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These two reports on private health insurance are released together because they complement each other. The first provides a national picture of private insurance in rural areas and the second profiles a rural community where the closing of the major employer results in loss of private health insurance.

Private Health Insurance in Rural Areas: Challenges and Reform Options

Rural residents are less likely than their urban counterparts to have private health insurance coverage. This difference is driven by the unique characteristics of rural places that make it challenging to create and sustain viable private insurance pools, including the predominance of small businesses and self employed, part time, and low wage workers. This brief discusses the challenges of expanding private coverage in rural areas, and describes policy options to address them.

Contact information:
Erika Ziller, MS
Maine Rural Health Research Center
Phone: 207-780-4615
eziller@usm.maine.edu

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A Case Study of Rural Health Care in the Economic Downturn

Many rural communities face persistent challenges with health care access and cost. These problems have been amplified by the current economic downturn. This report describes the economic and health care environment in Ashe County, a rural community in the mountains of western North Carolina. The experience in Ashe County exemplifies the health care challenges faced in many rural areas across the country.

Contact information:
Jennifer King
North Carolina Rural Health Research and Policy Analysis Center
Phone: 919-966-9985
jking@schsr.unc.edu

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