA Outreach and Education Project
Updated/reviewed December 2017
  • Need: To help rural Nebraska local health departments (LHDs) learn about the Affordable Care Act so they can help inform their communities about health insurance options under the ACA.
  • Intervention: In 2014-2016 via their statewide association, Nebraska LHDs received education online and by webinar on the ACA along with support to conduct outreach activities using health literacy strategies.
  • Results: During initial activity, all eligible Nebraska rural member LHDs (16) conducted outreach events. 912 participants attended, with 334 receiving one-on-one help.
funded by the Federal Office of Rural Health Policy Innis Community Health Center ACA Outreach and Education Project
Updated/reviewed November 2017
  • Need: To inform rural Louisiana residents about their health insurance options under the Affordable Care Act’s Medicaid Expansion program.
  • Intervention: A community health center reached out to individuals at their clinic sites, rural hospital emergency rooms, and through local governments and other community agencies.
  • Results: Many rural residents have gained access to health insurance information and enrollment assistance.
funded by the Federal Office of Rural Health Policy Woodlake Family Resource Center ACA Outreach and Education Project
Updated/reviewed November 2017
  • Need: Educational assistance in understanding the Affordable Care Act’s health insurance options for Spanish-speaking uninsured residents in a rural California.
  • Intervention: A family resource center offered bilingual ACA outreach and education with referral to local health centers for enrollment assistance.
  • Results: 1,740 educational items and 480 newspapers with ACA information were distributed. Seven outreach events reached 880+ individuals, and 467 were referred for enrollment help.
funded by the Federal Office of Rural Health Policy Allegany Health Right ACA Outreach and Education Project
Updated/reviewed August 2017
  • Need: To help Allegany County, Maryland, residents learn about their health insurance options under the Affordable Care Act and connect to enrollment specialists.
  • Intervention: A dental safety net provider used existing activities and networks to reach the uninsured, with work done by existing staff plus a temporary Outreach and Education Coordinator.
  • Results: Outreach to 1,639 individuals over a 7-month period, with 602 referred to a navigator and 202 referred for Medicaid enrollment.
funded by the Federal Office of Rural Health Policy Public Health Solutions ACA Outreach and Education Project
Updated/reviewed August 2017
  • Need: To help inform rural residents in southeast Nebraska about their health insurance options under the Affordable Care Act (ACA).
  • Intervention: A public health department provided outreach and enrollment assistance and worked with other key community organizations to help get clients the information and services they need.
  • Results: 525 individuals were reached at 22 outreach events: 123 individuals received general education on the ACA, 25 received enrollment assistance, and 19 had an eligibility determination.
funded by the Federal Office of Rural Health Policy Something to Smile About: Preventive Dental Care for Garrett County
Updated/reviewed July 2017
  • Need: In the very rural Garrett County in Maryland, a 1998 community survey found that 41% of kindergarten students had untreated dental decay, and many dentists in the area were not willing to see patients with medical assistance or state health insurance plans.
  • Intervention: In 1999, the Garrett County Health Department started the Something to Smile About program to improve access to dental care as well as to help dentists negotiate higher reimbursement rates from managed care organizations.
  • Results: The program established a community dental clinic, provided care to thousands of individuals, and negotiated 30% higher rates for dental service reimbursement.
funded by the Health Resources Services Administration Scenic Bluffs Community Health Center Insurance Help Team
Updated/reviewed June 2017
  • Need: To help inform Western Wisconsin residents about their health insurance options under the Affordable Care Act.
  • Intervention: Certified application counselors provide assistance in outreach locations around the region.
  • Results: In the past year, 1,835 people received guidance on health insurance through this program, with 561 completing the process to enroll in a plan.
funded by the Federal Office of Rural Health Policy ACA Online Training Module for Rural Healthcare Providers
Added August 2014
  • Need: To strengthen the healthcare system in rural northern New England by helping local community and Critical Access Hospital providers assist their patients in learning about health insurance options under the Affordable Care Act.
  • Intervention: An online training module to help providers learn about the Affordable Care Act (ACA) and find local ACA enrollment resources.
  • Results: 14 providers in 4 counties registered for the training.