Rural Health
Resources by Topic: Health insurance
High Prescription Drug Out-of-Pocket Spending Burden among Privately Insured Rural and Urban Adults Age 18-64
Analyzes prescription drug out-of-pocket spending among privately-insured rural and urban adults, utilizing 2017-2020 Medical Expenditure Panel Survey (MEPS) data. Compares average spending and high prescription out-of-pocket burden in rural and urban populations, and details implications for rural medication adherence and associated health outcomes.
Author(s): Jean A. Talbot, Elora Way, Yvonne Jonk, Erica C. Ziller
Date: 01/2025
Sponsoring organization: Maine Rural Health Research Center
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Analyzes prescription drug out-of-pocket spending among privately-insured rural and urban adults, utilizing 2017-2020 Medical Expenditure Panel Survey (MEPS) data. Compares average spending and high prescription out-of-pocket burden in rural and urban populations, and details implications for rural medication adherence and associated health outcomes.
Author(s): Jean A. Talbot, Elora Way, Yvonne Jonk, Erica C. Ziller
Date: 01/2025
Sponsoring organization: Maine Rural Health Research Center
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Health Panel Comment Letter – Contract Year 2026 Policy and Technical Changes to the Medicare Advantage Program
Offers comments in response to a December 10, 2024, proposed rule regarding policy and technical changes to the Medicare Advantage program for contract year 2026. Discusses transparency and access to pharmacy services and prescription drugs, network adequacy, notice to providers, and more.
Date: 01/2025
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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Offers comments in response to a December 10, 2024, proposed rule regarding policy and technical changes to the Medicare Advantage program for contract year 2026. Discusses transparency and access to pharmacy services and prescription drugs, network adequacy, notice to providers, and more.
Date: 01/2025
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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Not Enough: Medicaid Expansion, Medical Debt, and Cost Avoidance in Rural American Indian and Alaska Native Households
Presents a study on the effect of Medicaid expansion on the medical debt and cost avoidance for rural American Indian and Alaska Native households. Compares rates medical debt and cost avoidance from AI/AN communities in Medicaid expansion and nonexpansion states.
Author(s): Sean Hubbard
Citation: Journal of Rural Health, 41(1), e12925
Date: 01/2025
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Presents a study on the effect of Medicaid expansion on the medical debt and cost avoidance for rural American Indian and Alaska Native households. Compares rates medical debt and cost avoidance from AI/AN communities in Medicaid expansion and nonexpansion states.
Author(s): Sean Hubbard
Citation: Journal of Rural Health, 41(1), e12925
Date: 01/2025
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How Medicaid Helps Your State
Offers fact sheets for 50 states and D.C. on Medicaid and Children's Health Insurance Program (CHIP) participation. Includes percent of children and adults covered by Medicaid or CHIP in rural areas of each state.
Date: 01/2025
Sponsoring organization: Commonwealth Fund
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Offers fact sheets for 50 states and D.C. on Medicaid and Children's Health Insurance Program (CHIP) participation. Includes percent of children and adults covered by Medicaid or CHIP in rural areas of each state.
Date: 01/2025
Sponsoring organization: Commonwealth Fund
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Medicare Advantage Demographics Report, 2022
Summarizes demographics data on Medicare Advantage enrollment in 2022. Compares rural/urban residence of Medicare Advantage, Original Medicare, and dually eligible enrollees in Appendix B.
Date: 01/2025
Sponsoring organization: AHIP
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Summarizes demographics data on Medicare Advantage enrollment in 2022. Compares rural/urban residence of Medicare Advantage, Original Medicare, and dually eligible enrollees in Appendix B.
Date: 01/2025
Sponsoring organization: AHIP
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Nevada Rural and Frontier Health Data Book - Twelfth Edition
Provides an overview of the health and healthcare in rural and frontier Nevada. Offers state and county-level data on the resident population, economic and social characteristics, insurance coverage, population health, the healthcare workforce, and the healthcare delivery system.
Author(s): Tabor Griswold, John Packham, Simran Kaur, et al.
Date: 01/2025
Sponsoring organization: University of Nevada, Reno School of Medicine Office of Statewide Initiatives
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Provides an overview of the health and healthcare in rural and frontier Nevada. Offers state and county-level data on the resident population, economic and social characteristics, insurance coverage, population health, the healthcare workforce, and the healthcare delivery system.
Author(s): Tabor Griswold, John Packham, Simran Kaur, et al.
Date: 01/2025
Sponsoring organization: University of Nevada, Reno School of Medicine Office of Statewide Initiatives
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Enhancing Rural Access to Medications for Opioid Use Disorder: Policy Brief and Recommendations to the Secretary
Provides an overview of issues related to opioid use disorder (OUD) in rural areas. Discusses access to medication for opioid use disorder (MOUD), MOUD workforce, telehealth to support access to MOUD, and Medicaid 1115 demonstrations that address OUD. Offers policy recommendations related to regulatory barriers, reimbursement flexibility, workforce, and service site expansion to increase access to MOUD in rural areas.
Date: 01/2025
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Provides an overview of issues related to opioid use disorder (OUD) in rural areas. Discusses access to medication for opioid use disorder (MOUD), MOUD workforce, telehealth to support access to MOUD, and Medicaid 1115 demonstrations that address OUD. Offers policy recommendations related to regulatory barriers, reimbursement flexibility, workforce, and service site expansion to increase access to MOUD in rural areas.
Date: 01/2025
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Opioid Use among Rural Medicare Beneficiaries
Examines trends in prescription opioid use among Medicare beneficiaries in rural areas, utilizing 2010-2017 Medicare Current Beneficiary Survey (MCBS) data. Provides data on receipt of opioid prescriptions among community-dwelling and facility-dwelling beneficiaries, associations between prescribing and chronic overlapping pain conditions (COPCs), and prescriptions exceeding CDC guidelines. Includes rural-urban comparisons.
Author(s): Yvonne Jonk, Heidi O'Connor, Karen Pearson, et al.
Date: 01/2025
Sponsoring organization: Maine Rural Health Research Center
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Examines trends in prescription opioid use among Medicare beneficiaries in rural areas, utilizing 2010-2017 Medicare Current Beneficiary Survey (MCBS) data. Provides data on receipt of opioid prescriptions among community-dwelling and facility-dwelling beneficiaries, associations between prescribing and chronic overlapping pain conditions (COPCs), and prescriptions exceeding CDC guidelines. Includes rural-urban comparisons.
Author(s): Yvonne Jonk, Heidi O'Connor, Karen Pearson, et al.
Date: 01/2025
Sponsoring organization: Maine Rural Health Research Center
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Evaluating Access to Psychosocial Services for the Medicaid-Insured Children in Georgia
Assesses mental health workforce supply and demand for psychosocial services for the Medicaid-insured children in Georgia, and examines the impact of policy interventions to increase availability of services for the Medicaid-insured population. Analyzes factors associated with unmet demand, including data on rurality, travel distance, and more.
Author(s): Yujia Xie, Pravara Harati, Janani Rajbhandari-Thapa, Nicoleta Serban
Citation: BMC Public Health, 25, 244
Date: 01/2025
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Assesses mental health workforce supply and demand for psychosocial services for the Medicaid-insured children in Georgia, and examines the impact of policy interventions to increase availability of services for the Medicaid-insured population. Analyzes factors associated with unmet demand, including data on rurality, travel distance, and more.
Author(s): Yujia Xie, Pravara Harati, Janani Rajbhandari-Thapa, Nicoleta Serban
Citation: BMC Public Health, 25, 244
Date: 01/2025
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Medicaid Coverage in Metro and Small Town/Rural Counties, 2023
Presents county-level data for children, non-elderly adults, and seniors insured by Medicaid/CHIP. Utilizes 2023 American Community Survey (ACS) Public Use Microdata Sample (PUMS) data to provide insurance comparisons by county and by state.
Date: 01/2025
Sponsoring organization: Georgetown University Health Policy Institute
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Presents county-level data for children, non-elderly adults, and seniors insured by Medicaid/CHIP. Utilizes 2023 American Community Survey (ACS) Public Use Microdata Sample (PUMS) data to provide insurance comparisons by county and by state.
Date: 01/2025
Sponsoring organization: Georgetown University Health Policy Institute
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