Rural Health
Resources by Topic: Health insurance
Use of the Spatial Access Ratio to Measure Geospatial Access to Emergency General Surgery Services in California
Evaluates the ability of Spatial Access Ratio (SPAR) to identify disparities in emergency general surgery (EGS) access in California. Compares the locations of 238 EGS-capable hospitals to the location of California residents with focus on the sociodemographic characteristics of population size, poverty rate, health insurance coverage, and rural or urban status. Table 2 shows access to EGS hospitals by rurality, among other data. Discusses the use of SPAR to allocate resources differently.
Author(s): Marta McCrum, Neng Wan, Steven Lizotte, et al.
Citation: The Journal of Trauma and Acute Care Surgery, 90(5), 853-860
Date: 05/2021
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Evaluates the ability of Spatial Access Ratio (SPAR) to identify disparities in emergency general surgery (EGS) access in California. Compares the locations of 238 EGS-capable hospitals to the location of California residents with focus on the sociodemographic characteristics of population size, poverty rate, health insurance coverage, and rural or urban status. Table 2 shows access to EGS hospitals by rurality, among other data. Discusses the use of SPAR to allocate resources differently.
Author(s): Marta McCrum, Neng Wan, Steven Lizotte, et al.
Citation: The Journal of Trauma and Acute Care Surgery, 90(5), 853-860
Date: 05/2021
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Marketplace Premiums and Participation in 2021
Report examining changes in marketplace insurance premiums and insurer participation at the state and rating region level from 2020-2021. Offers data on state average benchmark premium and percent changes over time between 2017-2020. Appendix B offers tables for select states with select urban and rural regional data.
Author(s): John Holahan, Jessica Banthin, Erik Wengle
Date: 05/2021
Sponsoring organization: Urban Institute
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Report examining changes in marketplace insurance premiums and insurer participation at the state and rating region level from 2020-2021. Offers data on state average benchmark premium and percent changes over time between 2017-2020. Appendix B offers tables for select states with select urban and rural regional data.
Author(s): John Holahan, Jessica Banthin, Erik Wengle
Date: 05/2021
Sponsoring organization: Urban Institute
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Building on the Evidence Base: Studies on the Effects of Medicaid Expansion, February 2020 to March 2021
Summarizes the results of a review of 200 studies published between February 2020 and March 2021 on the impact of state Medicaid expansions under the Patient Protection and Affordable Care Act (ACA). Highlights findings on mortality; cancer, chronic disease, and disabilities; sexual and reproductive health; behavioral health; economic impacts on states and providers, including rural providers; disparities; and social determinants of health. Builds on a literature review that examined studies published between January 2014 and January 2020.
Author(s): Madeline Guth, Meghana Ammula
Date: 05/2021
Sponsoring organization: KFF
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Summarizes the results of a review of 200 studies published between February 2020 and March 2021 on the impact of state Medicaid expansions under the Patient Protection and Affordable Care Act (ACA). Highlights findings on mortality; cancer, chronic disease, and disabilities; sexual and reproductive health; behavioral health; economic impacts on states and providers, including rural providers; disparities; and social determinants of health. Builds on a literature review that examined studies published between January 2014 and January 2020.
Author(s): Madeline Guth, Meghana Ammula
Date: 05/2021
Sponsoring organization: KFF
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Rural Disparities in End-of-life Care for Patients with Heart Failure: Are They Due to Geography or Socioeconomic Disparity?
Examines the relationship of rurality, socioeconomic background, and end-of-life care for patients with heart failure in Maine. Includes data on healthcare utilization at end-of-life by age, sex, rurality, insurance type, and area deprivation index.
Author(s): Rebecca N. Hutchinson, Paul K.J. Han, F. Lee Lucas, et al.
Citation: Journal of Rural Health
Date: 05/2021
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Examines the relationship of rurality, socioeconomic background, and end-of-life care for patients with heart failure in Maine. Includes data on healthcare utilization at end-of-life by age, sex, rurality, insurance type, and area deprivation index.
Author(s): Rebecca N. Hutchinson, Paul K.J. Han, F. Lee Lucas, et al.
Citation: Journal of Rural Health
Date: 05/2021
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COVID-19 Health Care Flexibilities: Perspectives, Experiences, and Lessons Learned
Recording of a May 19, 2021, U.S. Senate Committee on Finance hearing on healthcare flexibilities implemented in response to the COVID-19 pandemic, with a focus on telehealth. Discusses lessons learned and considerations for the extension of these flexibilities beyond the pandemic.
Additional links: Kisha Davis Testimony, Narayana Murali Testimony
Date: 05/2021
Sponsoring organization: Senate Committee on Finance
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Recording of a May 19, 2021, U.S. Senate Committee on Finance hearing on healthcare flexibilities implemented in response to the COVID-19 pandemic, with a focus on telehealth. Discusses lessons learned and considerations for the extension of these flexibilities beyond the pandemic.
Additional links: Kisha Davis Testimony, Narayana Murali Testimony
Date: 05/2021
Sponsoring organization: Senate Committee on Finance
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Community Factors Associated With Telemedicine Use During the COVID-19 Pandemic
Examines the association of telemedicine use with community factors among people with commercial or Medicare Advantage insurance. Features a county-level map showing variation in the percentage of telemedicine visits during COVID-19, and statistics with breakdowns by low, middle, and high population density.
Author(s): Sadiq Y. Patel, Sherri Rose, Michael L. Barnett, et al.
Citation: JAMA Network Open, 4(5)
Date: 05/2021
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Examines the association of telemedicine use with community factors among people with commercial or Medicare Advantage insurance. Features a county-level map showing variation in the percentage of telemedicine visits during COVID-19, and statistics with breakdowns by low, middle, and high population density.
Author(s): Sadiq Y. Patel, Sherri Rose, Michael L. Barnett, et al.
Citation: JAMA Network Open, 4(5)
Date: 05/2021
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Medicare and Telehealth: Coverage and Use During the COVID-19 Pandemic and Options for the Future
Provides an overview of changes made to Medicare's coverage of telehealth during the COVID-19 pandemic. Explores Medicare beneficiaries' use of telehealth in summer and fall 2020, and presents data by beneficiary demographic characteristics, dual-eligibility, presence and type of chronic conditions, and metropolitan status. Examines issues and questions regarding telehealth coverage beyond the COVID-19 public health emergency.
Author(s): Wyatt Koma, Juliette Cubanski, Tricia Neuman
Date: 05/2021
Sponsoring organization: KFF
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Provides an overview of changes made to Medicare's coverage of telehealth during the COVID-19 pandemic. Explores Medicare beneficiaries' use of telehealth in summer and fall 2020, and presents data by beneficiary demographic characteristics, dual-eligibility, presence and type of chronic conditions, and metropolitan status. Examines issues and questions regarding telehealth coverage beyond the COVID-19 public health emergency.
Author(s): Wyatt Koma, Juliette Cubanski, Tricia Neuman
Date: 05/2021
Sponsoring organization: KFF
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Prevalence of Inflammatory Bowel Disease Among Medicare Fee-For-Service Beneficiaries — United States, 2001-2018
Examines prevalence of Crohn's disease or ulcerative colitis among U.S. people aged 67 or more who were enrolled in Medicare Parts A and B and were not enrolled in a health maintenance organization plan. Features statistics with breakdowns by 6 levels of population density.
Author(s): Fang Xu, Susan A. Carlson, Yong Liu, Kurt J. Greenlund
Citation: MMWR (Morbidity and Mortality Weekly Report), 70(19), 698–701
Date: 05/2021
Sponsoring organization: Centers for Disease Control and Prevention
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Examines prevalence of Crohn's disease or ulcerative colitis among U.S. people aged 67 or more who were enrolled in Medicare Parts A and B and were not enrolled in a health maintenance organization plan. Features statistics with breakdowns by 6 levels of population density.
Author(s): Fang Xu, Susan A. Carlson, Yong Liu, Kurt J. Greenlund
Citation: MMWR (Morbidity and Mortality Weekly Report), 70(19), 698–701
Date: 05/2021
Sponsoring organization: Centers for Disease Control and Prevention
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Medicare-Paid Naloxone: Trends in Non-Metropolitan and Metropolitan Areas Metropolitan Areas
Policy brief examining Medicare-paid naloxone dispensing, comparing rates in nonmetro and metro areas nationwide. Provides year-by-year data by payer type for 2013-2018, including insurance, Medicaid, and Medicare Part D. Compares numbers of Medicare-paid naloxone prescriptions year-to-year for retail pharmacies, comparing rate changes for rural and metro areas.
Author(s): Chris Delcher, Yue Cheng, Minji Sohn, Jeffery C. Talbert, Patricia R. Freeman
Date: 05/2021
Sponsoring organization: Rural and Underserved Health Research Center
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Policy brief examining Medicare-paid naloxone dispensing, comparing rates in nonmetro and metro areas nationwide. Provides year-by-year data by payer type for 2013-2018, including insurance, Medicaid, and Medicare Part D. Compares numbers of Medicare-paid naloxone prescriptions year-to-year for retail pharmacies, comparing rate changes for rural and metro areas.
Author(s): Chris Delcher, Yue Cheng, Minji Sohn, Jeffery C. Talbert, Patricia R. Freeman
Date: 05/2021
Sponsoring organization: Rural and Underserved Health Research Center
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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
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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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
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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