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Rural Health
Resources by Topic: Uninsured and underinsured

Medicaid Expansion and Community Health Centers: Care Quality and Service Use Increased for Rural Patients
Reports on a study to assess the impact of Medicaid expansion on quality of care and insurance coverage in rural and urban community health centers (CHCs), and to examine the impact of expansion on the volume of healthcare services provided by CHCs. Uses data from the 2011-15 or 2012-15 Uniform Data System collected by the Bureau of Primary Health Care of the Health Resources and Services Administration (HRSA)
Author(s): Megan B. Cole, Brad Wright, Ira B. Wilson, Omar Galárraga, Amal N. Trivedi
Citation: Health Affairs, 37(6), 900-907
Date: 06/2018
Type: Document
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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. Provides health insurance data by occupational group. Reports on 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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A Statewide Program Providing Colorectal Cancer Screening to the Uninsured of South Carolina
Describes the implementation and clinical outcomes of the Colorectal Cancer Prevention Network (CCPN), a South Carolina statewide partnership providing no cost access to colonoscopy screening to uninsured populations seeking medical care at Federally Qualified Health Centers (FQHCs), hospital-based indigent services, and other free medical clinics.
Author(s): Jan M. Eberth, Annie Thibault, Renay Caldwell, et al.
Citation: Cancer, 124(9), 1912-1920
Date: 05/2018
Type: Document
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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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Using Geospatial Analysis to Determine Access Gaps Among Children with Special Healthcare Needs
Demonstrates how a partnership between researchers from the University of Virginia and members of the Virginia Health Department use geographic information systems (GIS) to identify geospatial gaps of care in rural and urban areas for children with special healthcare needs being served by public child development centers.
Author(s): Pamela DeGuzman, Paige Altrui, Aubrey L. Doede, Marcus Allen, Cornelia Deagle, et al.
Citation: Health Equity, 2(1), 1–4
Date: 03/2018
Type: Document
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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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Small Area Health Insurance Estimates: 2016
Reports on health insurance coverage in the U.S. in 2016 and changes between 2015 and 2016, as well as changes between 2013 and 2016. Includes maps showing county-level uninsured rates.
Additional links: SAHIE Report Maps, 2016
Author(s): Lauren Bowers, Carolyn Gann, Rachel Upton
Date: 03/2018
Type: Document
Sponsoring organization: U.S. Census Bureau
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Arizona County Health Insurance Coverage Profiles
Details health insurance coverage data by county for Arizona, including Medicaid and marketplace health insurance enrollment, as well as the rate of uninsured.
Author(s): Bryna Koch
Date: 02/2018
Type: Website
Sponsoring organization: Arizona Center for Rural Health
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Health Insurance Coverage in the United States: 2016
Provides statistics on health insurance coverage in 2016 and also focuses on changes between 2015 and 2016, as well as changes between 2013 and 2016. Tables 5 and A-4 list statistics for metropolitan and non-metropolitan areas. Based on data from the Current Population Survey Annual Social and Economic Supplement and the American Community Survey.
Author(s): Jessica C. Barnett, Edward R. Berchick
Date: 09/2017
Type: Document
Sponsoring organization: U.S. Census Bureau
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Balancing the Risk Pool: Enrolling Young Adults and Other Hard to Reach Populations
Discusses strategies and methods targeted toward hard to reach populations, including rural residents, young adults, immigrants, and the self-employed. Focuses on balancing the health insurance risk pool. Covers statistics on marketplace consumers and breaks down uninsured rates by state using 2015 data.
Date: 08/2017
Type: Presentation Slides
Sponsoring organization: Centers for Medicare and Medicaid Services
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