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Rural Health
Resources by Topic: Uninsured and underinsured

Chart Book: The Far-Reaching Benefits of the Affordable Care Act’s Medicaid Expansion
Compares states that expanded Medicaid coverage and those that did not expand Medicaid coverage using a variety of measures such as healthcare access and health outcomes. Addresses the impact on rural hospitals on pages 19-21 for Medicaid revenue, operating margins, and uncompensated care.
Date: 10/2018
Type: Document
Sponsoring organization: Center on Budget and Policy Priorities
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Uninsurance and Medicaid/CHIP Participation among Children and Parents: Variation in 2016 and Recent Trends
Examines insurance coverage for children and parents following state Medicaid expansions, with a focus on Medicaid and Children's Health Insurance Program (CHIP) participation. Includes metropolitan/nonmetropolitan comparisons. Discusses potential future policy impacts and the need for outreach and enrollment programs.
Date: 09/2018
Type: Document
Sponsoring organization: Urban Institute
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Health Insurance Coverage in Small Towns and Rural America: The Role of Medicaid Expansion
Analyzes health insurance coverage for low-income, rural adults in 46 states. Includes an examination of American Community Survey data to determine uninsured rates by age for 2008-2009 and 2015-2016. Covers effects of the Affordable Care Act (ACA) in small towns and rural areas, including Medicaid expansion.
Additional links: Full Report, Press Release
Author(s): Jack Hoadley, Joan Alker, Mark Holmes
Date: 09/2018
Type: Document
Sponsoring organizations: Georgetown University Health Policy Institute, North Carolina Rural Health Research Program
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Health Insurance Coverage in the United States: 2017
Provides statistics on health insurance coverage in 2017 and also focuses on changes between 2016 and 2017. Tables 5 and A-4 list statistics for metropolitan and nonmetropolitan areas. Based on data from the Current Population Survey Annual Social and Economic Supplement and the American Community Survey.
Additional links: Visualizations
Author(s): Edward R. Berchick, Emily Hood, Jessica C. Barnett
Date: 09/2018
Type: Document
Sponsoring organization: U.S. Census Bureau
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Association of State Medicaid Expansion With Rate of Uninsured Hospitalizations for Major Cardiovascular Events, 2009-2014
Results of a study to investigate whether rates of uninsured hospitalizations for cardiovascular events and in-hospital mortality varied by Affordable Care Act Medicaid expansion at the state level. Features statistics including demographics with breakdowns by rural or urban/suburban location.
Author(s): Ehimare Akhabue, Lindsay R. Pool, Clyde W. Yancy, Philip Greenland, Donald Lloyd-Jones
Citation: JAMA Network Open 1(4)
Date: 08/2018
Type: Document
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5 Ways to Conduct Outreach in Rural Communities
Highlights five strategies to assist rural communities with outreach and enrollment of eligible children in Medicaid and Children's Health Insurance Program (CHIP).
Date: 07/2018
Type: Document
Sponsoring organization: U.S. Department of Health and Human Services
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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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