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Rural Health
Resources by Type: Document

Bridging the Gap: Examples of Medicaid Innovation Enhancing Health Care Access in Rural America
Describes ways state Medicaid programs can improve access to rural healthcare. Highlights policies implemented in Tennessee, Missouri, and Georgia to fund projects related to improving rural healthcare needs, address social determinants of health, and support rural hospitals that serve large Medicaid and uninsured populations.
Date: 06/2025
Sponsoring organization: National Association of Medicaid Directors
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Closing the Food Access Gap in Rural Mississippi: Evaluation of the Grocery Online Ordering Distribution Service (GOODS) Program Using an Assets-Based Framework
Examines the impact of the Grocery Online Ordering Distribution Service (GOODS) food program on nutritious food access in rural Mississippi. Includes data on participant characteristics, eating and shopping habits, and food purchases. Discusses program framework, design, and feedback from staff and participants.
Author(s): Ivonne Quiroz, Katherine Tomaino Fraser, Sara Evans Miller, Kevin Coogan, Nevin Cohen
Citation: Journal of Agriculture, Food Systems, and Community Development, 14(3), 251-271
Date: 06/2025
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Tobacco Treatment Billing and Tobacco Use Disorder Diagnosis in Healthcare Settings in the United States: An Analysis of South Carolina Medicaid Claims
Examines demographic differences in tobacco use disorder diagnosis and receipt of counseling among Medicaid beneficiaries in South Carolina, utilizing 2019-2022 South Carolina Medicaid administrative claims data. Includes data breakdowns by rural or urban dwelling, among other factors.
Author(s): Kinsey Pebley, Joni D. Nelson, Julie L. Marshall, Alana M. Rojewski
Citation: Substance Abuse Treatment, Prevention, and Policy, 20, 24
Date: 06/2025
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Promoting Health through Transdisciplinary Local Food System Partnerships: Insights from the North Carolina Local Food Council
Discusses the impact of the North Carolina Local Food Council (NCLFC) Community Health Working Group and their efforts to strengthen statewide and local food systems. Focuses on the North Carolina Medicaid 1115 Waiver Healthy Opportunities Pilots (HOPs) case study that aimed to integrate local food into health systems and healthcare initiatives. Includes information about partnerships, collaborations, pilot structure, and network leads in specific North Carolina regions.
Author(s): Amanda S. Hege, Morgan Cooper, K. Alexander Soltany, et al.
Citation: Journal of Agriculture, Food Systems, and Community Development, 14(3), 415-431
Date: 06/2025
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Social Determinants of Health and Rehabilitation Service Areas: An Urban and Rural Mediation Analysis
Analyzes associations between social determinants of health (SDOH) and community discharge rate disparities in rural and urban communities, utilizing AHRQ Social Determinants of Health Database data alongside other ZCTA-level datasets. Identifies key factors for addressing disparities in post-acute rehabilitation services.
Author(s): Sanghun Nam, Susanne Schmidt, Julianna M. Dean, Alex F. Bokov, Timothy A. Reistetter
Citation: Frontiers in Public Health, 13, 1562610
Date: 06/2025
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Fluoride Knowledge, Attitudes, and Behaviors: Adults in Rural Alabama
Highlights a study on rural adults knowledge, attitudes, and behaviors regarding fluoride use in water and toothpaste as method of cavity prevention. Bases findings on a survey of 291 adults in Green Hill, Alabama.
Author(s): Alex Harper, Steven M. Levy, Wei Shi
Citation: Journal of Primary Care and Community Health, 16
Date: 06/2025
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5 Key Facts About Medicaid Coverage for People Living in Rural Areas
Provides an overview of Medicaid coverage in rural areas. Includes rural versus urban comparisons of Medicaid coverage, enrollee age, enrollee diagnosed chronic conditions, state-by-state data of Medicaid enrollees by degree of rurality, and more.
Author(s): Rhiannon Euhus, Sammy Cervantes, Alice Burns, Robin Rudowitz
Date: 06/2025
Sponsoring organization: KFF
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Affordable Care Act Enrollment in Texas after Rating Area Adjustments
Provides a brief overview of how Texas changed its approach to Affordable Care Act (ACA) rating areas for rural counties in 2023. Examines the association between the ACA rating area change and health plan enrollment, plan selection, and premiums from 2022 to 2024. Compares findings by urban and rural county status.
Author(s): Elena Andreyeva, Daniel Marthey, Simon F. Haeder, Benjamin Ukert
Citation: The American Journal of Managed Care, 31(6), e147-e152
Date: 06/2025
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Expanding a Primary Care Nurse Practitioner Fellowship to Support Rural and Underserved Pediatric Patients in the US
Discusses the structure and impacts of a Delaware nurse practitioner fellowship training program focused on providing mental health and primary care services in rural and underserved areas. Identifies challenges and lessons learned, and highlights the value of rural-specific training and education.
Author(s): Aaron Carpenter, Catherine Haut, Sarah E. Wawrzynski, Stacey Bachman, Lisa Kelly
Citation: Rural and Remote Health, 25, 9650
Date: 06/2025
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Firearm Safe Storage Practices among Firearm Owners in Rural and Urban Households
Analyzes associations between rural or urban living and likelihood of storing firearms loaded versus unloaded and locked versus unlocked, utilizing 2021-2023 Behavioral Risk Factor Surveillance System (BRFSS) data.
Author(s): Yi-Fang Lu, Victor A. Soupene
Citation: Injury Epidemiology, 12, 33
Date: 06/2025
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