Rural Health
Resources by Topic: Health workforce
Rural Recovery Innovations
Discusses disparities in behavioral health recovery support services in rural, frontier, and tribal communities. Highlights innovative and promising practices for addressing behavioral health disparities, such as addressing stigma, supporting peer workforce, and addressing social determinants of health, among other measures.
Date: 01/2025
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Discusses disparities in behavioral health recovery support services in rural, frontier, and tribal communities. Highlights innovative and promising practices for addressing behavioral health disparities, such as addressing stigma, supporting peer workforce, and addressing social determinants of health, among other measures.
Date: 01/2025
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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January 2025 MedPAC Meeting Transcript
Transcript from the Medicare Payment Advisory Commission's (MedPAC) January 2025 meeting. Covers payment adequacy and updates for physician and other health professional services, hospital inpatient and outpatient services, skilled nursing facility services, home health agency services, inpatient rehabilitation facility services, outpatient dialysis services, and hospice services. Discusses status reports on Medicare Part D, ambulatory surgical centers, and the Medicare Advantage program, as well as policy options for modifying the cost-sharing liability for beneficiaries who receive care at Critical Access Hospitals. Includes rural references and considerations throughout.
Additional links: Reducing Beneficiary Cost-sharing for Outpatient Services at Critical Access Hospitals
Date: 01/2025
Sponsoring organization: Medicare Payment Advisory Commission
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Transcript from the Medicare Payment Advisory Commission's (MedPAC) January 2025 meeting. Covers payment adequacy and updates for physician and other health professional services, hospital inpatient and outpatient services, skilled nursing facility services, home health agency services, inpatient rehabilitation facility services, outpatient dialysis services, and hospice services. Discusses status reports on Medicare Part D, ambulatory surgical centers, and the Medicare Advantage program, as well as policy options for modifying the cost-sharing liability for beneficiaries who receive care at Critical Access Hospitals. Includes rural references and considerations throughout.
Additional links: Reducing Beneficiary Cost-sharing for Outpatient Services at Critical Access Hospitals
Date: 01/2025
Sponsoring organization: Medicare Payment Advisory Commission
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Evaluating Access to Psychosocial Services for the Medicaid-Insured Children in Georgia
Assesses mental health workforce supply and demand for psychosocial services for the Medicaid-insured children in Georgia, and examines the impact of policy interventions to increase availability of services for the Medicaid-insured population. Analyzes factors associated with unmet demand, including data on rurality, travel distance, and more.
Author(s): Yujia Xie, Pravara Harati, Janani Rajbhandari-Thapa, Nicoleta Serban
Citation: BMC Public Health, 25, 244
Date: 01/2025
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Assesses mental health workforce supply and demand for psychosocial services for the Medicaid-insured children in Georgia, and examines the impact of policy interventions to increase availability of services for the Medicaid-insured population. Analyzes factors associated with unmet demand, including data on rurality, travel distance, and more.
Author(s): Yujia Xie, Pravara Harati, Janani Rajbhandari-Thapa, Nicoleta Serban
Citation: BMC Public Health, 25, 244
Date: 01/2025
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Mobile Health Clinics in a Rural Setting: A Cost Analysis and Time Motion Study of La Clínica in Oregon, United States
Evaluates provider time allocation and retrospective economic cost of nurse practitioner (NP) and community health worker (CHW) services through La Clínica, a Mobile Health Clinic (MHC) intervention in rural Oregon. Discusses populations served by La Clínica, including people experiencing homelessness, Native Americans, and migrant and seasonal farmworkers. Provides data on program costs and NP and CHW time use by task type and population subgroup.
Author(s): Abigail Higgins, Middy Tilghman, Tracy Kuo Lin
Citation: BMC Health Services Research, 25, 97
Date: 01/2025
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Evaluates provider time allocation and retrospective economic cost of nurse practitioner (NP) and community health worker (CHW) services through La Clínica, a Mobile Health Clinic (MHC) intervention in rural Oregon. Discusses populations served by La Clínica, including people experiencing homelessness, Native Americans, and migrant and seasonal farmworkers. Provides data on program costs and NP and CHW time use by task type and population subgroup.
Author(s): Abigail Higgins, Middy Tilghman, Tracy Kuo Lin
Citation: BMC Health Services Research, 25, 97
Date: 01/2025
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Behavioral Health Crisis Services Billed to Commercial Insurance, Medicaid, and Medicare
Examines the extent to which three specific crisis service billing codes are used by commercial payors, Medicaid, and Medicare in 2020 in the 11 states and District of Columbia that cover these services in their Medicaid fee-for-service plans. Compares the rate of crisis service claims by state, rurality, and provider type.
Author(s): Crystal Blyler, Amy Edmonds, Allison Wishon, et al.
Date: 01/2025
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, Mathematica
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Examines the extent to which three specific crisis service billing codes are used by commercial payors, Medicaid, and Medicare in 2020 in the 11 states and District of Columbia that cover these services in their Medicaid fee-for-service plans. Compares the rate of crisis service claims by state, rurality, and provider type.
Author(s): Crystal Blyler, Amy Edmonds, Allison Wishon, et al.
Date: 01/2025
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, Mathematica
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Emergency Triage, Treat, and Transport (ET3) Model: Final Evaluation Report
Presents quantitative and qualitative results from the evaluation of the Emergency Triage, Treat, and Transport (ET3) Model, a voluntary model that allowed ambulance care teams to use alternate models of emergency healthcare to improve quality and lower care costs. Describes the characteristics of ET3 participants, the extent to which ET3 interventions successfully prevented emergency department (ED) visits, and how average Medicare Parts A and B spending for patients that received ET3 interventions compared to patients who had low acuity ED visits. Discusses challenges and barriers to delivering ET3 interventions. Includes rural references throughout.
Additional links: Findings at a Glance, Technical Appendix
Date: 01/2025
Sponsoring organization: Centers for Medicare and Medicaid Services
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Presents quantitative and qualitative results from the evaluation of the Emergency Triage, Treat, and Transport (ET3) Model, a voluntary model that allowed ambulance care teams to use alternate models of emergency healthcare to improve quality and lower care costs. Describes the characteristics of ET3 participants, the extent to which ET3 interventions successfully prevented emergency department (ED) visits, and how average Medicare Parts A and B spending for patients that received ET3 interventions compared to patients who had low acuity ED visits. Discusses challenges and barriers to delivering ET3 interventions. Includes rural references throughout.
Additional links: Findings at a Glance, Technical Appendix
Date: 01/2025
Sponsoring organization: Centers for Medicare and Medicaid Services
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A Discrete Choice Experiment with Health Professions Trainees to Improve the Urban-Rural Health Care Access Disparity in Appalachia: Study Protocol
A study protocol that examines strategies and policies for successful recruitment of healthcare professionals in rural Appalachia. Discusses utilization of the discrete choice experiment methodology (DCE) to analyze medical residents and fellows, physician assistant (PA) students, and nurse practitioner (NP) students and their location choice for employment.
Author(s): Chris Gillette, Jan Ostermann, Sarah Garvick, et al.
Citation: PLoS One, 20(1), e0316521
Date: 01/2025
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A study protocol that examines strategies and policies for successful recruitment of healthcare professionals in rural Appalachia. Discusses utilization of the discrete choice experiment methodology (DCE) to analyze medical residents and fellows, physician assistant (PA) students, and nurse practitioner (NP) students and their location choice for employment.
Author(s): Chris Gillette, Jan Ostermann, Sarah Garvick, et al.
Citation: PLoS One, 20(1), e0316521
Date: 01/2025
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Enhancing Maternal Health Initiative
Describes accomplishments of the Health Resources and Services Administration's initiative to strengthen, expand, and accelerate work to address maternal mortality and maternal health disparities, especially in underserved areas. Mentions rural throughout.
Date: 01/2025
Sponsoring organization: Health Resources and Services Administration
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Describes accomplishments of the Health Resources and Services Administration's initiative to strengthen, expand, and accelerate work to address maternal mortality and maternal health disparities, especially in underserved areas. Mentions rural throughout.
Date: 01/2025
Sponsoring organization: Health Resources and Services Administration
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Assessing the Feasibility of Creating a National Behavioral Health Workforce Database
Results of a project to determine the feasibility of developing a database of behavioral health providers and practices that offers up-to-date information to support research, policymaking, and public access. Identifies key elements, including demographics, licensure, education, and practice details. Includes information on databases focused on rural health.
Author(s): Frances Jiménez, Nicole Gauthreaux, Courtney Segal, et al.
Date: 01/2025
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Results of a project to determine the feasibility of developing a database of behavioral health providers and practices that offers up-to-date information to support research, policymaking, and public access. Identifies key elements, including demographics, licensure, education, and practice details. Includes information on databases focused on rural health.
Author(s): Frances Jiménez, Nicole Gauthreaux, Courtney Segal, et al.
Date: 01/2025
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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USDA Rural Development 2024 Accomplishments in Virginia
Describes U.S. Department of Agriculture Rural Development projects in Virginia in 2024. Includes information about support for rural healthcare facilities, education, and workforce.
Date: 01/2025
Sponsoring organization: USDA Rural Development
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Describes U.S. Department of Agriculture Rural Development projects in Virginia in 2024. Includes information about support for rural healthcare facilities, education, and workforce.
Date: 01/2025
Sponsoring organization: USDA Rural Development
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