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Rural Health Information Hub

Healthcare Access in Rural Communities – Resources

Selected recent or important resources focusing on Healthcare Access in Rural Communities.

Small Area Health Insurance Estimates: Uninsured Rates for the Population Under Age 65 in 2020
Map depicting the percentage of uninsured persons under age 65 at the county level based on 2020 data from the Small Area Health Insurance Estimates (SAHIE) program.
Date: 08/2022
Type: Map/Mapping System
Sponsoring organization: U.S. Census Bureau
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The Most Rural Counties Have the Fewest Health Care Services Available
Examines healthcare resources in metropolitan, micropolitan, and noncore areas, with information on availability of healthcare facilities, bed-to-population ratios, provider-to-population ratios, and health professional shortage areas.
Author(s): Elizabeth A. Dobis, Jessica E. Todd
Citation: Amber Waves
Date: 08/2022
Type: Document
Sponsoring organization: USDA Economic Research Service
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Availability of Medical Doctors Favors Metropolitan Areas with Low Rates of Self-Employment
Line chart tracking the number of Medical Doctors (MDs) per 10,000 residents between 1960 and 2017, comparing metro and nonmetro areas of high self-employment and low self-employment. Uses data from the HRSA Bureau of Health Workforce, 2018-19 Area Health Resources File and American Community Survey 2018 5-year data.
Date: 07/2022
Type: Chart/Graph
Sponsoring organization: USDA Economic Research Service
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Self-Employed Workers Are Less Likely To Have Health Insurance Than Those Employed by Private Firms, Governments
Examines nonmetropolitan health insurance coverage in 2018 among working age adults (26-64 years old) who are self-employed, otherwise employed, unemployed, and those not in the labor force. Includes a bar chart showing metro compared to nonmetro coverage by employment status for the following types of health insurance: none, employer-based, direct-purchase, and public.
Author(s): Elizabeth A. Dobis, Jessica E. Todd
Citation: Amber Waves
Date: 07/2022
Type: Document
Sponsoring organization: USDA Economic Research Service
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Improving Access to LGBTQIA+-Friendly Care in Rural Areas
Highlights the work of the Pride of Rural Virginia and Rural TransECHO programs to provide healthcare access to LGBTQIA+ populations in rural areas across the U.S. Includes organizational overviews as well as challenges and opportunities when providing culturally sensitive healthcare.
Author(s): Mariana Tuttle, Maddy Pick, Robert Libal, Carrie Henning-Smith
Date: 06/2022
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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Adolescent Access to Federally Funded Clinics Providing Confidential Family Planning Following Changes to Title X Funding Regulations
Examines access to reproductive care across U.S. Census tracts for female minors aged 15 to 17 following 2019 changes in Title X funding. Identifies clinic access within a 30-minute drive in August 2018 before Title X changes and access in August 2020 after Title X changes. Includes demographic data on the impacted minors such as rural versus urban geography, census region, social vulnerability index (SVI), race/ethnicity, age, birth rate, and state minor confidentiality laws.
Author(s): Polina Krass, Vicky Tam, Jungwon Min, et al.
Citation: JAMA Network Open, 5(6)
Date: 06/2022
Type: Document
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Medicaid and CHIP Continuous Enrollment Unwinding: A Communications Toolkit
Provides key messages, sample articles, social media products, and other materials states and other Medicaid stakeholders can use to communicate as health insurance coverage that was maintained during the public health emergency through the Families First Coronavirus Response Act (FFCRA) expires.
Date: 06/2022
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Evaluation of the Rural Maternity and Obstetrics Management Strategies Program: 2019 Cohort - Second Annual Report
Reports on the Rural Maternity and Obstetrics Management Strategies (RMOMS) program 2019 cohort's first implementation year, 2020-2021. Describes the program, the need for increased access to maternal and obstetric care in rural areas, and the program's strategic goals. Provides an overview of the 3 RMOMS awardees in Missouri, New Mexico, and Texas including network characteristics, model and goals, health equity efforts, sustainability, and maternal health outcomes.
Additional links: Executive Summary
Date: 05/2022
Type: Document
Sponsoring organization: Health Resources and Services Administration
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Health Care Access Among Self-Employed Workers in Nonmetropolitan Counties
Report examining access to healthcare for self-employed workers, their families, and their households in rural areas, focusing on availability and affordability. Covers health insurance coverage and affordability, availability of healthcare services, and changes in work, income, health status, and healthcare access in 2020.
Author(s): Elizabeth A. Dobis, Jessica E. Todd
Date: 05/2022
Type: Document
Sponsoring organization: USDA Economic Research Service
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State Medicaid Managed Care and Access to Rural Behavioral Health Services
Details how states with Medicaid managed care organizations (MCOs) are using MCO contract language to increase access to behavioral healthcare through service access requirements, provider network requirements, and telehealth utilization policies. Includes links to available MCO contracts and requests for applications.
Date: 05/2022
Type: Website
Sponsoring organization: National Academy for State Health Policy
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Last Updated: 8/12/2022