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Rural Health
Resources by Topic: Benefit enrollment and application

Determinants of Supplemental Nutrition Assistance Program Participation from 2008 to 2012
A discussion of the social and economic determinants of enrollment in the SNAP program. Includes data and statistics regarding economic variables, the effect of state policy on program use, demographics of the recipients, and length of use and re-entry into the program. Rural specific information included on pages A 33-34 and the food access table (A.29).
Author(s): James Mabli, Thomas Godfrey, Nancy Wemmerus, Joshua Leftin, Stephan Tordella
Date: 12/2014
Type: Document
Sponsoring organization: USDA Food and Nutrition Service
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Best Practices for Health Insurance Marketplace Outreach and Enrollment in Rural Areas
Shares findings from interviews with health center staff, navigators, Certified Application Counselors (CACs), and other organizations in seven states that had high Health Insurance Marketplace enrollment rates. Focuses on identifying promising, rural-specific strategies for conducting outreach, in-reach, education, and marketing activities.
Author(s): Pam Silberman, Sharita Thomas, Brystana Kaufman, Julie Perry, Mark Holmes
Date: 12/2014
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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Successful Health Insurance Outreach, Education, and Enrollment Strategies for Rural Hospitals
Shares best practices for hospitals to use in health insurance outreach and enrollment efforts based on interviews with administrators, staff, and community representatives at 11 small rural hospitals in 9 states. Also discusses certified application counselors, who help individuals enroll in health insurance, and the importance of using collaborative community partnerships to conduct insurance enrollment outreach and education.
Author(s): Walter Gregg, Alex Evenson, Adeniyi Togun
Date: 11/2014
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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Examining the Potential of Information Technology to Improve Public Insurance Application Processes: Enrollee Assessments from a Concurrent Mixed Method Analysis
Reports on Medicaid and Children's Health Insurance Program (CHIP) beneficiaries' readiness to use technology as part of the application process. Also discusses enrollees' preferences for technology versus face-to-face interaction for different aspects of the application process. Compares responses for rural, small metropolitan, and major metropolitan area enrollees.
Author(s): Abhay Nath Mishra, Patricia Ketsche, James Marton, Angela Snyder, Susan McLaren
Citation: JAMIA, 21(6), 1045-52
Date: 11/2014
Type: Document
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Geographic Variation in Plan Uptake in the Federally Facilitated Marketplace
Combines data on health insurance plan selection in the federally facilitated marketplaces with estimates of people likely to qualify for the marketplace in order to calculate the percent of eligible people who chose a health insurance plan. Includes a heat map that illustrates which U.S. regions had the highest and lowest plan selection rates. Discusses differences for rural areas.
Author(s): Mark Holmes, Pam Silberman, Kristie Thompson, Victoria Freeman, Randy K. Randolph
Date: 10/2014
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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Rural Implications of the Blueprints for State-Based Health Insurance Marketplaces
Presents different states' approaches to the health insurance marketplaces including service areas and rating areas, network adequacy requirements, rural consumer outreach, rural representation on the marketplace governing board, certification and oversight of qualified health plans, and design of the small business health options program.
Author(s): Andy Potter, Matt Nattinger, Keith J. Mueller
Date: 09/2014
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Profiles of Medicaid Outreach and Enrollment Strategies: Using Text Messaging to Reach and Enroll Uninsured Individuals into Medicaid and CHIP
Discusses how mobile technology can be used more effectively to reach and enroll more individuals in Medicaid and CHIP. Discusses opportunity for use of text message strategies in rural America with high cell phone ownership rates.
Author(s): Alexandra Gates, Jessica Stephens, Samantha Artiga
Date: 03/2014
Type: Document
Sponsoring organization: Kaiser Program on Medicaid and the Uninsured
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Rural Implications of the Affordable Care Act Outreach, Education, and Enrollment
Outlines opportunities for rural communities to benefit from the Affordable Care Act and discusses the importance of efforts aimed at furthering outreach, education, and enrollment in health insurance in rural areas.
Date: 01/2014
Type: Document
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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National Advisory Committee on Rural Health and Human Services Meeting Summary, Bozeman, Montana, September 4-6, 2013
Provides a summary of the National Advisory Committee on Rural Health and Human Services meeting. Discusses rural health in Montana, along with rural outreach, enrollment and education for the health insurance market places of the Affordable Care Act, and the intersection of poverty and human service delivery in rural areas.
Date: 09/2013
Type: Document
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Affordable Insurance Exchanges: A Summary of Characteristics and Rural Implications
Provides a snapshot of factors influencing decisions about health insurance exchanges and how they will affect access to affordable insurance plans in rural America. Factors include governance, enrollment, navigators, and access standards.
Date: 01/2012
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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