Primary Care and Health Outcomes Open access

Rural/Urban Disparities in the Utilization of Health and Behavioral Assessments/Interventions in the Fee-for-Service Medicare Population

Christian Rhudy, Eugene Shin, Jeffery Talbert

UKnowledge (University of Kentucky) | Sep 21, 2026

Abstract

Abstract

Overview of Key Findings In 2016, rural county residents represented 21.8% of the fee-for-service (FFS) Medicare population, but only 1.6% of rural FFS beneficiaries live in a county with local utilization of Health and Behavioral Assessments and Interventions (HBAI) services. Utilization of HBAI services in 2016 occurred in 19 (9.7%) rural counties and 176 (90.3%) urban counties. Average utilization rates of HBAI services were higher in rural counties than urban counties (0.7% vs. 0.4%).

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Authors

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Christian Rhudy

first | University of Kentucky

Eugene Shin

middle | University of Kentucky

Jeffery Talbert

last | University of Kentucky | ORCID 0000-0002-4304-5167

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Citation

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@article{Rhudy2026Rural,
  title = {Rural/Urban Disparities in the Utilization of Health and Behavioral Assessments/Interventions in the Fee-for-Service Medicare Population},
  author = {Christian Rhudy and Eugene Shin and Jeffery Talbert},
  journal = {UKnowledge (University of Kentucky)},
  year = {2026},
  doi = {10.13023/2020.ruhrc/12},
  url = {https://uknowledge.uky.edu/ruhrc_reports/12}
}

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