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Rural Health
Resources by Topic: Rural-urban differences

Why Are the Health Insurance Marketplaces Thriving in Some States but Struggling in Others?
Analyzes the Robert Wood Johnson Foundation's HIX Compare dataset and the National Association of Insurance Commissioners' 2010 Supplemental Health Care Exhibit Report to identify factors explaining differences in issuers' participation in state insurance marketplaces. Features statistics including the number of insurers participating in states in 2017, with breakdowns by mean state population and rural population as percent of total state population.
Author(s): Jon R. Gabel, Heidi Whitmore, Sam Stromberg, Matthew Green
Date: 11/2018
Sponsoring organization: Commonwealth Fund
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Mobile Mammography Participation Among Medically Underserved Women: A Systematic Review
Describes the effect of mobile programs in promoting mammographic screening participation among medically underserved women. Examines 4 studies conducted in rural areas and 3 studies conducted in both urban and rural areas, through articles published from 2010-2018.
Author(s): Suzanne Vang, Laurie R. Margolies, Lina Jandorf
Citation: Preventing Chronic Disease, 15
Date: 11/2018
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Are Marketplace Premiums Higher in Rural than in Urban Areas?
Examines monthly health insurance premium differences among 499 rural and urban premium rating regions for the Affordable Care Act (ACA) compliant nongroup marketplaces in the U.S. Includes state-by-state data for average monthly premium costs in rural and urban areas during 2016 and 2017.
Author(s): Erik Wengle, Linda J Blumberg, John Holahan
Date: 11/2018
Sponsoring organizations: Robert Wood Johnson Foundation, Urban Institute
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Information on Medicare Telehealth
Report to Congress, as mandated by the 21st Century Cures Act, examining how Medicare patients are using telehealth, particularly in rural areas, with breakdowns by sociodemographic characteristics and primary diagnoses, including mental health issues. Includes an analysis of Medicare claims data regarding high volume services that could be delivered through telehealth, an overview of telehealth models funded by the Center for Medicare and Medicaid Innovation, and state-level breakdowns of Medicare telehealth data. Discusses who may benefit from telehealth expansion and barriers to expansion.
Date: 11/2018
Sponsoring organization: Centers for Medicare and Medicaid Services
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QuickStats: Birth Rates by Urbanization Level and Age Group of Mother — National Vital Statistics System, United States, 2017
Line chart showing birth rates for rural and urban mothers by age for 5-year age ranges starting at age 15-19 and ending at age 40-44.
Citation: MMWR (Morbidity and Mortality Weekly Report), 67(45), 1281
Date: 11/2018
Sponsoring organization: Centers for Disease Control and Prevention
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Uninsured Rates in Urban and Rural America
Highlights a collection of interactive graphics providing data on uninsured rates for people under age 65 in completely rural counties, counties that are mostly rural, and counties that are mostly urban. Includes state and county-level data.
Date: 11/2018
Sponsoring organization: U.S. Census Bureau
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Affordable Care Act & Medicaid Reform in Wisconsin: Enrollment and Coverage Trends, Plans and Premiums Chartpack
Provides an overview of the impact of federal healthcare and Medicaid reform for Wisconsin residents. Discusses trends for health insurance coverage and Medicaid, and describes health insurance plans and premiums. Covers data on health insurance plan selection in 2018 by rural and non-rural.
Date: 11/2018
Sponsoring organization: University of Wisconsin Population Health Institute
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Rural Individuals' Telehealth Practices: An Overview
Compares rural and urban use of online health monitoring, online health research, and online health maintenance, which includes communication with healthcare providers. Provides breakdowns by sociodemographic factors. Briefly addresses access to technology, including internet availability.
Additional links: Report Summary
Author(s): Peter L. Stenberg
Date: 11/2018
Sponsoring organization: USDA Economic Research Service
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Surveillance for Cancers Associated with Tobacco Use — United States, 2010–2014
Reports on tobacco-associated cancer incidence for lung, bronchial, and tracheal cancers; laryngeal cancer; oral cavity and pharyngeal cancers; esophageal cancer; stomach cancer; colon and rectal cancers; liver cancer; pancreatic cancer; kidney and renal pelvis cancers; urinary bladder cancer; cervical cancer; and acute myeloid leukemia. Includes data for metropolitan and nonmetro counties, as well as by sex, age, tumor characteristics, U.S. census region, state, and other demographics.
Author(s): M. Shayne Gallaway, S. Jane Henley, C. Brooke Steele, et al.
Citation: MMWR Surveillance Summaries, 67(12), 1-42
Date: 11/2018
Sponsoring organization: Centers for Disease Control and Prevention
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The State of Rural Health in Illinois: Great Challenges and a Path Forward
Provides information and statistics regarding rural health issues in Illinois, including healthcare shortages, opioid mortality rates, childhood abuse and dysfunction, obesity rates, housing, and more. Discusses relevant strategies to address these issues.
Date: 10/2018
Sponsoring organization: Southern Illinois University School of Medicine
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