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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.

Why Are the Health Insurance Marketplaces Thriving in Some States but Struggling in Others?
Analyzes the Robert Wood Johnson Foundation's HIX Compare dataset and the National Association of Insurance Commissioners' 2010 Supplemental Health Care Exhibit Report to identify factors explaining differences in issuers' participation in state insurance marketplaces. Features statistics including the number of insurers participating in states in 2017, with breakdowns by mean state population and rural population as percent of total state population.
Author(s): Jon R. Gabel, Heidi Whitmore, Sam Stromberg, Matthew Green
Date: 11/2018
Type: Document
Sponsoring organization: Commonwealth Fund
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Uninsured Rates in Urban and Rural America
Highlights a collection of interactive graphics providing data on uninsured rates for people under age 65 in completely rural counties, counties that are mostly rural, and counties that are mostly urban. Includes state and county-level data.
Date: 11/2018
Type: Website
Sponsoring organization: U.S. Census Bureau
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Geographic Representativeness of a Web-Based Smoking Cessation Intervention: Reach Equity Analysis
Compares the use of a web-based smoking cessation program by 67,854 users across large metro, small metro, and nonmetro populations throughout the United States between 2013 and 2017. Examines if the location of program participants is proportional to the national smoking population.
Author(s): Michael S. Amato, Amanda L. Graham
Citation: Journal of Medical Internet Research, 20(10), e11668
Date: 10/2018
Type: Document
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Health Insurance Marketplaces: Issuer Participation and Premium Trends in Rural Places, 2018
Assesses changes in average Health Insurance Marketplace plan premiums from 2014-2018, with an emphasis on the variation across rural and urban areas. Includes statistics on premium increases by population density of rating area, distribution of insurance issuers by percentage of counties, rurality, and Medicaid expansion, and rural and urban average adjusted premiums by Medicaid expansion status.
Author(s): Abigail R. Barker, Lindsey Nienstedt, Leah M. Kemper, Timothy D. McBride, Keith J. Mueller
Date: 08/2018
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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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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Health Insurance Exchanges: HHS Should Enhance Its Management of Open Enrollment Performance
Reports on outreach and enrollment for the health insurance exchanges using Healthcare.gov. Examines 2018 open enrollment outcomes and related factors, U.S. Department of Health and Human Services (HHS) outreach efforts for 2018, and HHS's 2018 enrollment goals. Includes discussion of how changes in funding impacted outreach in rural areas. Provides data on Healthcare.gov enrollees in rural and urban areas.
Additional links: Full Report
Date: 07/2018
Type: Document
Sponsoring organization: Government Accountability Office
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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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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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Leveraging Health Care Reform to Accelerate Nurse Practitioner Full Practice Authority
Presents a descriptive study of legislation from 1994 to 2016 impacting the scope of practice for nurse practitioners (NPs). Discusses how supporting full practice authority (FPA) where physician involvement is not required can lessen the concern over the lack of primary care providers by allowing NPs to offer comprehensive healthcare services to rural and vulnerable patients. Identifies barriers and limitations to FPA.
Author(s): Heather M. Brom, Pamela J. Salsberry, Margaret Clark Graham
Citation: Journal of the American Association of Nurse Practitioners, 30(3), 120-130
Date: 03/2018
Type: Document
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State-Based Marketplaces Outperform Federally-Facilitated Marketplaces
Compares state-based and federally-facilitated health insurance marketplaces from 2016-2018 related to changes in premiums and number of insurers. Includes some information on nonmetropolitan counties, with the appendix providing charts comparing carrier count in metro and nonmetro counties.
Additional links: Appendix
Author(s): Jane M. Zhu, Daniel Polsky, Yuehan Zhang
Date: 03/2018
Type: Document
Sponsoring organization: Leonard Davis Institute of Health Economics
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Last Updated: 6/4/2024