Rural Health
Resources by Topic: Statistics and data
Access to Marketplace Plans with Low Premiums on the Federal Platform Part I: Availability among Uninsured Non-Elderly Adults and Healthcare.gov Enrollees Prior to the American Rescue Plan
Analyzes access to federally-sponsored Health Insurance Marketplace low premium plans among uninsured non-elderly adults as of March 1, 2021, prior to the enhanced subsidies created by American Rescue Plan (ARP). Table 2 includes demographic data for the uninsured non-elderly adult population and current HealthCare.gov enrollees on zero- and low-premium plan availability by rural status, age, income, and race/ethnicity.
Author(s): D. Keith Branham, Ann B. Conmy, Thomas DeLeire, et al.
Date: 03/2021
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Analyzes access to federally-sponsored Health Insurance Marketplace low premium plans among uninsured non-elderly adults as of March 1, 2021, prior to the enhanced subsidies created by American Rescue Plan (ARP). Table 2 includes demographic data for the uninsured non-elderly adult population and current HealthCare.gov enrollees on zero- and low-premium plan availability by rural status, age, income, and race/ethnicity.
Author(s): D. Keith Branham, Ann B. Conmy, Thomas DeLeire, et al.
Date: 03/2021
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Family-Centered Prevention Effects on the Association Between Racial Discrimination and Mental Health in Black Adolescents: Secondary Analysis of 2 Randomized Clinical Trials
Details a study exploring the efficacy of family-centered prevention programs in protecting rural Black adolescents from the mental health consequences of racial discrimination. Highlights two programs operating in 12 rural counties in Georgia. Breaks down data for both programs by family socioeconomic risk, encountered discrimination, and depressive/anxious symptoms, among other factors.
Author(s): Gene H. Brody, Tianyi Yu, Edith Chen, et al.
Citation: JAMA Network Open, 4(3), e211964
Date: 03/2021
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Details a study exploring the efficacy of family-centered prevention programs in protecting rural Black adolescents from the mental health consequences of racial discrimination. Highlights two programs operating in 12 rural counties in Georgia. Breaks down data for both programs by family socioeconomic risk, encountered discrimination, and depressive/anxious symptoms, among other factors.
Author(s): Gene H. Brody, Tianyi Yu, Edith Chen, et al.
Citation: JAMA Network Open, 4(3), e211964
Date: 03/2021
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An Analysis of Suicide Risk Factors among Farmers in the Midwestern United States
Study examining psychological, social, and contextual risk factors for suicide among farmers. Draws data from 600 surveys of agricultural producers in Kansas, Michigan, Missouri, and South Dakota. Discusses rates of depression, anxiety, farming-specific stressors, social support, and coping strategies.
Author(s): Andrea Bjornestad, Courtney Cuthbertson, Jessie Hendricks
Citation: International Journal of Environmental Research and Public Health, 18(7), 3563
Date: 03/2021
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Study examining psychological, social, and contextual risk factors for suicide among farmers. Draws data from 600 surveys of agricultural producers in Kansas, Michigan, Missouri, and South Dakota. Discusses rates of depression, anxiety, farming-specific stressors, social support, and coping strategies.
Author(s): Andrea Bjornestad, Courtney Cuthbertson, Jessie Hendricks
Citation: International Journal of Environmental Research and Public Health, 18(7), 3563
Date: 03/2021
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Challenges to Admitting Residents: Perspectives from Rural Nursing Home Administrators and Staff
Study of nursing home admissions in rural areas that examines challenges nursing home workers encounter when admitting individuals with mental and behavioral health conditions, obesity, dementia, and complex medical conditions. Discusses capacity challenges facing rural nursing homes related to population density, workforce recruitment and retention, financial issues, and space and equipment needs to meet specific health conditions. Data taken from surveys of 209 rural nursing home administrators.
Author(s): Carrie Henning-Smith, Dori Cross, Adrita Rahman
Citation: Inquiry: The Journal of Health Care Organization, Provision, and Financing, 58, 1-8
Date: 03/2021
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Study of nursing home admissions in rural areas that examines challenges nursing home workers encounter when admitting individuals with mental and behavioral health conditions, obesity, dementia, and complex medical conditions. Discusses capacity challenges facing rural nursing homes related to population density, workforce recruitment and retention, financial issues, and space and equipment needs to meet specific health conditions. Data taken from surveys of 209 rural nursing home administrators.
Author(s): Carrie Henning-Smith, Dori Cross, Adrita Rahman
Citation: Inquiry: The Journal of Health Care Organization, Provision, and Financing, 58, 1-8
Date: 03/2021
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CMS Bundled Payments for Care Improvement Advanced Model: Year 2 Evaluation Report
Second annual report of the Bundled Payments for Care Improvement Advanced (BPCI Advanced) Model, which tests whether linking payments for a clinical episode of care can reduce Medicare expenditures while maintaining or improving quality of care. Covers the period from October 1, 2018, through January 1, 2020. Describes participants in the model; clinical episodes included; the reach of the model; and the impact of BPCI Advanced on episode payments, utilization, and quality of care. Includes information on rural hospital participation in the model.
Additional links: Appendices
Author(s): The Lewin Group, Abt Associates, GDIT, Telligen
Date: 03/2021
Sponsoring organization: Centers for Medicare and Medicaid Services
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Second annual report of the Bundled Payments for Care Improvement Advanced (BPCI Advanced) Model, which tests whether linking payments for a clinical episode of care can reduce Medicare expenditures while maintaining or improving quality of care. Covers the period from October 1, 2018, through January 1, 2020. Describes participants in the model; clinical episodes included; the reach of the model; and the impact of BPCI Advanced on episode payments, utilization, and quality of care. Includes information on rural hospital participation in the model.
Additional links: Appendices
Author(s): The Lewin Group, Abt Associates, GDIT, Telligen
Date: 03/2021
Sponsoring organization: Centers for Medicare and Medicaid Services
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Healing Tool - Pocket Guide for Addressing Behavioral Health Goals in Native Communities
Provides data and strategies for addressing mental health and substance use issues in American Indian and Alaska Native communities. Discusses issues around stigma, medication-assisted treatment, and traditional healing practices, among other measures, for creating culturally competent care in tribal communities.
Author(s): Shirley M. Cain
Date: 03/2021
Sponsoring organization: National American Indian and Alaska Native Addiction Technology Transfer Center
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Provides data and strategies for addressing mental health and substance use issues in American Indian and Alaska Native communities. Discusses issues around stigma, medication-assisted treatment, and traditional healing practices, among other measures, for creating culturally competent care in tribal communities.
Author(s): Shirley M. Cain
Date: 03/2021
Sponsoring organization: National American Indian and Alaska Native Addiction Technology Transfer Center
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Redefining Rural: Towards a Better Understanding of Geography, Demography, and Economy in America's Rural Places
Offers a hybrid definition of rurality based on metro and non-metro definitions from the Office of Management and Budget, Rural-Urban Continuum Codes, and considers outlying communities in metro and micropolitan counties as rural. Compares rural and non-rural poverty rates, economic well-being, population changes, and other characteristics to represent counties in economic distress.
Author(s): Kennedy O'Dell
Date: 03/2021
Sponsoring organization: Economic Innovation Group
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Offers a hybrid definition of rurality based on metro and non-metro definitions from the Office of Management and Budget, Rural-Urban Continuum Codes, and considers outlying communities in metro and micropolitan counties as rural. Compares rural and non-rural poverty rates, economic well-being, population changes, and other characteristics to represent counties in economic distress.
Author(s): Kennedy O'Dell
Date: 03/2021
Sponsoring organization: Economic Innovation Group
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Meeting the Needs of Older Adults Living in Rural Communities: The Roles of Area Agencies on Aging
Presents results from the 2019 National Survey of Area Agencies on Aging. Describes the role of Area Agencies on Aging (AAA) in serving older adults in rural communities. Compares the organizational structure, services and programs offered, budget, and workforce of rural and non-rural AAAs.
Date: 03/2021
Sponsoring organization: USAging
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Presents results from the 2019 National Survey of Area Agencies on Aging. Describes the role of Area Agencies on Aging (AAA) in serving older adults in rural communities. Compares the organizational structure, services and programs offered, budget, and workforce of rural and non-rural AAAs.
Date: 03/2021
Sponsoring organization: USAging
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Student Loan Programs Authorized by the Public Health Service Act: An Overview
Provides an overview of student loan programs for health profession students authorized by the Public Health Service Act and administered by the Health Resources and Services Administration (HRSA). Describes borrower eligibility requirements, loan terms and conditions, and administrative rules. Includes a table comparing the programs by borrower type, repayment terms, the number of participating schools, and the number and financial amount of outstanding loans.
Date: 03/2021
Sponsoring organization: Congressional Research Service
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Provides an overview of student loan programs for health profession students authorized by the Public Health Service Act and administered by the Health Resources and Services Administration (HRSA). Describes borrower eligibility requirements, loan terms and conditions, and administrative rules. Includes a table comparing the programs by borrower type, repayment terms, the number of participating schools, and the number and financial amount of outstanding loans.
Date: 03/2021
Sponsoring organization: Congressional Research Service
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Behavioral Health Care in the Military Health System: Access and Quality for Remote Service Members
Explores the role geographic location plays in access to behavioral healthcare for service members through the Military Health System (MHS). Highlights the challenges of rural service members to access care for depression, post-traumatic stress disorder (PTSD), and substance use disorder through MHS. Breaks down data by age, race, sex, and remote versus non-remote location, among other measures.
Additional links: Full Report
Author(s): Kimberly A. Hepner, Ryan Andrew Brown, Carol P. Roth, et al.
Date: 03/2021
Sponsoring organization: RAND Corporation
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Explores the role geographic location plays in access to behavioral healthcare for service members through the Military Health System (MHS). Highlights the challenges of rural service members to access care for depression, post-traumatic stress disorder (PTSD), and substance use disorder through MHS. Breaks down data by age, race, sex, and remote versus non-remote location, among other measures.
Additional links: Full Report
Author(s): Kimberly A. Hepner, Ryan Andrew Brown, Carol P. Roth, et al.
Date: 03/2021
Sponsoring organization: RAND Corporation
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