Rural Health
Resources by Topic: Health insurance
2023 Health Insurance Marketplace Enrollment by County - Kansas
Kansas map of population enrolled in a health insurance marketplace plan by county.
Date: 2023
Type: Map/Mapping System
Sponsoring organization: Kansas Health Institute
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Kansas map of population enrolled in a health insurance marketplace plan by county.
Date: 2023
Type: Map/Mapping System
Sponsoring organization: Kansas Health Institute
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Hidden Crisis: Pediatric Oral Health In Rural America
Highlights barriers to rural pediatric oral health, along with proposed solutions. Examines Dental Health Professional Shortage Areas, oral health literacy, and needed Medicaid reforms. Features model oral health programs in Washington, Montana, North Dakota, Arizona, Colorado, Nebraska, Louisiana, North Carolina, Virginia, and Maryland, and includes profiles of several rural providers.
Author(s): Michael A. Ignelzi, Tegwyn Brickhouse, Erica Caffrey, et al.
Date: 2023
Type: Document
Sponsoring organization: American Academy of Pediatric Dentistry
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Highlights barriers to rural pediatric oral health, along with proposed solutions. Examines Dental Health Professional Shortage Areas, oral health literacy, and needed Medicaid reforms. Features model oral health programs in Washington, Montana, North Dakota, Arizona, Colorado, Nebraska, Louisiana, North Carolina, Virginia, and Maryland, and includes profiles of several rural providers.
Author(s): Michael A. Ignelzi, Tegwyn Brickhouse, Erica Caffrey, et al.
Date: 2023
Type: Document
Sponsoring organization: American Academy of Pediatric Dentistry
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Closure of Labor & Delivery Units in Rural Counties Is Associated with Reduced Adequacy of Prenatal Care, Even When Prenatal Care Remains Available
Examines adequacy of prenatal care following the closure of labor and delivery units in rural Iowa counties using birth certificate information from 47 rural counties between 2017 and 2019. Compares rural counties with a closure to those without a closure. Examines the difference in impact for Medicaid and non-Medicaid patients, age, race and ethnicity, educational attainment, and more.
Author(s): Stephanie M. Radke, Laurel Smiens, Kelly K. Ryckman, Thomas S. Gruca
Citation: Journal of Rural Health, 39(4), 746-755
Date: 2023
Type: Document
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Examines adequacy of prenatal care following the closure of labor and delivery units in rural Iowa counties using birth certificate information from 47 rural counties between 2017 and 2019. Compares rural counties with a closure to those without a closure. Examines the difference in impact for Medicaid and non-Medicaid patients, age, race and ethnicity, educational attainment, and more.
Author(s): Stephanie M. Radke, Laurel Smiens, Kelly K. Ryckman, Thomas S. Gruca
Citation: Journal of Rural Health, 39(4), 746-755
Date: 2023
Type: Document
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HealthCare.gov Marketplace Plan Selections by Rural Status
Presents data on consumers who selected or were automatically reenrolled in a Marketplace medical plan during the 2023 open enrollment period. Includes state-by-state breakdowns of rural versus urban enrollees by ZIP code location, a U.S. map showing total enrollees by state, and open enrollment trends from 2017 to 2023.
Date: 2023
Type: Document
Sponsoring organization: KFF
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Presents data on consumers who selected or were automatically reenrolled in a Marketplace medical plan during the 2023 open enrollment period. Includes state-by-state breakdowns of rural versus urban enrollees by ZIP code location, a U.S. map showing total enrollees by state, and open enrollment trends from 2017 to 2023.
Date: 2023
Type: Document
Sponsoring organization: KFF
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Common Problems, Common Solutions: Looking Across Sectors at Strategies for Supporting Rural Youth and Families Tool-Kit
Provides an overview of barriers faced by rural communities in supporting youth and families, and innovative strategies to improve outcomes for youth, families, and communities. Informed by interviews and listening sessions with practitioners and leaders working in rural areas across the United States.
Author(s): Lisa Pilnik, Christine Humowitz
Date: 2023
Type: Document
Sponsoring organizations: Georgetown University Center for Juvenile Justice Reform, U.S. Department of Justice
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Provides an overview of barriers faced by rural communities in supporting youth and families, and innovative strategies to improve outcomes for youth, families, and communities. Informed by interviews and listening sessions with practitioners and leaders working in rural areas across the United States.
Author(s): Lisa Pilnik, Christine Humowitz
Date: 2023
Type: Document
Sponsoring organizations: Georgetown University Center for Juvenile Justice Reform, U.S. Department of Justice
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Uninsured Population in Nonmetropolitan Counties
Printable map that shows percent of population without health insurance nationwide by county. Data source: U.S. Census Bureau, 2021 Small Area Health Insurance Estimates (SAHIE) program.
Date: 2023
Type: Map/Mapping System
Sponsoring organization: Rural Health Information Hub
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Printable map that shows percent of population without health insurance nationwide by county. Data source: U.S. Census Bureau, 2021 Small Area Health Insurance Estimates (SAHIE) program.
Date: 2023
Type: Map/Mapping System
Sponsoring organization: Rural Health Information Hub
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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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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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2023 Physician Fee Schedule Update
Webinar recording discusses the Centers for Medicare & Medicaid Services (CMS) Calendar Year (CY) 2023 Physician Fee Schedule and highlights how the policy changes around behavioral health and telehealth services may affect rural communities. Features presentations from representatives of the Health Resources and Services Administration (HRSA) and the CMS Center for Medicare, Hospital and Ambulatory Policy Group, Division of Ambulatory Services.
Additional links: Audio Recording, Webinar Slides, Webinar Transcript
Date: 12/2022
Type: Video/Multimedia
Sponsoring organization: Rural Health Information Hub
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Webinar recording discusses the Centers for Medicare & Medicaid Services (CMS) Calendar Year (CY) 2023 Physician Fee Schedule and highlights how the policy changes around behavioral health and telehealth services may affect rural communities. Features presentations from representatives of the Health Resources and Services Administration (HRSA) and the CMS Center for Medicare, Hospital and Ambulatory Policy Group, Division of Ambulatory Services.
Additional links: Audio Recording, Webinar Slides, Webinar Transcript
Date: 12/2022
Type: Video/Multimedia
Sponsoring organization: Rural Health Information Hub
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Virginia Community Services Boards Behavioral Health Services: 2022
Report on activities of Virginia's Community Services Boards (CSBs), the state's primary mechanism for providing publicly funded behavioral health services in local communities. Includes a section on CSBs' role in providing services to rural areas. Features statistics on numbers of substance use disorder and mental health consumers, with breakdowns by urban and rural CSBs.
Date: 12/2022
Type: Document
Sponsoring organization: Joint Legislative Audit and Review Commission
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Report on activities of Virginia's Community Services Boards (CSBs), the state's primary mechanism for providing publicly funded behavioral health services in local communities. Includes a section on CSBs' role in providing services to rural areas. Features statistics on numbers of substance use disorder and mental health consumers, with breakdowns by urban and rural CSBs.
Date: 12/2022
Type: Document
Sponsoring organization: Joint Legislative Audit and Review Commission
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Roles of Race and Residence on the Incidence of Sexually Transmitted Infections in South Carolina: Improving STD Prevention and Care Through Partnerships
Slides that depict information from two presentations. The first explores the associations of race and rurality in relationship to sexually transmitted infections (STIs) among Medicaid beneficiaries in South Carolina. Utilizes South Carolina Medicaid administrative claims data from 2019 to 2021 to examine STI and HIV incidence with data broken down by age, gender, race/ethnicity, comorbidity index, urban versus rural location, and county. The second analyzes the need to provide STI care in primary health clinics and reports on case studies from 4 rural clinics who discuss a gap in STI screening and treatment as well as barriers such as workforce capacity, structural issues, and stigma.
Author(s): Elizabeth Crouch, Theodoros V. Giannouchos, Melinda A. Merrell
Date: 12/2022
Type: Presentation Slides
Sponsoring organization: Rural and Minority Health Research Center (formerly the South Carolina Rural Health Research Center)
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Slides that depict information from two presentations. The first explores the associations of race and rurality in relationship to sexually transmitted infections (STIs) among Medicaid beneficiaries in South Carolina. Utilizes South Carolina Medicaid administrative claims data from 2019 to 2021 to examine STI and HIV incidence with data broken down by age, gender, race/ethnicity, comorbidity index, urban versus rural location, and county. The second analyzes the need to provide STI care in primary health clinics and reports on case studies from 4 rural clinics who discuss a gap in STI screening and treatment as well as barriers such as workforce capacity, structural issues, and stigma.
Author(s): Elizabeth Crouch, Theodoros V. Giannouchos, Melinda A. Merrell
Date: 12/2022
Type: Presentation Slides
Sponsoring organization: Rural and Minority Health Research Center (formerly the South Carolina Rural Health Research Center)
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