Healthcare Access in Rural Communities – Resources
Selected recent or important resources focusing on Healthcare Access in Rural Communities.
Most Medicare Advantage Markets are Dominated by One or Two Insurers
Examines the competitiveness of Medicare Advantage (MA) markets at the county level. Explores how often one or two Medicare Advantage insurers enrolled at least half of all enrollees within a county. Compares data on the share of counties in very concentrated MA markets across urban, rural adjacent, and rural non-adjacent counties.
Author(s): Nicole Zhu, Jeannie Fuglesten Biniek, Nolan Sroczynski, Tricia Neuman
Date: 07/2025
Sponsoring organization: KFF
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Examines the competitiveness of Medicare Advantage (MA) markets at the county level. Explores how often one or two Medicare Advantage insurers enrolled at least half of all enrollees within a county. Compares data on the share of counties in very concentrated MA markets across urban, rural adjacent, and rural non-adjacent counties.
Author(s): Nicole Zhu, Jeannie Fuglesten Biniek, Nolan Sroczynski, Tricia Neuman
Date: 07/2025
Sponsoring organization: KFF
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Adult Ratings of Neighborhood Medical Care Availability in Nonmetropolitan and Metropolitan Areas, United States 2021
Statistical brief examining perceptions of medical care availability and quality in nonmetropolitan and metropolitan areas, utilizing 2021 AHRQ Medical Expenditure Panel Survey Household Component (MEPS-HC) data. Includes data breakdowns by level of rurality and age group, insurance status, physical health status, and more.
Author(s): Sandra L. Decker, Xue Wu
Date: 07/2025
Sponsoring organization: Agency for Healthcare Research and Quality
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Statistical brief examining perceptions of medical care availability and quality in nonmetropolitan and metropolitan areas, utilizing 2021 AHRQ Medical Expenditure Panel Survey Household Component (MEPS-HC) data. Includes data breakdowns by level of rurality and age group, insurance status, physical health status, and more.
Author(s): Sandra L. Decker, Xue Wu
Date: 07/2025
Sponsoring organization: Agency for Healthcare Research and Quality
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Interstate Occupational Licensure Arrangements to Expand Access to Behavioral Health Services
Policy brief describing state-based provisions to expand behavioral health services through interstate licensure arrangements for providers. Discusses potential impact on provision of behavioral health services, including telehealth, with a focus on how expanded services might enhance access for rural residents. Features state-level maps showing where legislation has been enacted or introduced, as of November 2024.
Author(s): Natalia V. Oster, C. Holly A. Andrilla, Davis G. Patterson, Lisa A. Garberson, Janessa M. Graves
Date: 07/2025
Sponsoring organization: WWAMI Rural Health Research Center
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Policy brief describing state-based provisions to expand behavioral health services through interstate licensure arrangements for providers. Discusses potential impact on provision of behavioral health services, including telehealth, with a focus on how expanded services might enhance access for rural residents. Features state-level maps showing where legislation has been enacted or introduced, as of November 2024.
Author(s): Natalia V. Oster, C. Holly A. Andrilla, Davis G. Patterson, Lisa A. Garberson, Janessa M. Graves
Date: 07/2025
Sponsoring organization: WWAMI Rural Health Research Center
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Access and Quality of Mental Health Services in Rural and Urban America
Research brief documenting recent trends in mental healthcare access and quality in urban and rural communities. Features state-level maps showing locations of mental health facilities, a county-level map with shadings showing driving distances to any mental health facility or access to telehealth, and statistics on ZIP code area demographics, with breakdowns by urban, large rural, and small rural area.
Author(s): Peiyin Hung, Sophia N.D. Negaro, Rachel M. Hantman, et al.
Date: 07/2025
Sponsoring organization: University of South Carolina Rural Health Research Center
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Research brief documenting recent trends in mental healthcare access and quality in urban and rural communities. Features state-level maps showing locations of mental health facilities, a county-level map with shadings showing driving distances to any mental health facility or access to telehealth, and statistics on ZIP code area demographics, with breakdowns by urban, large rural, and small rural area.
Author(s): Peiyin Hung, Sophia N.D. Negaro, Rachel M. Hantman, et al.
Date: 07/2025
Sponsoring organization: University of South Carolina Rural Health Research Center
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Patient-Centered Medical Homes: How the Federally Supported Model Minimizes Healthcare Access Disparities for Older Adults in Rural Areas
Examines the impact of the Patient-Centered Medical Home (PCMH) model on healthcare access in the southern United States. Utilizes data from 746 older adults to analyze access to healthcare, with breakdowns according to PCMH use, demographics, and rural versus urban location.
Author(s): Elisa M. Childs, Orion Mowbray
Citation: INQUIRY: The Journal of Health Care Organization, Provision, and Financing, 62
Date: 06/2025
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Examines the impact of the Patient-Centered Medical Home (PCMH) model on healthcare access in the southern United States. Utilizes data from 746 older adults to analyze access to healthcare, with breakdowns according to PCMH use, demographics, and rural versus urban location.
Author(s): Elisa M. Childs, Orion Mowbray
Citation: INQUIRY: The Journal of Health Care Organization, Provision, and Financing, 62
Date: 06/2025
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Integrating Mental Health Support into Rural Libraries: Evaluation of the Libraries for Health (L4H) Initiative
Presents findings from an evaluation of the implementation of Libraries for Health (L4H), a pilot project embedding nonclinical adult mental health supports into ten libraries in rural Texas. Summarizes how libraries implemented L4H, barriers and facilitators of implementation, and efforts to to build and sustain the program and sustain their capacity to address patrons' mental health needs.
Additional links: Research Summary
Author(s): Lynsay Ayer, Karen Christianson, Ivy Todd, et al.
Date: 06/2025
Sponsoring organization: RAND Corporation
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Presents findings from an evaluation of the implementation of Libraries for Health (L4H), a pilot project embedding nonclinical adult mental health supports into ten libraries in rural Texas. Summarizes how libraries implemented L4H, barriers and facilitators of implementation, and efforts to to build and sustain the program and sustain their capacity to address patrons' mental health needs.
Additional links: Research Summary
Author(s): Lynsay Ayer, Karen Christianson, Ivy Todd, et al.
Date: 06/2025
Sponsoring organization: RAND Corporation
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The Opioid Epidemic in Rural Communities: Can Telehealth Increase Access to Medication for Opioid Use Disorder and Offset Barriers to Care?
Examines the impact of telehealth on access to medication for opioid use disorder (MOUD) and substance use disorder (SUD) and opioid use disorder (OUD) treatment. Utilizes data from the Rural Communities Opioid Response Program's (RCORP) consortia, the National Survey of Drug Use and Health (NSDUH), and the U.S. Census Bureau's American Community Survey (ACS) to analyze access to MOUD and rates of telehealth use for rural consortia. Discusses potential barriers and factors impacting telehealth implementation for SUD and OUD care.
Author(s): Kathleen Meyers, Shannon Herman, Heather Schuler, et al.
Citation: Drug and Alcohol Dependence, 271, 112628
Date: 06/2025
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Examines the impact of telehealth on access to medication for opioid use disorder (MOUD) and substance use disorder (SUD) and opioid use disorder (OUD) treatment. Utilizes data from the Rural Communities Opioid Response Program's (RCORP) consortia, the National Survey of Drug Use and Health (NSDUH), and the U.S. Census Bureau's American Community Survey (ACS) to analyze access to MOUD and rates of telehealth use for rural consortia. Discusses potential barriers and factors impacting telehealth implementation for SUD and OUD care.
Author(s): Kathleen Meyers, Shannon Herman, Heather Schuler, et al.
Citation: Drug and Alcohol Dependence, 271, 112628
Date: 06/2025
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Medicaid Plays A Key Role for Maternal and Infant Health in Rural Communities
Explores the role of Medicaid in covering women of childbearing age - 19 through 44 years old - living in small towns and rural areas. Presents data from the 2023 U.S. Census Bureau's American Community Survey (ACS) Public Use Microdata Sample (PUMS) on the percentage of women of childbearing age in small towns and rural areas who have Medicaid coverage by state and compares the share of Medicaid coverage to similar women in metropolitan counties. Describes the percentage of women of childbearing age with Medicaid coverage as a share of non-elderly adults with Medicaid across Medicaid expansion states and non-expansion states. Highlights the 20 small towns and rural areas with the highest share of women of childbearing age covered by Medicaid.
Date: 05/2025
Sponsoring organization: Georgetown University Health Policy Institute
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Explores the role of Medicaid in covering women of childbearing age - 19 through 44 years old - living in small towns and rural areas. Presents data from the 2023 U.S. Census Bureau's American Community Survey (ACS) Public Use Microdata Sample (PUMS) on the percentage of women of childbearing age in small towns and rural areas who have Medicaid coverage by state and compares the share of Medicaid coverage to similar women in metropolitan counties. Describes the percentage of women of childbearing age with Medicaid coverage as a share of non-elderly adults with Medicaid across Medicaid expansion states and non-expansion states. Highlights the 20 small towns and rural areas with the highest share of women of childbearing age covered by Medicaid.
Date: 05/2025
Sponsoring organization: Georgetown University Health Policy Institute
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Wait Times for Medical Appointments among Adults Age 50 and Older
Reports on wait times and distance to healthcare services in rural and urban communities, utilizing data from a February 2025 survey of 1,012 adults age 50 or older. Breaks down data by level of rurality, type of facility, and type of care provided.
Additional links: Annotated Questionnaire
Author(s): Teresa A. Keenan
Date: 05/2025
Sponsoring organization: AARP
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Reports on wait times and distance to healthcare services in rural and urban communities, utilizing data from a February 2025 survey of 1,012 adults age 50 or older. Breaks down data by level of rurality, type of facility, and type of care provided.
Additional links: Annotated Questionnaire
Author(s): Teresa A. Keenan
Date: 05/2025
Sponsoring organization: AARP
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Impact of Hospital Closure on Rural Communities: A Qualitative Study
Examines the impact of rural hospital closure on access to care, and identifies ways that rural communities adapt to hospital closures. Utilizes interview excerpts from 25 informants examining themes related to pre-closure conditions, impacts on communities and health systems, and actions by communities, states, health systems, and emergency medical services.
Author(s): Redwan Bin Abdul Baten, Mina Shrestha, Fred Ullrich, Whitney Zahnd, Keith J. Mueller
Date: 05/2025
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Examines the impact of rural hospital closure on access to care, and identifies ways that rural communities adapt to hospital closures. Utilizes interview excerpts from 25 informants examining themes related to pre-closure conditions, impacts on communities and health systems, and actions by communities, states, health systems, and emergency medical services.
Author(s): Redwan Bin Abdul Baten, Mina Shrestha, Fred Ullrich, Whitney Zahnd, Keith J. Mueller
Date: 05/2025
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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