Rural Health
Resources by Topic: Uninsured and underinsured
2025 Arkansas State Epidemiological Outcomes Workgroup: Annual Profile of Substance Use
Provides information on youth and adult substance abuse in Arkansas to help guide substance abuse prevention decision-making. Highlights consequences such as arrests, suicide, and depression and focuses on alcohol, tobacco, illicit drug, and prescription drug use. Includes county-level profiles and an overview of a variety of community and personal health indicators.
Additional links: County Report
Date: 10/2025
Sponsoring organizations: Arkansas Department of Human Services, UA Little Rock MidSOUTH Center for Prevention and Training, University of Arkansas for Medical Sciences
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Provides information on youth and adult substance abuse in Arkansas to help guide substance abuse prevention decision-making. Highlights consequences such as arrests, suicide, and depression and focuses on alcohol, tobacco, illicit drug, and prescription drug use. Includes county-level profiles and an overview of a variety of community and personal health indicators.
Additional links: County Report
Date: 10/2025
Sponsoring organizations: Arkansas Department of Human Services, UA Little Rock MidSOUTH Center for Prevention and Training, University of Arkansas for Medical Sciences
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Health Insurance Coverage in Rural and Urban Areas in the U.S., 2023
Describes the health insurance status of United States residents in 2023, with breakdowns by age groups and urban or rural location. Uses data from the 2024 American Community Survey.
Author(s): Sarah Eisenstein, Xiaoyu Huang, Timothy McBride, Keith Mueller
Date: 09/2025
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Describes the health insurance status of United States residents in 2023, with breakdowns by age groups and urban or rural location. Uses data from the 2024 American Community Survey.
Author(s): Sarah Eisenstein, Xiaoyu Huang, Timothy McBride, Keith Mueller
Date: 09/2025
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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The Need for Medicare Dental Coverage
Details the oral health risks of limited dental coverage by Medicare. Discusses aging-related oral healthcare conditions, the economic barriers to care caused by lack of coverage, and how rurality can affect preexisting oral health disparities.
Date: 08/2025
Sponsoring organization: CareQuest Institute for Oral Health
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Details the oral health risks of limited dental coverage by Medicare. Discusses aging-related oral healthcare conditions, the economic barriers to care caused by lack of coverage, and how rurality can affect preexisting oral health disparities.
Date: 08/2025
Sponsoring organization: CareQuest Institute for Oral Health
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Barriers to Accessible and Affordable Mental Health and Substance Use Disorder Care for Older Adults
Discusses challenges in accessing healthcare for mental health and substance use disorders for older adults. Challenges discussed include workforce shortages in rural areas, Medicare regulations, stigma, health insurance coverage, and more.
Date: 08/2025
Sponsoring organization: AARP Public Policy Institute
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Discusses challenges in accessing healthcare for mental health and substance use disorders for older adults. Challenges discussed include workforce shortages in rural areas, Medicare regulations, stigma, health insurance coverage, and more.
Date: 08/2025
Sponsoring organization: AARP Public Policy Institute
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Gaps in Access to Pulmonary Hypertension Care and Opportunities for Improvement: A Multi-Site Qualitative Study
Discusses access barriers to pulmonary hypertension (PH) specialty care in the United States. Utilizes qualitative feedback from staff and patients at 3 PH healthcare centers and discusses issues such as lack of expertise, lack of insurance coverage, and geographic barriers to care, including in rural areas.
Author(s): Kari R. Gillmeyer, Sara Shusterman, Seppo T. Rinne, A. Rani Elwy, Renda Soylemez Wiener
Citation: BMC Pulmonary Medicine, 25, 355
Date: 07/2025
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Discusses access barriers to pulmonary hypertension (PH) specialty care in the United States. Utilizes qualitative feedback from staff and patients at 3 PH healthcare centers and discusses issues such as lack of expertise, lack of insurance coverage, and geographic barriers to care, including in rural areas.
Author(s): Kari R. Gillmeyer, Sara Shusterman, Seppo T. Rinne, A. Rani Elwy, Renda Soylemez Wiener
Citation: BMC Pulmonary Medicine, 25, 355
Date: 07/2025
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Preventing Medical Debt among Rural Residents: Example Programs from Hospitals in Minnesota and Montana
Highlights the ways some rural hospitals are working to reduce medical debt for their patients. Presents a number of strategies from hospitals in Minnesota and Montana that aim to reduce patient medical debts through financial assistance programs and cost-cutting measures. Features case-studies reviewing the structure of each hospital's debt reduction efforts.
Author(s): Katie Rydberg, Sushma Shankar, Mariana Tuttle, Carrie Henning-Smith
Date: 06/2025
Sponsoring organization: University of Minnesota Rural Health Research Center
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Highlights the ways some rural hospitals are working to reduce medical debt for their patients. Presents a number of strategies from hospitals in Minnesota and Montana that aim to reduce patient medical debts through financial assistance programs and cost-cutting measures. Features case-studies reviewing the structure of each hospital's debt reduction efforts.
Author(s): Katie Rydberg, Sushma Shankar, Mariana Tuttle, Carrie Henning-Smith
Date: 06/2025
Sponsoring organization: University of Minnesota Rural Health Research Center
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Economic Hardship and Health Within Sociodemographic and Occupational Groups — Behavioral Risk Factor Surveillance System, United States, 2022–2023
Reports on economic hardship measures and self-rated health among employed and recently unemployed adults. Hardship measures included lack of health insurance, cost of medical care, employment instability, food insecurity, housing insecurity, utility insecurity, lack of reliable transportation, and receipt of food benefits. Provides data by occupation, including for people employed in farming, fishing, and forestry.
Author(s): Sharon R. Silver, Jia Li, Taylor M. Shockey
Citation: MMWR (Morbidity and Mortality Weekly Report), 74(19), 326-333
Date: 05/2025
Sponsoring organization: Centers for Disease Control and Prevention
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Reports on economic hardship measures and self-rated health among employed and recently unemployed adults. Hardship measures included lack of health insurance, cost of medical care, employment instability, food insecurity, housing insecurity, utility insecurity, lack of reliable transportation, and receipt of food benefits. Provides data by occupation, including for people employed in farming, fishing, and forestry.
Author(s): Sharon R. Silver, Jia Li, Taylor M. Shockey
Citation: MMWR (Morbidity and Mortality Weekly Report), 74(19), 326-333
Date: 05/2025
Sponsoring organization: Centers for Disease Control and Prevention
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Arizona Rural Maternity Care, 2025
Offers data on rural maternity healthcare access and mortality in Arizona. Highlights rural and urban comparisons of healthcare access and health insurance coverage. Includes recommendations for improving access and mortality rates.
Author(s): Bryna Koch, Daniel Derksen
Date: 04/2025
Sponsoring organization: Arizona Center for Rural Health
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Offers data on rural maternity healthcare access and mortality in Arizona. Highlights rural and urban comparisons of healthcare access and health insurance coverage. Includes recommendations for improving access and mortality rates.
Author(s): Bryna Koch, Daniel Derksen
Date: 04/2025
Sponsoring organization: Arizona Center for Rural Health
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Assisting Rural Consumers
Offers information and guidance for Navigators and certified application counselors helping rural healthcare consumers. Covers rural-relevant considerations and policy updates regarding Federally-facilitated and State-based Marketplaces, Medicaid/CHIP, and Medicare. Outlines tips for assisters to address barriers to care and conducting outreach in rural areas.
Date: 04/2025
Sponsoring organization: Centers for Medicare and Medicaid Services
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Offers information and guidance for Navigators and certified application counselors helping rural healthcare consumers. Covers rural-relevant considerations and policy updates regarding Federally-facilitated and State-based Marketplaces, Medicaid/CHIP, and Medicare. Outlines tips for assisters to address barriers to care and conducting outreach in rural areas.
Date: 04/2025
Sponsoring organization: Centers for Medicare and Medicaid Services
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Addressing Toxic Stress and Health Care Access in California Farmworker Communities: ACCESS Pilot Project Evaluation
Analyzes feedback from the farmworker community in California on the impact of toxic stress in their lives. Utilizes 482 responses from the farmworker community health survey to investigate issues such as toxic stress, public health outreach and education, healthcare access in rural areas, barriers to insurance coverage, and ways to address toxic stress in farmworker communities.
Author(s): Ingrid Estrada-Darley, Alejandro Roa Contreras, Cristina Alvarez, et al.
Date: 04/2025
Sponsoring organization: RAND Corporation
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Analyzes feedback from the farmworker community in California on the impact of toxic stress in their lives. Utilizes 482 responses from the farmworker community health survey to investigate issues such as toxic stress, public health outreach and education, healthcare access in rural areas, barriers to insurance coverage, and ways to address toxic stress in farmworker communities.
Author(s): Ingrid Estrada-Darley, Alejandro Roa Contreras, Cristina Alvarez, et al.
Date: 04/2025
Sponsoring organization: RAND Corporation
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