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Rural Health
Resources by Topic: Uninsured and underinsured

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 for Medicaid revenue, operating margins, and uncompensated care on page 18.
Date: 10/2020
Type: Document
Sponsoring organization: Center on Budget and Policy Priorities
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Uninsured Rates Across Kansas Counties, September 2020
Provides data and statistics on uninsured rates in Kansas. Fact sheets feature state maps with county-level information on child and adult uninsured rates and numbers, as well as potential eligibility for Medicaid and KanCare. Includes rural and urban comparisons.
Author(s): Phillip Steiner, Wen-Chieh Lin
Date: 09/2020
Type: Website
Sponsoring organization: Kansas Health Institute
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The Improved Health Outcomes Program (iHOP): A Unique Model to Promote Provider-Driven Research in a Medicaid Population
Describes the iHOP program, a grant-funded partnership between a Medicaid managed care insurer, the University of Louisville, and healthcare providers in Kentucky. The program operated from 2007-2018 and was designed to address the healthcare needs of Medicaid and uninsured populations across the state. Includes information on specific project initiatives, including those focused on special populations such as refugees, Latinos, and rural individuals.
Author(s): Tara J. Schapmire, Jill Bell, Mark. P. Pfeifer
Citation: International Journal of Environmental Research and Public Health, 17(14), 5079
Date: 07/2020
Type: Document
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COVID-19 Presents Significant Risks for American Indian and Alaska Native People
Discusses the disproportionate risks American Indian and Alaska Native (AI/AN) people face as a result of the COVID-19 pandemic. Provides race/ethnicity breakdowns for risk of serious illness after contracting COVID-19 and uninsured rates among nonelderly individuals. Includes the percent of COVID-19 deaths and cases, as well as the percent of the total population made up by AI/AN individuals for Arizona, New Mexico, Wyoming, and other states.
Date: 05/2020
Type: Document
Sponsoring organization: KFF
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Small Area Health Insurance Estimates: 2018
Reports on health insurance coverage in the U.S. in 2018 and changes between 2017 and 2018, as well as changes between 2013 and 2018. Includes maps showing county-level uninsured rates.
Additional links: Visualizations and Reference Maps
Author(s): Thomas W. Walton, Katherine Ann Willyard
Date: 04/2020
Type: Document
Sponsoring organization: U.S. Census Bureau
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Infants Without Health Insurance: Racial/Ethnic and Rural/Urban Disparities in Infant Households' Insurance Coverage
Explores how the uneven expansion of Medicaid affects the racial/ethnic health insurance coverage for infants across rural and urban areas in the U.S. Highlights spatial patterns in health insurance coverage among infants, and examines the probability that an infant will be born without health insurance coverage using 2011-2015 American Community Survey (ACS) data and logistic regression.
Author(s): Scott R. Sanders, Michael R. Cope, Paige N. Park, Wesley Jeffery, Jorden E. Jackson
Citation: PLoS ONE, 15(1)
Date: 01/2020
Type: Document
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The Uninsured in New Mexico
Analysis of the nonelderly uninsured population in New Mexico by 9 substate regions for state policymakers drafting policies and outreach to expand health insurance coverage within the state. Includes demographic, employment, citizenship, and family income characteristics for this population, with a special focus on uninsured American Indians in the state. Presents estimates of the distribution of the uninsured population by their eligibility for Medicaid and other health insurance programs.
Author(s): Jessica S. Banthin, Matthew Buettgens, Linda J. Blumberg, Robin Wang, Clare Wang Pan
Date: 12/2019
Type: Document
Sponsoring organization: Urban Institute
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Beyond the Numbers: Access to Reproductive Health Care for Low-Income Women in Five Communities
Highlights the key findings, major themes, and the extent of the challenges faced by low-income women in accessing reproductive and sexual healthcare in urban and rural areas. Identifies promising practices developed by providers to address barriers to care and improve access to healthcare.
Author(s): Usha Ranji, Michelle Long, Alina Salganicoff, et al.
Date: 11/2019
Type: Document
Sponsoring organizations: Health Management Associates, KFF
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Prevalence and Trends of Developmental Disabilities among Children in the United States: 2009–2017
Analyzed 2009 to 2017 National Health Interview Survey data to determine trends in 10 developmental disabilities among children. Includes data break down by age, gender, race and ethnicity, rurality, health insurance status, and more.
Author(s): Benjamin Zablotsky, Lindsey I. Black, Matthew J. Maenner, et al.
Citation: Pediatrics, 144(4), e20190811
Date: 10/2019
Type: Document
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Sociodemographic and Health Status Characteristics of Maine's Newly Eligible Medicaid Beneficiaries
Describes the sociodemographic characteristics, access to healthcare, and health status for Maine's adults with low income and no dependent children using data derived from the 2011-2016 Maine Behavioral Risk Factor Surveillance System, in preparation of Medicaid expansion. Offers recommendations to policymakers, providers, and other stakeholders supporting the effective implementation of Medicaid expansion to address the health needs of potential enrollees.
Author(s): Zachariah Croll, Erika Ziller, Barbara Leonard
Date: 09/2019
Type: Document
Sponsoring organizations: Catherine Cutler Institute, Maine Health Access Foundation
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