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Rural Health
Resources by Topic: Uninsured and underinsured

Association of State Medicaid Expansion With Rate of Uninsured Hospitalizations for Major Cardiovascular Events, 2009-2014
Results of a study to investigate whether rates of uninsured hospitalizations for cardiovascular events and in-hospital mortality varied by Affordable Care Act Medicaid expansion at the state level. Features statistics including demographics with breakdowns by rural or urban/suburban location.
Author(s): Ehimare Akhabue, Lindsay R. Pool, Clyde W. Yancy, Philip Greenland, Donald Lloyd-Jones
Citation: JAMA Network Open 1(4)
Date: 08/2018
Type: Document
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5 Ways to Conduct Outreach in Rural Communities
Highlights 5 strategies to assist rural communities with outreach and enrollment of eligible children in Medicaid and Children's Health Insurance Program (CHIP).
Date: 07/2018
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, InsureKidsNow.gov
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Characteristics of the Remaining Uninsured: An Update
Compares characteristics of people who lacked health insurance in March 2015 with those of people who remained uninsured as of March 2017. Uses data from the Current Population Survey Annual Social and Economic Supplements, including socioeconomic and demographic characteristics and insurance eligibility, with breakdowns by urban and rural locations.
Author(s): Linea J. Blumberg, John Holahan, Michael Karpman, Caroline Elmendorf
Date: 07/2018
Type: Document
Sponsoring organizations: Robert Wood Johnson Foundation, Urban Institute
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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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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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How Can My Organization Connect Children to Coverage? A Guide to Fundamentals and Promising Practices
Includes strategies for enrolling children part of the hardest-to-reach groups in Medicaid or CHIP, such as rural children, American Indian/Alaska Native/Latino, low-income, or teenaged. Discusses outreach and supporting capacities, such as making contact with target populations and fostering trust in communities.
Author(s): Leslie Foster, Frank Martin
Date: 2018
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, InsureKidsNow.gov
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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, et al.
Citation: Health Equity, 2(1), 1-4
Date: 2018
Type: Document
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