Rural Health
Resources by Topic: Service delivery models
Early Adoption of Telehealth/Remote Patient Monitoring and Hospital Revenue Changes During COVID-19
Evaluates telehealth and remote patient monitoring use between 2019 and 2020 among 1,742 rural and urban hospitals to determine the impact of COVID-19 on utilization and revenue. Discusses potential policy measures given study findings.
Author(s): Claudia A. Rhoades, Brian E. Whitacre, Alison F. Davis
Citation: Journal of Telemedicine and Telecare, 31(10)
Date: 12/2025
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Evaluates telehealth and remote patient monitoring use between 2019 and 2020 among 1,742 rural and urban hospitals to determine the impact of COVID-19 on utilization and revenue. Discusses potential policy measures given study findings.
Author(s): Claudia A. Rhoades, Brian E. Whitacre, Alison F. Davis
Citation: Journal of Telemedicine and Telecare, 31(10)
Date: 12/2025
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Rural Perspectives on Digital Health in Cardiovascular Care: Qualitative Study of Interviews With Rural and Rural-Serving Primary Care Providers and Cardiologists
Explores the perspectives of 17 rural and rural-serving healthcare providers in Alaska, Idaho, and Washington, on the use of digital health to deliver rural cardiovascular care. Discusses five factors that influence adoption outlined by the Diffusion of Innovations (DOI) theory: relative advantage, compatibility, complexity, trialability, and observability. Identifies themes that emerged from semi-structured interviews with these providers, including advantages and disadvantages of using digital health in their practice.
Author(s): Signe Burchim, Susan Miller, Kristin Beima-Sofie, et al.
Citation: Journal of Medical Internet Research, 27, e77234
Date: 11/2025
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Explores the perspectives of 17 rural and rural-serving healthcare providers in Alaska, Idaho, and Washington, on the use of digital health to deliver rural cardiovascular care. Discusses five factors that influence adoption outlined by the Diffusion of Innovations (DOI) theory: relative advantage, compatibility, complexity, trialability, and observability. Identifies themes that emerged from semi-structured interviews with these providers, including advantages and disadvantages of using digital health in their practice.
Author(s): Signe Burchim, Susan Miller, Kristin Beima-Sofie, et al.
Citation: Journal of Medical Internet Research, 27, e77234
Date: 11/2025
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Referrals and Utilization of Diabetes Self-Management Education and Support (DSMES) among Patients with Type 1 and Type 2 Diabetes at a Regional Medical Center in Kentucky
Analyzes demographic and clinical factors associated with diabetes self-management education and support (DSMES) among patients. Utilizes electronic health records of 10,587 diabetes patients receiving care at a regional medical center in Kentucky to examine DSMES attendance and referrals according to patient demographics, insurance type, clinical variables, and rural versus urban location.
Author(s): Omer Atac, George C. Bryant, William B. Burrows, et al.
Citation: BMC Public Health, 25, 3880
Date: 11/2025
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Analyzes demographic and clinical factors associated with diabetes self-management education and support (DSMES) among patients. Utilizes electronic health records of 10,587 diabetes patients receiving care at a regional medical center in Kentucky to examine DSMES attendance and referrals according to patient demographics, insurance type, clinical variables, and rural versus urban location.
Author(s): Omer Atac, George C. Bryant, William B. Burrows, et al.
Citation: BMC Public Health, 25, 3880
Date: 11/2025
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Medicare Waiver Expiration & Telehealth FAQs
Provides answers to frequently asked questions regarding the expiration of Medicare telehealth waivers on September 30, 2025. Covers in-person visit requirements, billing procedures, and the applicability of policies across different care settings, including Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs).
Additional links: Chart: Telehealth Medicare Post-September 30, 2025
Date: 11/2025
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
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Provides answers to frequently asked questions regarding the expiration of Medicare telehealth waivers on September 30, 2025. Covers in-person visit requirements, billing procedures, and the applicability of policies across different care settings, including Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs).
Additional links: Chart: Telehealth Medicare Post-September 30, 2025
Date: 11/2025
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
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Positive Outliers: How Some Rural Communities Maintain Access to Labor and Delivery Services
Explores healthcare providers' approaches to ensuring maternal care access in rural Texas, Oklahoma, Alabama, and Mississippi. Provides case studies on the role of rural hospitals and clinics in providing labor and delivery services, discusses financial and logistical challenges faced by providers, and details funding, policy, and service delivery strategies supporting continued access.
Author(s): Sarah Klein, Molly Castle Work
Date: 10/2025
Sponsoring organizations: Bassett Research Institute, Commonwealth Fund
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Explores healthcare providers' approaches to ensuring maternal care access in rural Texas, Oklahoma, Alabama, and Mississippi. Provides case studies on the role of rural hospitals and clinics in providing labor and delivery services, discusses financial and logistical challenges faced by providers, and details funding, policy, and service delivery strategies supporting continued access.
Author(s): Sarah Klein, Molly Castle Work
Date: 10/2025
Sponsoring organizations: Bassett Research Institute, Commonwealth Fund
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Nurse-Directed Coordination of Cancer Survivorship Care in a Tribal Primary Care Clinic
Examines the feasibility of a nurse cancer care coordinator intervention focused on improving cancer care at a tribally-operated primary care clinic in the Choctaw Nation of Oklahoma. Provides data on survivorship care plans, cancer-related distress, time spent on coordination activities, and other aspects of program implementation via a trial utilizing data of 23 American Indian intervention participants.
Author(s): Amber S. Anderson-Buettner, Kathleen A. Dwyer, Zsolt J. Nagykaldi, et al.
Citation: BMC Primary Care, 26, 334
Date: 10/2025
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Examines the feasibility of a nurse cancer care coordinator intervention focused on improving cancer care at a tribally-operated primary care clinic in the Choctaw Nation of Oklahoma. Provides data on survivorship care plans, cancer-related distress, time spent on coordination activities, and other aspects of program implementation via a trial utilizing data of 23 American Indian intervention participants.
Author(s): Amber S. Anderson-Buettner, Kathleen A. Dwyer, Zsolt J. Nagykaldi, et al.
Citation: BMC Primary Care, 26, 334
Date: 10/2025
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Calendar Year (CY) 2026 Medicare Physician Fee Schedule Final Rule (CMS-1832-F)
Fact sheet providing an overview of the Centers for Medicare & Medicaid Services (CMS) final rule regarding updates and changes to the Medicare payments under the Physician Fee Schedule (PFS) and other Medicare Part B issues for calendar year 2026. Summarizes provisions related to telehealth services; improving care for chronic illness and behavioral health needs; Rural Health Clinic (RHC) and Federally Qualified Health Center (FQHC) care coordination services, services requiring direct supervision, and telecommunication services; and more.
Date: 10/2025
Sponsoring organization: Centers for Medicare and Medicaid Services
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Fact sheet providing an overview of the Centers for Medicare & Medicaid Services (CMS) final rule regarding updates and changes to the Medicare payments under the Physician Fee Schedule (PFS) and other Medicare Part B issues for calendar year 2026. Summarizes provisions related to telehealth services; improving care for chronic illness and behavioral health needs; Rural Health Clinic (RHC) and Federally Qualified Health Center (FQHC) care coordination services, services requiring direct supervision, and telecommunication services; and more.
Date: 10/2025
Sponsoring organization: Centers for Medicare and Medicaid Services
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State Telehealth Laws and Reimbursement Policies Report, Fall 2025
Provides an overview of state telehealth policies as of early September 2025. Covers Medicaid reimbursement, private payer laws, and professional requirements.
Additional links: Executive Summary, Infographic, State Summary Chart
Date: 10/2025
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
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Provides an overview of state telehealth policies as of early September 2025. Covers Medicaid reimbursement, private payer laws, and professional requirements.
Additional links: Executive Summary, Infographic, State Summary Chart
Date: 10/2025
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
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Rural Transformation Program State Legislative Resources
Provides an overview of the Rural Health Transformation Program, including how states approached seeking public input for the application. Describes how states have successfully implemented policies related to the allowable uses of Rural Health Transformation Program funds.
Date: 10/2025
Sponsoring organization: National Conference of State Legislatures
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Provides an overview of the Rural Health Transformation Program, including how states approached seeking public input for the application. Describes how states have successfully implemented policies related to the allowable uses of Rural Health Transformation Program funds.
Date: 10/2025
Sponsoring organization: National Conference of State Legislatures
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How States Can Boost Behavioral Health Services in Rural Communities
Explores ways state officials can utilize federal funds to increase mental health and substance use treatment for rural communities. Highlights strategies for increasing access to behavioral health services in rural communities that can be funded through the Rural Health Transformation (RHT) Program.
Author(s): Alexandra Duncan, Kristen Mizzi Angelone
Date: 10/2025
Sponsoring organization: Pew Research Center
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Explores ways state officials can utilize federal funds to increase mental health and substance use treatment for rural communities. Highlights strategies for increasing access to behavioral health services in rural communities that can be funded through the Rural Health Transformation (RHT) Program.
Author(s): Alexandra Duncan, Kristen Mizzi Angelone
Date: 10/2025
Sponsoring organization: Pew Research Center
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