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Rural Health
Resources by Topic: Uninsured and underinsured

Use of Telepsychiatry to Improve Access to Care for Rural Populations: State Considerations for Incorporating Telepsychiatry into Behavioral Health and Primary Care Integrated Systems
Discusses how telepsychiatry has been used to enhance access to care for rural and underserved communities. Describes two state telepsychiatry programs, in North Carolina and Washington state; lessons learned; and shares other telepsychiatry resources.
Additional links: Presentation Slides
Author(s): Jonathan Neufeld, Anna Ratzliff, Brian Cooper
Date: 08/2017
Type: Video/Multimedia
Sponsoring organization: Association of State and Territorial Health Officials
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Coverage Trends for American Indian and Alaska Native Children and Families
Analyzes data from the U.S. Census Bureau to show trends in health insurance coverage rates among American Indian and Alaska Native (AI/AN) children and families between 2008 and 2015. Examines the expanded role of Medicaid and the Children's Health Insurance Program (CHIP) in driving down the AI/AN uninsured rates, particularly in states with the largest AI/AN populations.
Author(s): Joan Alker, Karina Wagnerman, Andy Schneider
Date: 07/2017
Type: Document
Sponsoring organization: Georgetown University Health Policy Institute
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Medicaid in Small Towns and Rural America: A Lifeline for Children, Families, and Communities
Uses data from the U.S. Census Bureau's American Community Survey (ACS) to explore the changing levels of Medicaid coverage and uninsured rates at the county level by age. Addresses the role of Medicaid in the 46 states containing small-town and rural populations. Includes numerous charts, maps, and graphs to help illustrate the relationship between Medicaid growth and uninsured rates in rural areas, focusing on the time period from 2008-2009 to 2014-2015.
Additional links: Interactive Map: The Percent of Adults in Small Towns and Rural Areas Covered by Medicaid, 2014/15, Interactive Map: The Percent of Children in Small Towns and Rural Areas Covered by Medicaid, 2014/15, State Data on Adult Health Coverage in Small Towns and Rural Areas, State Data on Child Health Coverage in Small Towns and Rural Areas, State Data on Non-Elderly Health Coverage in Small Towns and Rural Areas, State Data on Seniors' Health Coverage in Small Towns and Rural Areas
Author(s): Jack Hoadley, Karina Wagnerman, Joan Alker, Mark Holmes
Date: 06/2017
Type: Document
Sponsoring organizations: Georgetown University Health Policy Institute, North Carolina Rural Health Research Program
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Changes in Insurance Coverage in Rural Areas under the ACA: A Focus on Medicaid Expansion States
Analyzes the change in uninsured rates in rural areas of states that participated in the Affordable Care Act (ACA) Medicaid expansion. Includes a graph showing percentage change by state from 2013 to 2015 identifying which political party held the governorship, and a table that converts each states' percentage to number of people.
Date: 05/2017
Type: Document
Sponsoring organization: Kaiser Family Foundation
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Changing Rural and Urban Enrollment in State Medicaid Programs
Examines changes in Medicaid enrollment from 2012 to 2015 in both expansion and non-expansion states, and compares findings by state based on metropolitan, micropolitan, and rural (noncore) location.
Author(s): Abigail R. Barker, Kelsey Huntzberry, Timothy D. McBride, Keith J. Mueller
Date: 05/2017
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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The Role of Medicaid in Rural America
Uses data from the 2013-2015 American Community Survey to examine the role of Medicaid in rural areas, and discuss how potential expansions or cuts could affect rural healthcare. Highlights the importance of Medicaid for many rural residents who are often faced with limited access to insurance and providers, longer travel times, and greater health needs when compared to their urban counterparts. Includes several charts and graphs to illustrate important statistics and demographic comparisons.
Author(s): Julia Foutz, Samantha Artiga, Rachel Garfield
Date: 04/2017
Type: Document
Sponsoring organization: Kaiser Family Foundation
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Rural Hospital Environmental Impact Study
Examines the rapidly changing healthcare landscape, particularly as it relates to rural Texas, by focusing on four areas: the state of healthcare, rural hospital closures and vulnerabilities, the impact of the Affordable Care Act, and uninsurance rates. Presents information about the current and future state of healthcare in rural Texas to support rural health policymakers.
Date: 03/2017
Type: Document
Sponsoring organization: Texas Organization of Rural & Community Hospitals
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Uninsured Rates Decrease for Most Counties From 2014 to 2015
Two maps comparing county-level uninsured rates in 2014 and 2015.
Date: 03/2017
Type: Map/Mapping System
Sponsoring organization: U.S. Census Bureau
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Small Area Health Insurance Estimates: 2015
Reports on health insurance coverage in the United States in 2015 and changes between 2014 and 2015. Includes maps showing county-level uninsured rates.
Additional links: SAHIE Highlights Brief Maps, 2015
Author(s): Lauren Bowers, Carolyn Gann, Stefan Elser
Date: 03/2017
Type: Document
Sponsoring organization: U.S. Census Bureau
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Health Coverage and Access to Care in the United States-Mexico Border Region: Implications of the Affordable Care Act (ACA)
Discusses the social determinants of health and health disparities found in the population of the U.S. Mexico border region. Describes the effects of the Affordable Care Act (ACA) provisions to improve healthcare access, expand health insurance coverage, and reduce the number of uninsured.
Author(s): Ryan P. Casey, Hugo Vilchis, Daniel Derksen
Date: 01/2017
Type: Document
Sponsoring organization: Arizona Center for Rural Health
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