Rural Health
Resources by Topic: Service delivery models
Mental Health Specialist Telemedicine Uptake and Patient Location
Analyzes 17,742 Medicare fee-for-service claims for mental health specialists between 2018 and 2023 to identify the proportion of telemedicine visits that are with rural, low-access-to-care, or other distant communities. Includes analysis of new and established patients. Discusses study findings as part of larger discussions regarding telehealth increasing access to healthcare for rural and other hard to reach populations.
Author(s): Jacob Jorem, Andrew D. Wilcock, Alisa B. Busch, Haiden A. Huskamp, Ateev Mehrotra
Citation: JAMA Network Open, 9(3)
Date: 03/2026
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Analyzes 17,742 Medicare fee-for-service claims for mental health specialists between 2018 and 2023 to identify the proportion of telemedicine visits that are with rural, low-access-to-care, or other distant communities. Includes analysis of new and established patients. Discusses study findings as part of larger discussions regarding telehealth increasing access to healthcare for rural and other hard to reach populations.
Author(s): Jacob Jorem, Andrew D. Wilcock, Alisa B. Busch, Haiden A. Huskamp, Ateev Mehrotra
Citation: JAMA Network Open, 9(3)
Date: 03/2026
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From Expansion to Expiration: Federal Policy Waivers and Telehealth Utilization in US Primary Care (2016–2024)
Examines the impact of COVID-19 federal policy waivers on the long-term sustainability of telehealth access. Provides a scoping review of 2016-2024 articles focused on telehealth utilization for primary care, the removal of geographic restrictions in telehealth policy, and the subsequent impact on healthcare access for rural areas.
Author(s): Abhilasha Bellapu, John Geracitano, Jamie Conklin, Saif Khairat
Citation: Advances in Health Information Science and Practice, 2(1), eRCTG8117
Date: 02/2026
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Examines the impact of COVID-19 federal policy waivers on the long-term sustainability of telehealth access. Provides a scoping review of 2016-2024 articles focused on telehealth utilization for primary care, the removal of geographic restrictions in telehealth policy, and the subsequent impact on healthcare access for rural areas.
Author(s): Abhilasha Bellapu, John Geracitano, Jamie Conklin, Saif Khairat
Citation: Advances in Health Information Science and Practice, 2(1), eRCTG8117
Date: 02/2026
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Empowering Rural Communities: Overcoming Barriers to Substance Use Treatment
Webinar recording discusses the ways rural communities can overcome barriers to substance use disorder (SUD) treatment and uptake. Explores substance use data for rural communities and outlines common barriers, such as travel times and distance to care, provider shortages, and concerns about stigma and patient confidentiality. Highlights strategies for rural communities to leverage their community bonds and faith communities to address SUD, and details models for expanding treatment and patient support in rural areas.
Additional links: Webinar Slides
Date: 02/2026
Sponsoring organization: Addiction Technology Transfer Center Network
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Webinar recording discusses the ways rural communities can overcome barriers to substance use disorder (SUD) treatment and uptake. Explores substance use data for rural communities and outlines common barriers, such as travel times and distance to care, provider shortages, and concerns about stigma and patient confidentiality. Highlights strategies for rural communities to leverage their community bonds and faith communities to address SUD, and details models for expanding treatment and patient support in rural areas.
Additional links: Webinar Slides
Date: 02/2026
Sponsoring organization: Addiction Technology Transfer Center Network
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Model Standards for Crisis Care Workers
Proposes national standards for crisis care workers responding to the 988 Suicide and Crisis Lifeline and other behavioral health hotlines. Outlines 10 different standards for crisis care workers, such as core values and competencies; education, training, and qualifications; and standards for supervision, among others. Discusses some considerations for rural communities, such as lack of transportation and workforce shortages.
Date: 02/2026
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Proposes national standards for crisis care workers responding to the 988 Suicide and Crisis Lifeline and other behavioral health hotlines. Outlines 10 different standards for crisis care workers, such as core values and competencies; education, training, and qualifications; and standards for supervision, among others. Discusses some considerations for rural communities, such as lack of transportation and workforce shortages.
Date: 02/2026
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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COVID-19: Federal Efforts to Support Behavioral Health Programs During the Pandemic
Describes how selected Substance Abuse and Mental Health Services Administration (SAMHSA) awardees provided behavioral health services during the COVID-19 pandemic and how SAMHSA supported awardees' response to the pandemic. Discusses how SAMHSA's advisory councils and Policy Lab supported the agency's COVID-19 response. Includes rural references throughout.
Additional links: Full Report
Date: 02/2026
Sponsoring organization: Government Accountability Office
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Describes how selected Substance Abuse and Mental Health Services Administration (SAMHSA) awardees provided behavioral health services during the COVID-19 pandemic and how SAMHSA supported awardees' response to the pandemic. Discusses how SAMHSA's advisory councils and Policy Lab supported the agency's COVID-19 response. Includes rural references throughout.
Additional links: Full Report
Date: 02/2026
Sponsoring organization: Government Accountability Office
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State Medicaid & CHIP Toolkit for Children's Behavioral Health Services and the Early and Periodic Screening, Diagnostic and Treatment (EPSDT) Requirements
Toolkit designed to support state Medicaid and CHIP agencies in ensuring that children and youth experiencing behavioral health conditions get the care they need under the Early and Periodic Screening, Diagnostic and Treatment (EPSDT) requirements. Offers state examples within each strategy and sub-strategy presented. Includes rural considerations throughout.
Date: 02/2026
Sponsoring organization: Centers for Medicare and Medicaid Services
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Toolkit designed to support state Medicaid and CHIP agencies in ensuring that children and youth experiencing behavioral health conditions get the care they need under the Early and Periodic Screening, Diagnostic and Treatment (EPSDT) requirements. Offers state examples within each strategy and sub-strategy presented. Includes rural considerations throughout.
Date: 02/2026
Sponsoring organization: Centers for Medicare and Medicaid Services
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Catalog of Value-Based Initiatives for Rural Providers
Summarizes rural-relevant, value-based programs currently or recently implemented by the U.S. Department of Health and Human Services (HHS), including the Centers for Medicare & Medicaid Services (CMS) and the CMS Innovation Center. Designed to help rural healthcare leaders identify HHS value-based programs that are suitable for rural participation. Contains descriptions of each demonstration and provides direct links to the corresponding agency web page.
Date: 02/2026
Sponsoring organization: Rural Health Value
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Summarizes rural-relevant, value-based programs currently or recently implemented by the U.S. Department of Health and Human Services (HHS), including the Centers for Medicare & Medicaid Services (CMS) and the CMS Innovation Center. Designed to help rural healthcare leaders identify HHS value-based programs that are suitable for rural participation. Contains descriptions of each demonstration and provides direct links to the corresponding agency web page.
Date: 02/2026
Sponsoring organization: Rural Health Value
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Telemedicine in Rural EMS: Expanding Capabilities and Scope
Discusses the integration of telemedicine and emergency medical services (EMS) for improving rural health outcomes by connecting EMS with trauma specialists and expanding what is available as prehospital care. Describes the workforce, equipment, and infrastructure needs.
Author(s): Andrew Dreiser
Citation: EMS World, 2026
Date: 02/2026
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Discusses the integration of telemedicine and emergency medical services (EMS) for improving rural health outcomes by connecting EMS with trauma specialists and expanding what is available as prehospital care. Describes the workforce, equipment, and infrastructure needs.
Author(s): Andrew Dreiser
Citation: EMS World, 2026
Date: 02/2026
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Rural-Based Accountable Care Organizations Agreement Renewal
Policy brief describing characteristics of Accountable Care Organizations participating in the Medicare Shared Savings Program (MSSP). Compares trends in exits and entries into MSSP between rural and urban areas from 2013-2022.
Author(s): Edmer Lazaro, Dan M. Shane, Fred Ullrich, Keith Mueller
Date: 02/2026
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Policy brief describing characteristics of Accountable Care Organizations participating in the Medicare Shared Savings Program (MSSP). Compares trends in exits and entries into MSSP between rural and urban areas from 2013-2022.
Author(s): Edmer Lazaro, Dan M. Shane, Fred Ullrich, Keith Mueller
Date: 02/2026
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Evaluation of the Making Care Primary Model
Provides an overview of the Centers for Medicare & Medicaid Services (CMS) Innovation Center's Making Care Primary (MCP) Model. Explores model participation, participants' early implementation experiences, and the model's chances for meeting model expansion criteria related to cost and quality.
Additional links: Findings at a Glance
Date: 02/2026
Sponsoring organization: Centers for Medicare and Medicaid Services
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Provides an overview of the Centers for Medicare & Medicaid Services (CMS) Innovation Center's Making Care Primary (MCP) Model. Explores model participation, participants' early implementation experiences, and the model's chances for meeting model expansion criteria related to cost and quality.
Additional links: Findings at a Glance
Date: 02/2026
Sponsoring organization: Centers for Medicare and Medicaid Services
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