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Rural Health
Resources by Topic: Uninsured and underinsured

Rural Patients with Chronic Disease: A Nonprofit Organization and a Health Department Leverage Federal Funding to Provide Health Education and Care Coordination
Features rural Alabama and North Carolina organizations that are using Federal Office of Rural Health Policy grants to improve health outcomes for patients with chronic disease through remote patient monitoring, health education, and network development.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 02/2019
Type: Document
Sponsoring organization: Rural Health Information Hub
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The Market Mechanism and Health Insurance in Rural Places: Lessons Learned from an Economics and Policy Perspective
Examines rural health insurance market challenges and related policy considerations. Outlines historical and economic reasons for rural "market failures," such as low population density and economies of scale. Reviews the success of previous policy interventions targeting rural health insurance markets and offers recommendations for future action.
Author(s): Abigail R. Barker, Timothy D. McBride, Keith J. Mueller, Kelsey A. Huntzberry
Date: 02/2019
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Children's Uninsured Rate Varies Five-Fold Across Kansas Counties
Provides county-level estimates on uninsured rates for children age 0 to 18 in Kansas using data from the U.S. Census Bureau's 2016 Small Area Health Insurance Estimates (SAHIE). Includes statistics on the percent drop in uninsured rates from 2009 to 2016 in Kansas children age 0 to 18.
Additional links: Data File
Author(s): Hina Shah, Madison Hoover, Wen-Chieh Lin
Date: 12/2018
Type: Document
Sponsoring organization: Kansas Health Institute
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Uninsured Rate for Nonelderly Adults Varies Widely Across Kansas Counties
Provides county-level estimates on uninsured rates for adults age 19 to 64 in Kansas using data from the U.S. Census Bureau's 2016 Small Area Health Insurance Estimates (SAHIE). Includes statistics on the percent drop in uninsured rates from 2009 to 2016 in Kansas adults age 19 to 64.
Additional links: Data File
Author(s): Sydney McClendon, Madison Hoover, Wen-Chieh Lin
Date: 12/2018
Type: Document
Sponsoring organization: Kansas Health Institute
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Uninsured Rates in Urban and Rural America
Highlights a collection of interactive graphics providing data on uninsured rates for people under age 65 in completely rural counties, counties that are mostly rural, and counties that are mostly urban. Includes state and county-level data.
Date: 11/2018
Type: Website
Sponsoring organization: U.S. Census Bureau
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Affordable Care Act & Medicaid Reform in Wisconsin: Enrollment and Coverage Trends, Plans and Premiums Chartpack
Provides an overview of the impact of federal healthcare and Medicaid reform for Wisconsin residents. Discusses trends for health insurance coverage and Medicaid, and describes health insurance plans and premiums. Covers data on health insurance plan selection in 2018 by rural and non-rural.
Date: 11/2018
Type: Document
Sponsoring organization: University of Wisconsin Population Health Institute
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Promising Practice: Arizona Center for Rural Health SHAREs Health Insurance Information, Gets People Enrolled
Details Project SHARE (Students Helping Arizona Register Everyone), run by the Arizona Center for Rural Health (AzCRH), which trains college students to help people in their communities to understand and enroll in a health insurance plan.
Author(s): Beth Blevins
Date: 10/2018
Type: Document
Sponsoring organization: National Organization of State Offices of Rural Health
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Access in Brief: Rural and Urban Health Care
Compares healthcare access and use of services for children and adults with Medicaid to those with private insurance or no insurance for both rural and urban areas and for adults with disabilities. Includes access data by age group, income, and race/ethnicity and utilization data for office and emergency room visits. Addresses access to prescription drugs and eyeglasses, and barriers to healthcare access.
Date: 10/2018
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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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.
Author(s): Jennifer Haley, Genevieve M Kenney, Robin Wang, et al.
Date: 09/2018
Type: Document
Sponsoring organization: Urban Institute
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