ArticleHealth affairs (Project Hope)2021
Rural-Urban Disparities In All-Cause Mortality Among Low-Income Medicare Beneficiaries, 2004-17.
Article in Health affairs (Project Hope), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
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Who cites it
20 citing papers in PubMed.
- Acute Myocardial Infarction in Medicare Beneficiaries During and After the COVID-19 Pandemic.JAMA network open · 2026Article
- Rural-Urban Suicide Mortality Disparities in High-Burden U.S. States: An Intersectional Analysis.Healthcare (Basel, Switzerland) · 2026Article
- Changes in Healthcare Utilization Patterns and Outcomes for an Acute Cerebrovascular Events Medicare Cohort: 2018-2022.Neuroepidemiology · 2026Article
- Low-Level PMInternational journal of environmental research and public health · 2025Article
- Factors Influencing Rural Hospitals' Decisions To Join An Alternative Payment Model: A Mixed-Methods Study.Health affairs (Project Hope) · 2025Article
- Financial burden of care greatest among rural beneficiaries in Medicare advantage.Health services research · 2025Article
- Year 1 of Medicare's Accountable Care Organization Realizing Equity, Access, and Community Health Model.JAMA health forum · 2025Article
- Can the digital economy foster advancements in the healthcare sector? - a case study using interprovincial data from China.BMC public health · 2025Article
- The growing oversupply of physicians in Ecuador: challenges and implications for the healthcare system.Frontiers in public health · 2025Article
- Cost disparities for outpatient dermatology visits among medicare beneficiaries in urban and rural regions of the United States.Archives of dermatological research · 2024Article
- Trends and structural factors affecting health equity in the United States at the local level, 1990-2019.SSM - population health · 2024Article
- Cardiovascular hospitalizations and mortality among adults aged 25-64 years in the USA.European heart journal · 2024Article
- The Ecology of Economic Distress and Life Expectancy.International journal of public health · 2024Article
- THE ROLE OF HEALTH POLICY IN IMPROVING HEALTH OUTCOMES AND HEALTH EQUITY.Transactions of the American Clinical and Climatological Association · 2024Article
- Opting out of Medicare: Characteristics and differences between optometrists and ophthalmologists.PloS one · 2024Article
- Rural African American Women With Severe Obesity: A Cross-Sectional Analysis of Lifestyle Behaviors and Psychosocial Characteristics.American journal of health promotion : AJHP · 2023Article
- Rural-urban disparities in health outcomes, clinical care, health behaviors, and social determinants of health and an action-oriented, dynamic tool for visualizing them.PLOS global public health · 2023Article
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- Article
- Greater Physician Supply Associated with Lower Mortality in Rural Counties: A 23-Year County-Level Longitudinal Observational Study.Inquiry : a journal of medical care organization, provision and financingObservational
Corrections and comments
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Authors and funding
8 authors.
Funding
Abstract
There is growing concern about the health of older US adults who live in rural areas, but little is known about how mortality has changed over time for low-income Medicare beneficiaries residing in rural areas compared with their urban counterparts. We evaluated whether all-cause mortality rates changed for rural and urban low-income Medicare beneficiaries dually enrolled in Medicaid, and we studied disparities between these groups. The study cohort included 11,737,006 unique dually enrolled Medicare beneficiaries. Between 2004 and 2017 all-cause mortality declined from 96.6 to 92.7 per 1,000 rural beneficiaries (relative percentage change: -4.0 percent). Among urban beneficiaries, declines in mortality were more pronounced (from 86.9 to 72.8 per 1,000 beneficiaries, a relative percentage change of -16.2 percent). The gap in mortality between rural and urban beneficiaries increased over time. Rural mortality rates were highest in East North Central states and increased modestly in West North Central states during the study period. Public health and policy efforts are urgently needed to improve the health of low-income older adults living in rural areas.
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