Rural Health
Resources by Topic: Uninsured and underinsured
State and Local Estimates of the Uninsured Population in the U.S. Using the Census Bureau's 2023 American Community Survey
Uses data from the 2023 American Community Survey (ACS) to present state, county, and local estimates of the number of U.S. residents without health insurance and their demographic characteristics. Analyzes the population of uninsured individuals ages 0-64 by family income levels.
Date: 11/2024
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Uses data from the 2023 American Community Survey (ACS) to present state, county, and local estimates of the number of U.S. residents without health insurance and their demographic characteristics. Analyzes the population of uninsured individuals ages 0-64 by family income levels.
Date: 11/2024
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Access to Health Care in Rural America: Current Trends and Key Challenges
Highlights patterns in insurance coverage and uninsurance rates in rural and urban areas, explores non-financial challenges in accessing care faced by rural residents, and describes disparities in health outcomes between urban and rural areas. Features statistics on number of uninsured rural non-elderly adults by state, in 2010 and 2023.
Author(s): Gina Turrini, Eden Volkov, Christie Peters, Nancy De Lew, Thomas Buchmueller
Date: 10/2024
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Highlights patterns in insurance coverage and uninsurance rates in rural and urban areas, explores non-financial challenges in accessing care faced by rural residents, and describes disparities in health outcomes between urban and rural areas. Features statistics on number of uninsured rural non-elderly adults by state, in 2010 and 2023.
Author(s): Gina Turrini, Eden Volkov, Christie Peters, Nancy De Lew, Thomas Buchmueller
Date: 10/2024
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Health Care Affordability and Medical Debt: Differences by Rurality, Region, and Socio-Demographic Characteristics
Policy brief examining rural/urban differences in health care affordability and medical debt concerns. Features statistics including rates of affordability issues with breakdowns by rural and urban location, and among rural residents with breakdowns by socio-demographic characteristics.
Author(s): Ingrid Jacobson, Katie Rydberg, Mariana Tuttle, et al.
Date: 09/2024
Sponsoring organization: University of Minnesota Rural Health Research Center
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Policy brief examining rural/urban differences in health care affordability and medical debt concerns. Features statistics including rates of affordability issues with breakdowns by rural and urban location, and among rural residents with breakdowns by socio-demographic characteristics.
Author(s): Ingrid Jacobson, Katie Rydberg, Mariana Tuttle, et al.
Date: 09/2024
Sponsoring organization: University of Minnesota Rural Health Research Center
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The State of Health in Tennessee: 2024 Annual Report to the 113th Tennessee General Assembly
Assesses the health status of Tennesseans across the four areas of the State Health Plan Framework: A Healthy Start, A Healthy Life, a Healthy Environment, and a Healthy System of Care. Includes a section on social determinants of health and features statistics on various populations and aspects of healthcare, including rural hospital closures.
Additional links: A Healthy Environment: Housing, A Healthy Life: Income and Poverty, A Healthy Start: Poverty & Food Insecurity, A Healthy System of Care: Access
Date: 08/2024
Sponsoring organization: Tennessee Department of Health
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Assesses the health status of Tennesseans across the four areas of the State Health Plan Framework: A Healthy Start, A Healthy Life, a Healthy Environment, and a Healthy System of Care. Includes a section on social determinants of health and features statistics on various populations and aspects of healthcare, including rural hospital closures.
Additional links: A Healthy Environment: Housing, A Healthy Life: Income and Poverty, A Healthy Start: Poverty & Food Insecurity, A Healthy System of Care: Access
Date: 08/2024
Sponsoring organization: Tennessee Department of Health
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Effects of Affordable Care Act on Uninsured Hospitalization: Evidence from Texas
Examines the impact of the Affordable Care Act (ACA) in Texas and its relationship to uninsured patient discharges. Analyzes 2011-2019 ACA Marketplace data with breakdowns according to patient race/ethnicity, age, sex, major diagnostic categories (MDC), type of admission, and rural versus urban location.
Author(s): Nima Khodakarami, Benjamin Ukert
Citation: Health Services Research, 59(4)
Date: 08/2024
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Examines the impact of the Affordable Care Act (ACA) in Texas and its relationship to uninsured patient discharges. Analyzes 2011-2019 ACA Marketplace data with breakdowns according to patient race/ethnicity, age, sex, major diagnostic categories (MDC), type of admission, and rural versus urban location.
Author(s): Nima Khodakarami, Benjamin Ukert
Citation: Health Services Research, 59(4)
Date: 08/2024
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Identifying Challenges and Solutions for Improving Access to Mental Health Services for Rural Youth: Insights from Adult Community Members
Presents a study on the barriers to accessing mental healthcare for rural youth in Washington State. Bases finding on interviews with community members, parents, teachers, and healthcare providers and discusses ways to overcome perceived barriers.
Author(s): Janessa M. Graves, Demetrius A. Abshire, Elissa Koontz, Jessica L. Mackelprang
Citation: International Journal of Environmental Research and Public Health, 21(6), 725
Date: 06/2024
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Presents a study on the barriers to accessing mental healthcare for rural youth in Washington State. Bases finding on interviews with community members, parents, teachers, and healthcare providers and discusses ways to overcome perceived barriers.
Author(s): Janessa M. Graves, Demetrius A. Abshire, Elissa Koontz, Jessica L. Mackelprang
Citation: International Journal of Environmental Research and Public Health, 21(6), 725
Date: 06/2024
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Information Hub: Health Insurance Coverage in Kansas
An insurance coverage dashboard that provides county-level information on health insurance coverage in Kansas, including sources of health insurance coverage and characteristics of the uninsured population. Includes definitions to explain data descriptors presented in the dashboard.
Author(s): Angela S Wu, Kaci Cink, Alex Ferguson, Wen-Chieh Lin
Date: 06/2024
Sponsoring organization: Kansas Health Institute
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An insurance coverage dashboard that provides county-level information on health insurance coverage in Kansas, including sources of health insurance coverage and characteristics of the uninsured population. Includes definitions to explain data descriptors presented in the dashboard.
Author(s): Angela S Wu, Kaci Cink, Alex Ferguson, Wen-Chieh Lin
Date: 06/2024
Sponsoring organization: Kansas Health Institute
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Improving Access to Affordable and Equitable Health Coverage: A Review from 2010 to 2024
An issue brief that provides commentary and data on how the Affordable Care Act (ACA) has impacted access to health insurance coverage. Provides uninsurance rates by demographic groups and discusses the effect of the ACA on rural areas.
Author(s): Thomas Buchmueller, Amelia Whitman, Christie Peters, Nancy De Lew
Date: 06/2024
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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An issue brief that provides commentary and data on how the Affordable Care Act (ACA) has impacted access to health insurance coverage. Provides uninsurance rates by demographic groups and discusses the effect of the ACA on rural areas.
Author(s): Thomas Buchmueller, Amelia Whitman, Christie Peters, Nancy De Lew
Date: 06/2024
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Association of Uninsured Status and Rurality with Risk of Financial Toxicity after Pediatric Trauma
Analyzes the risk of financial toxicity associated with pediatric traumatic injury for rural versus urban families. Utilizes 2016-2019 National Inpatient Sample patient data. Includes data on financial toxicity associated with uninsured status, rural versus urban insurance type, and rural versus urban demographic, clinical, and hospital characteristics.
Author(s): Amulya Vadlakonda, Nam Yong Cho, Nikhil Chervu, et al.
Citation: Surgery, 176(2), 455-461
Date: 05/2024
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Analyzes the risk of financial toxicity associated with pediatric traumatic injury for rural versus urban families. Utilizes 2016-2019 National Inpatient Sample patient data. Includes data on financial toxicity associated with uninsured status, rural versus urban insurance type, and rural versus urban demographic, clinical, and hospital characteristics.
Author(s): Amulya Vadlakonda, Nam Yong Cho, Nikhil Chervu, et al.
Citation: Surgery, 176(2), 455-461
Date: 05/2024
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Health Disparities in Tennessee
Examines health disparities experienced by Tennessee residents. Measures include life expectancy, health equity, healthcare access, mental health and trauma, infectious disease, chronic disease, cancer, reproductive health, and age-specific health. Features statistics with breakdowns by race, ethnicity, sex, and urban or rural location.
Date: 05/2024
Sponsoring organization: Tennessee Department of Health
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Examines health disparities experienced by Tennessee residents. Measures include life expectancy, health equity, healthcare access, mental health and trauma, infectious disease, chronic disease, cancer, reproductive health, and age-specific health. Features statistics with breakdowns by race, ethnicity, sex, and urban or rural location.
Date: 05/2024
Sponsoring organization: Tennessee Department of Health
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