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Rural Health
Resources by Topic: Uninsured and underinsured

Characteristics of the Remaining Uninsured: An Update
Compares characteristics of people who lacked health insurance in March 2015 with those of people who remained uninsured as of March 2017. Uses data from the Current Population Survey Annual Social and Economic Supplements, including socioeconomic and demographic characteristics and insurance eligibility, with breakdowns by urban and rural locations.
Author(s): Linea J. Blumberg, John Holahan, Michael Karpman, Caroline Elmendorf
Date: 07/2018
Type: Document
Sponsoring organizations: Robert Wood Johnson Foundation, Urban Institute
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Health Insurance Coverage by Occupation Among Adults Aged 18–64 Years — 17 States, 2013–2014
Examines changes in health insurance coverage between 2013 and 2014. Includes data on health insurance among employed workers by selected characteristics, including rural residence. Also provides health insurance data by occupational group. Report covers 17 states that asked all Behavioral Risk Factor Surveillance System survey participants about healthcare coverage and asked employed participants about their industry and occupation.
Author(s): Winifred L. Boal, Jia Li, Aaron Sussell
Citation: MMWR (Morbidity and Mortality Weekly Report), 67(21), 593-598
Date: 06/2018
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Colorado Access to Care Index, 2017
Provides information on healthcare access and other factors to determine if the health needs of Colorado residents are being met. Measures improvement in healthcare access based on three components of access: potential access, barriers to care, and realized access.
Additional links: Full Report
Author(s): Emily Johnson
Date: 04/2018
Type: Website
Sponsoring organization: Colorado Health Institute
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In Over Half of U.S. Counties, More Working-Age Men Than Women Are Uninsured
Compares health insurance coverage for working-age men and women in 2016 based on Small Area Health Insurance Estimates (SAHIE) data. Includes data for metropolitan and nonmetropolitan counties, as well as a map showing county-level estimates of the difference in uninsured rates between men and women.
Author(s): Rachel Upton
Date: 03/2018
Type: Document
Sponsoring organization: U.S. Census Bureau
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Small Area Health Insurance Estimates: 2016
Reports on health insurance coverage in the United States in 2016 and changes between 2015 and 2016, as well as changes between 2013 and 2016. Includes maps showing county-level uninsured rates.
Additional links: SAHIE Report Maps, 2016
Author(s): Lauren Bowers, Carolyn Gann, Rachel Upton
Date: 03/2018
Type: Document
Sponsoring organization: U.S. Census Bureau
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Balancing the Risk Pool: Enrolling Young Adults and Other Hard to Reach Populations
Discusses strategies and methods targeted toward hard to reach populations, including rural residents, young adults, immigrants, and the self-employed. Focuses on balancing the health insurance risk pool. Covers statistics on marketplace consumers and breaks down uninsured rates by state using 2015 data.
Date: 08/2017
Type: Presentation Slides
Sponsoring organization: Centers for Medicare and Medicaid Services
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Use of Telepsychiatry to Improve Access to Care for Rural Populations: State Considerations for Incorporating Telepsychiatry into Behavioral Health and Primary Care Integrated Systems
Discusses how telepsychiatry has been used to enhance access to care for rural and underserved communities. Describes two state telepsychiatry programs, in North Carolina and Washington state; lessons learned; and shares other telepsychiatry resources.
Additional links: Presentation Slides
Author(s): Jonathan Neufeld, Anna Ratzliff, Brian Cooper
Date: 08/2017
Type: Video/Multimedia
Sponsoring organization: Association of State and Territorial Health Officials
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Coverage Trends for American Indian and Alaska Native Children and Families
Analyzes data from the U.S. Census Bureau to show trends in health insurance coverage rates among American Indian and Alaska Native (AI/AN) children and families between 2008 and 2015. Examines the expanded role of Medicaid and the Children's Health Insurance Program (CHIP) in driving down the AI/AN uninsured rates, particularly in states with the largest AI/AN populations.
Author(s): Joan Alker, Karina Wagnerman, Andy Schneider
Date: 07/2017
Type: Document
Sponsoring organization: Georgetown University Health Policy Institute
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Medicaid in Small Towns and Rural America: A Lifeline for Children, Families, and Communities
Uses data from the U.S. Census Bureau's American Community Survey (ACS) to explore the changing levels of Medicaid coverage and uninsured rates at the county level by age, and examine the role of Medicaid in the 46 states containing small-town and rural populations. Includes numerous charts, maps, and graphs to help illustrate the relationship between Medicaid growth and uninsured rates in rural areas, focusing on the time period from 2008-2009 to 2014-2015.
Additional links: Interactive Map: The Percent of Adults in Small Towns and Rural Areas Covered by Medicaid, 2014/15, Interactive Map: The Percent of Children in Small Towns and Rural Areas Covered by Medicaid, 2014/15, State Data on Adult Health Coverage in Small Towns and Rural Areas, State Data on Child Health Coverage in Small Towns and Rural Areas, State Data on Non-Elderly Health Coverage in Small Towns and Rural Areas, State Data on Seniors’ Health Coverage in Small Towns and Rural Areas
Author(s): Jack Hoadley, Karina Wagnerman, Joan Alker, Mark Holmes
Date: 06/2017
Type: Document
Sponsoring organizations: Georgetown University Health Policy Institute, North Carolina Rural Health Research Program
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Changing Rural and Urban Enrollment in State Medicaid Programs
Examines changes in Medicaid enrollment from 2012 to 2015 in both expansion and non-expansion states, and compares findings by state based on metropolitan, micropolitan, and rural (noncore) location.
Author(s): Abigail R. Barker, Kelsey Huntzberry, Timothy D. McBride, Keith J. Mueller
Date: 05/2017
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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