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With the implementation of new healthcare legislation, many states will be targeting uninsured populations that may be eligible to participate in Medicaid expansion or the Health Insurance Exchanges. Past research suggest that the uninsured population is more likely to live in non-metro areas. However, that research did not account for the income levels that will be affected by the new health care changes. This paper investigates the differences in the uninsured population in metro and non-metro counties within states while controlling for income and age. The analysis uses the 2011 county-level health insurance estimates released by the U.S. Census Bureau’s Small Area Health Insurance Estimates (SAHIE) program. When controlling for income, we find that where there is a statistically significant difference between a state’s non-metro and metro uninsured rates, metro areas are more likely to have higher uninsured rates.
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