Rural implications of Medicaid expansion under the Affordable Care Act Brief (State Health Access Data Assistance Center, University of Minnesota. State Health Access Reform Evaluation) Ziller, Erika, author. Lenardson, Jennifer, author. Coburn, Andrew, author. United States. Insurance, Health -- statistics & numerical data Medicaid -- trends Rural Health Services In order for the Affordable Care Act (ACA) Medicaid expansion to effectively meet the needs of rural populations, implementation will need to be based on the underlying differences in rural and urban populations and on the unique needs of rural residents and health systems. Missing information that is critical to informing ACA implementation includes: the extent to which prior public health insurance expansions have covered rural populations; whether rural residents who are expected to be newly eligible for Medicaid in 2014 differ from their urban counterparts; the extent to which rural individuals might differentially benefit from the ACA Medicaid expansion in light of the expansion becoming optional; and whether rural enrollees are likely to have adequate access to primary care. This study addresses these knowledge gaps using the 2007-2011 panels of the Medical Expenditure Panel Survey (MEPS), linked with state-level Medicaid policy data and county-level primary care provider data. [Minneapolis, Minn.] : State Health Access Reform Evaluation, February 2015 Robert Wood Johnson Foundation, issuing body. State Health Access Data Assistance Center, University of Minnesota. State Health Access Reform Evaluation, issuing body. Technical Report Text Illustrations 1 online resource (1 PDF file (6 pages)) nlm:nlmuid-101656316-pdf 101656316 http://resource.nlm.nih.gov/101656316 English United States Reproduced with permission of the copyright holder. Further use of the material is subject to CC BY-NC-DC license. https://creativecommons.org/licenses/by-nc-nd/3.0