Assesses differences in the patterns of insurance
coverage and uninsured spells among rural and urban
children in 20 states. Also examines the implications of
those differences for the design and implementation of
public insurance programs. Among its findings: Although
the average duration of new uninsured spells was shorter
among rural than urban children, rural children were more
likely to experience protracted spells of uninsurance.
Rural children were also more likely than urban children
to move between public and private coverage. These
findings have important implications for designing
insurance expansion programs and outreach strategies to
effectively enroll and retain rural children.