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Health insurance and the uninsured

Current Projects

Health Insurance Stability among Rural Children Following Public Coverage Expansions
Research center : Maine Rural Health Research Center
Funder: Office of Rural Health Policy (ORHP)
Topics: Children, Health insurance and the uninsured, Medicaid and S-CHIP
While estimates indicate that the uninsured rate among rural children has dramatically decreased since the 1997 passage of the State Children's Health Insurance Program (CHIP), it is not clear whether or not coverage has become more stable and uninsured spells shorter. The purpose of this study is to investigate changes in insurance stability among rural and urban children following CHIP, and whether this is affected by specific state eligibility and enrollment policies or clusters of policies. Using the 1996, 2001, and 2004 panels of the Survey of Income and Program Participation (SIPP), we will measure rural-urban differences in uninsured spell length and frequency, sources of coverage before and after uninsured spells, movement between sources of coverage, how these measures of stability have changed over time, and the factors that relate to greater continuity of coverage among rural children.

How Would Health Insurance Exchanges Work in Rural America?
Research center : Rural Policy Research Institute (RUPRI) Center for Rural Health Policy Analysis
Funder: Office of Rural Health Policy (ORHP)
Topics: Health insurance and the uninsured, Health policy
The passage of the Patient Protection and Affordable Care Act (PPACA) of 2010 has created the potential for states to create health insurance exchanges (HIEs). This project will assess the potential of these plans to meet the needs of rural residents. Empirical work will establish baseline measures of choices available to rural residents and literature reviews will yield prospective analysis of how exchanges could operate to benefit rural residents.

Prevalence and Impact of High Deductible Health Insurance Plans in Rural Areas
Research center : Maine Rural Health Research Center
Funder: Office of Rural Health Policy (ORHP)
Topics: Health disparities, Health insurance and the uninsured
This study will use national health survey data to examine whether privately insured rural residents are more likely than their urban counterparts to have plans with high deductibles. It will also assess whether high deductible health plans create health care barriers for rural residents, and if these differ from the barriers experienced by those in urban areas.

Rural Inclusion in the Development of Health Insurance Exchanges
Research center : Rural Policy Research Institute (RUPRI) Center for Rural Health Policy Analysis
Funder: Office of Rural Health Policy (ORHP)
Topic: Health insurance and the uninsured
State plans for developing health insurance exchanges (HIEs) will be analyzed to determine likely benefits for rural residents and communities. Three elements of each plan will be described and assessed: strategies to seek out and enroll rural residents eligible for subsidized insurance coverage or categorically eligible for plans offered through exchanges; minimum standards for participating health plans, including access to essential services; and simulations of impact on availability of plans and enrollment of currently uninsured rural residents.


Related Topics

These related topics also list current projects: