Healthcare Access in Rural Communities – Resources
Selected recent or important resources focusing on Healthcare Access in Rural Communities.
Dual Barriers: Examining Digital Access and Travel Burdens to Hospital Maternity Care Access in the United States, 2020
Analyzes the relationship between drive time to hospital maternity units and access to digital/telehealth care in mitigating travel burden. Utilizes 2020 American Hospital Association Annual Survey data with information broken down by rural versus urban location, race/ethnicity, socioeconomic status, and broadband and digital device access.
Author(s): Peiyin Hung, Marion Granger, Nansi Boghossian, et al.
Citation: The Milbank Quarterly, 101(4), 1327-1347
Date: 08/2023
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Analyzes the relationship between drive time to hospital maternity units and access to digital/telehealth care in mitigating travel burden. Utilizes 2020 American Hospital Association Annual Survey data with information broken down by rural versus urban location, race/ethnicity, socioeconomic status, and broadband and digital device access.
Author(s): Peiyin Hung, Marion Granger, Nansi Boghossian, et al.
Citation: The Milbank Quarterly, 101(4), 1327-1347
Date: 08/2023
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Distributional Analysis of Variation in Medicare Advantage Participation Within and Between Metropolitan, Micropolitan, and Noncore Counties
Policy brief identifying penetration rates, number of plans, and enrollment patterns and trends in Medicare Advantage participation in metropolitan and nonmetropolitan counties from 2017-2022. Features statistics with breakdowns by year and metropolitan, micropolitan, and noncore areas.
Author(s): Dan Shane, Ufuoma Ejughemre, Fred Ullrich, Keith Mueller
Date: 08/2023
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Policy brief identifying penetration rates, number of plans, and enrollment patterns and trends in Medicare Advantage participation in metropolitan and nonmetropolitan counties from 2017-2022. Features statistics with breakdowns by year and metropolitan, micropolitan, and noncore areas.
Author(s): Dan Shane, Ufuoma Ejughemre, Fred Ullrich, Keith Mueller
Date: 08/2023
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Tracking The Elusive Medicaid Workforce To Improve Access
Discusses challenges to evaluating Medicaid enrollees' access to primary care providers. Describes how the Fitzhugh Mullan Institute for Health Workforce Equity used the Transformed Medicaid Statistical Information System (T-MSIS) to examine the primary care workforce providing healthcare to Medicaid enrollees. Outlines Medicaid workforce policy challenges, including federal regulations, workforce composition and supply, and community and market factors.
Author(s): Candice Chen, Qian "Eric" Luo, Mandar Bodas, et al.
Citation: Health Affairs Forefront
Date: 08/2023
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Discusses challenges to evaluating Medicaid enrollees' access to primary care providers. Describes how the Fitzhugh Mullan Institute for Health Workforce Equity used the Transformed Medicaid Statistical Information System (T-MSIS) to examine the primary care workforce providing healthcare to Medicaid enrollees. Outlines Medicaid workforce policy challenges, including federal regulations, workforce composition and supply, and community and market factors.
Author(s): Candice Chen, Qian "Eric" Luo, Mandar Bodas, et al.
Citation: Health Affairs Forefront
Date: 08/2023
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Where You Live Matters: Maternity Care Deserts and the Crisis of Access and Equity
Provides interactive state-by-state data on maternity care deserts in the U.S. Focuses on access, distance to maternity care, availability of family planning services, disparities in prenatal care, chronic health conditions and preterm birth, policy solutions, and more. Includes county-level maps of data as well as accompanying state summaries, infographics, and downloadable reports.
Date: 08/2023
Sponsoring organization: March of Dimes
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Provides interactive state-by-state data on maternity care deserts in the U.S. Focuses on access, distance to maternity care, availability of family planning services, disparities in prenatal care, chronic health conditions and preterm birth, policy solutions, and more. Includes county-level maps of data as well as accompanying state summaries, infographics, and downloadable reports.
Date: 08/2023
Sponsoring organization: March of Dimes
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Rural Medicaid and CHIP Enrollees in 2020
Presents data on Medicaid and Children's Health Insurance Program (CHIP) enrollees who resided in rural areas in 2020. Compares the percentage of rural and urban enrollment by state, race and ethnicity, disability-related eligibility, Medicaid managed care participation, and benefit package.
Date: 07/2023
Sponsoring organization: Centers for Medicare & Medicaid Services
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Presents data on Medicaid and Children's Health Insurance Program (CHIP) enrollees who resided in rural areas in 2020. Compares the percentage of rural and urban enrollment by state, race and ethnicity, disability-related eligibility, Medicaid managed care participation, and benefit package.
Date: 07/2023
Sponsoring organization: Centers for Medicare & Medicaid Services
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Rural-Urban Differences in Health Care Unaffordability
Analyzes healthcare unaffordability in rural versus urban contexts as well as mitigating sociodemographic variables. Examines 90,761 survey responses from the 2019-2021 National Health Interview Survey according to 3 levels of unaffordability, further breaking down the data by race/ethnicity, sex, income, self-rated health, insurance type, education, age, and rural versus urban location.
Author(s): Hannah MacDougall, Daniel Mork, Stephanie Hanson, Carrie Henning Smith
Citation: The Journal of Rural Health, 40(2), 376-385
Date: 07/2023
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Analyzes healthcare unaffordability in rural versus urban contexts as well as mitigating sociodemographic variables. Examines 90,761 survey responses from the 2019-2021 National Health Interview Survey according to 3 levels of unaffordability, further breaking down the data by race/ethnicity, sex, income, self-rated health, insurance type, education, age, and rural versus urban location.
Author(s): Hannah MacDougall, Daniel Mork, Stephanie Hanson, Carrie Henning Smith
Citation: The Journal of Rural Health, 40(2), 376-385
Date: 07/2023
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Access to Care among Medicare Beneficiaries Aged 65 and Over Living with High-Impact Chronic Pain
Examines access to care and its association with high-impact chronic pain among Medicare recipients over 65 and not living in a long-term care facility between 2018 and 2020. Includes data breakdown between metro area and nonmetro area residents. Discusses delay in seeking medical care due to cost and general access to care.
Author(s): Jared Sawyer, Laura Stoff, Carrie Goetsch, et al.
Date: 06/2023
Sponsoring organization: Centers for Medicare & Medicaid Services
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Examines access to care and its association with high-impact chronic pain among Medicare recipients over 65 and not living in a long-term care facility between 2018 and 2020. Includes data breakdown between metro area and nonmetro area residents. Discusses delay in seeking medical care due to cost and general access to care.
Author(s): Jared Sawyer, Laura Stoff, Carrie Goetsch, et al.
Date: 06/2023
Sponsoring organization: Centers for Medicare & Medicaid Services
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Improving Financial Access to Maternal and Infant Care in Rural Areas
A brief that discusses ways to improve maternal and infant healthcare access, with a focus on Medicaid initiatives, value-based care systems, and leveraging the perinatal workforce.
Date: 06/2023
Sponsoring organization: Association of State and Territorial Health Officials
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A brief that discusses ways to improve maternal and infant healthcare access, with a focus on Medicaid initiatives, value-based care systems, and leveraging the perinatal workforce.
Date: 06/2023
Sponsoring organization: Association of State and Territorial Health Officials
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Ambulance Deserts: Geographic Disparities in the Provision of Ambulance Services
Chartbook presenting data on ambulance deserts from 41 states in 2021-2022, and identifying places and people that are more than 25 minutes from an ambulance station. Include maps of ambulance desert locations and health care facility locations for every state with available data, and documents coverage gaps in the provision of ambulance services across geographic areas across the United States.
Author(s): Yvonne Jonk, Carly Milkowski, Zachariah Croll, Karen Pearson
Date: 05/2023
Sponsoring organization: Maine Rural Health Research Center
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Chartbook presenting data on ambulance deserts from 41 states in 2021-2022, and identifying places and people that are more than 25 minutes from an ambulance station. Include maps of ambulance desert locations and health care facility locations for every state with available data, and documents coverage gaps in the provision of ambulance services across geographic areas across the United States.
Author(s): Yvonne Jonk, Carly Milkowski, Zachariah Croll, Karen Pearson
Date: 05/2023
Sponsoring organization: Maine Rural Health Research Center
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Improving Health Care Access in Rural Communities: Obstacles and Opportunities
Presents the U.S. Senate Committee on Finance, Subcommittee on Health Care hearing on improving access to high-quality, affordable healthcare in rural communities. Discusses workforce issues, education pipeline, transportation, broadband, school-based health centers, payment models and value-based care, and rural-friendly policies. Features testimonies from representatives of Frances Mahon Deaconess Hospital, Choptank Community Health System, Essentia Health, and the Sheps Center For Health Services Research.
Additional links: Testimony by David Herman, Testimony by Erin Aune, Testimony by Mark Holmes, Testimony by Sara Rich
Date: 05/2023
Sponsoring organization: Senate Committee on Finance, Subcommittee on Health Care
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Presents the U.S. Senate Committee on Finance, Subcommittee on Health Care hearing on improving access to high-quality, affordable healthcare in rural communities. Discusses workforce issues, education pipeline, transportation, broadband, school-based health centers, payment models and value-based care, and rural-friendly policies. Features testimonies from representatives of Frances Mahon Deaconess Hospital, Choptank Community Health System, Essentia Health, and the Sheps Center For Health Services Research.
Additional links: Testimony by David Herman, Testimony by Erin Aune, Testimony by Mark Holmes, Testimony by Sara Rich
Date: 05/2023
Sponsoring organization: Senate Committee on Finance, Subcommittee on Health Care
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