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Market Research Group

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Windows Policy Analyzer: Bug-Fix-Update (Juni 2018)

Health insurance affordability is a concern for rural areas. A RUPRI Center for Rural Health Policy Analysis policy brief, Health Insurance Marketplaces: Issuer Participation and Premium Trends in Rural Places, 2018, evaluated changes in average health insurance marketplace (HIM) plan premiums from 2014 to 2018. Average premiums were higher in rural counties than in urban counties. In addition, rural counties were more likely to have only one insurance issuer participating in the HIM. Medicare Advantage plan co-pays and deductibles are higher in rural, and no-cost benefits like health clubs and transportation are less frequently offered in rural areas.

Windows Policy Analyzer: Bug-Fix-Update (Juni 2018)

Access to obstetric services is a persistent, but growing concern in rural areas. A 2022 Center for Economic Analysis of Rural Health policy brief, County-Level Availability of Obstetric Care and Economic Implications of Hospital Closures on Obstetric Care, reports that out of 148 counties that lost obstetric services between 2012 and 2019 due to hospital or unit closures/conversions, 113 of the counties were rural. A June 2020 University of Minnesota Rural Health Research Center (UMN RHRC) infographic, Loss of Hospital-based Obstetric Services in Rural Counties in the United States, 2004-2018, displays similar data. According to the document, only 27% of non-core counties had hospital-based OB services as of 2018. A 2022 report from March of Dimes states that 911 rural U.S. counties are maternity care deserts. Additionally, a 2020 action plan from the U.S. Department of Health and Human Services, Healthy Women, Healthy Pregnancies, Healthy Futures: Action Plan to Improve Maternal Health in America, points out that, although 15% of people in the U.S. live in rural communities, only 6% of OB/GYNs serve these areas. However, many rural family physicians provide broad OB/GYN services to their patients.

A May 2018 NRHA policy brief, Improving Rural Oral Healthcare Access, offers recommendations to address dental workforce shortages and to ultimately improve access to oral health services, including:


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