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Rural Health Information Hub

Rural Health
Resources by Topic: Uninsured and underinsured

Veterans in Rural America: 2011-2015
Reports detailed demographic, social, and economic characteristics of rural veterans, based primarily on 2011–2015 American Community Survey (ACS) 5-year estimates. Includes comparisons of rural veterans to both urban veterans and rural nonveterans. Topics addressed include health insurance coverage, disability status and service-connected disability, and use of VA healthcare.
Additional links: Rural Veterans State Tables
Author(s): Kelly Ann Holder
Date: 01/2017
Type: Document
Sponsoring organization: U.S. Census Bureau
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More Than 95 Percent of U.S. Children Had Health Insurance in 2015
Reports on the percent of children with any type of health insurance in 2015 by state and region for rural, suburban, and urban areas. Includes changes in health insurance coverage since 2014 and since 2008.
Author(s): Michael J. Staley
Date: 2017
Type: Document
Sponsoring organization: Carsey School of Public Policy
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Impact of a Community Dental Access Program on Emergency Dental Admissions in Rural Maryland
Describes the expansion of a rural Maryland community dental access program (CDP) that serves uninsured and underinsured low-income residents following a funding increase from the Health Resources and Services Administration's Federal Office of Rural Health Policy in 2012. Tracks claims data between 2011–2015, comparing CDP claim rates to Medicaid-funded visits to local emergency departments for non-traumatic dental needs, estimating cost savings from the expanded CDP.
Author(s): Sandi Rowland, Jonathan P. Leider, Clare Davidson, Joanne Brady, Alana Knudson
Citation: American Journal of Public Health, 106(12), 2165-2170
Date: 12/2016
Type: Document
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The Impact of State Medicaid Expansion Under the Affordable Care Act on Health Insurance Coverage at the County Level
Compares health insurance coverage in 2013, prior to the Affordable Care Act, and in 2015. Includes data on health insurance coverage for metropolitan and nonmetro counties. Discusses the impact of Medicaid expansion on health insurance coverage.
Author(s): Danielle C. Rhubart
Date: 12/2016
Type: Document
Sponsoring organization: Carsey School of Public Policy
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Health Insurance Coverage in the United States: 2015
Provides statistics on health insurance coverage in 2015 and also focuses on changes between 2014 and 2015, as well as changes between 2013 and 2015. Tables 5 and A-5 list statistics for metropolitan and non-metropolitan areas. Based on data from the 2014, 2015, and 2016 Current Population Survey Annual Social and Economic Supplement.
Author(s): Jessica C. Barnett, Marina Vornovitsky
Date: 09/2016
Type: Document
Sponsoring organization: U.S. Census Bureau
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Vulnerable Rural Counties: The Changing Rural Landscape, 2000-2010
Examined how rural counties were impacted by the 2008 recession, specifically focused on an increase in poverty levels, shifts in population, and loss or reduction of healthcare services and facilities. Includes county-by-county maps with data such as poverty and unemployment rates, elderly population, educational level, non-White population, health insurance coverage, availability of primary care and other specialties, and change in number of hospitals and other healthcare facilities. Appendices include tables comparing urban and rural/remote county statistics.
Additional links: Fact Sheet
Author(s): Kevin J. Bennett, Yu-Hsiu Lin, Matthew Yuen, Deshia Leonhirth, Janice C. Probst
Date: 07/2016
Type: Document
Sponsoring organization: Rural and Minority Health Research Center (formerly the South Carolina Rural Health Research Center)
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Medicaid Disenrollment Patterns Among Children Coming into Contact with Child Welfare Agencies
Analyzes Medicaid claims from 36 states over a 4-year period to assess retention of health insurance coverage for children involved with the child welfare system. Identifies associations between insurance loss and sociodemographic factors, such as age, race/ethnicity, rural versus urban residence, and other factors.
Author(s): Ramesh Raghavan, Benjamin Allaire, Derek Brown, Raven Ross
Citation: Maternal and Child Health Journal, 20(6), 1280-1287
Date: 06/2016
Type: Document
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How Are Migrant Health Centers and Their Patients Faring Under the Affordable Care Act?
An analysis of the population characteristics of migrant and seasonal agricultural workers (MSAW) and their dependents, the changes over time in the MSAW population served by federally funded community health centers, and the effect of the Affordable Care Act (ACA) and Medicaid expansion on federally funded migrant health centers.
Author(s): Jessica Sharac, Rachel Gunsalus, Chi Tran, Peter Shin, Sara Rosenbaum
Date: 05/2016
Type: Document
Sponsoring organizations: Geiger Gibson Program in Community Health, RCHN Community Health Foundation
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AzCRH 2015 Safety Net Health Care in Arizona Report
Provides an analysis of data from a survey of Arizona's Critical Access Hospitals, Rural Health Clinics, Federally Qualified Health Centers, and county health departments. Addresses insurance coverage with breakdowns by county and for Latinos, American Indians, and adults with disabilities; hospital margins; access to healthcare; staffing FTE and recruitment issues; and services provided.
Author(s): Joe Tabor, Nick Jennings, Lindsay Kohler, et al.
Date: 02/2016
Type: Document
Sponsoring organization: Arizona Center for Rural Health
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The Small Area Health Insurance Estimates (SAHIE): 2013-2014
Reports on health insurance coverage in the United States in 2014 and changes between 2013 and 2014. Includes maps showing county-level uninsured rates.
Date: 2016
Type: Document
Sponsoring organization: U.S. Census Bureau
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