Rural Health
Resources by Topic: Service delivery models
A Perinatal Psychiatry Access Program to Address Rural and Medically Underserved Populations Using Telemedicine
Examines the Moms IMPACTT (Improving Access to Perinatal Mental Health and Substance Use Disorder Care Through Telehealth and Tele-mentoring) program in South Carolina, which aims to address perinatal mental health and substance use issues through healthcare partnerships and telemedicine. Provides details and impact of the program, including outreach and engagement with rural and underserved communities.
Author(s): Courtney King, Marie Hayes, Lizmarie Maldonado, et al.
Citation: BMC Women's Health, 25, 30
Date: 01/2025
Type: Document
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Examines the Moms IMPACTT (Improving Access to Perinatal Mental Health and Substance Use Disorder Care Through Telehealth and Tele-mentoring) program in South Carolina, which aims to address perinatal mental health and substance use issues through healthcare partnerships and telemedicine. Provides details and impact of the program, including outreach and engagement with rural and underserved communities.
Author(s): Courtney King, Marie Hayes, Lizmarie Maldonado, et al.
Citation: BMC Women's Health, 25, 30
Date: 01/2025
Type: Document
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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
Type: Document
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
Type: Document
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Factors Influencing Evidence-Based Cardiovascular Disease Prevention Programming in Rural African American Communities: A Community-Engaged Concept Mapping Study
Analyzes perspectives on evidence-based cardiovascular disease (CVD) prevention and management programs, utilizing a group concept mapping (GCM) approach with input from 31 community-based, faith, and healthcare organizations serving African Americans in rural North Carolina.
Author(s): Amelia DeFosset, Breanna Deutsch-Williams, Mysha Wynn, et al.
Citation: Implementation Science Communications, 6, 11
Date: 01/2025
Type: Document
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Analyzes perspectives on evidence-based cardiovascular disease (CVD) prevention and management programs, utilizing a group concept mapping (GCM) approach with input from 31 community-based, faith, and healthcare organizations serving African Americans in rural North Carolina.
Author(s): Amelia DeFosset, Breanna Deutsch-Williams, Mysha Wynn, et al.
Citation: Implementation Science Communications, 6, 11
Date: 01/2025
Type: Document
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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
Type: Document
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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
Type: Document
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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
Type: Document
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
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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A Summary of State Innovation Models (SIM) Evaluation Results Across 17 States (2013-2020)
Summarizes evaluation results of the State Innovation Models (SIM), which examined the ability of 17 state governments to implement and test innovative value-based payment (VBP) healthcare models across multiple payers between 2013 and 2020. Presents findings regarding the implementation and impact of 29 delivery and payment models, including patient-centered medical homes, accountable care organizations, behavioral health integration, and more. Covers state contracting and consensus building, practice transformation, pediatric care, behavioral healthcare, beneficiary and provider perspectives, and more. Includes a section on payment model designs tailored to unique state needs, including rural populations, as well as rural references throughout.
Additional links: A Summary of State Innovation Models (SIM): Focus on State-Led Transformation - Findings at a Glance, Executive Summary, Findings at a Glance
Date: 01/2025
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Summarizes evaluation results of the State Innovation Models (SIM), which examined the ability of 17 state governments to implement and test innovative value-based payment (VBP) healthcare models across multiple payers between 2013 and 2020. Presents findings regarding the implementation and impact of 29 delivery and payment models, including patient-centered medical homes, accountable care organizations, behavioral health integration, and more. Covers state contracting and consensus building, practice transformation, pediatric care, behavioral healthcare, beneficiary and provider perspectives, and more. Includes a section on payment model designs tailored to unique state needs, including rural populations, as well as rural references throughout.
Additional links: A Summary of State Innovation Models (SIM): Focus on State-Led Transformation - Findings at a Glance, Executive Summary, Findings at a Glance
Date: 01/2025
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Shared Savings Program Fast Facts
Provides summary statistics on the Medicare Shared Savings Program as of January 1, 2025. Offers data on the number of Accountable Care Organizations (ACOs), assigned beneficiaries, total earned shared savings, and quality scores each year since 2012; the number and percent of ACOs in each track; and more. Includes information on ACO participants, including the number of Rural Health Clinics (RHCs) and Critical Access Hospitals (CAHs) participating in the program.
Date: 01/2025
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Provides summary statistics on the Medicare Shared Savings Program as of January 1, 2025. Offers data on the number of Accountable Care Organizations (ACOs), assigned beneficiaries, total earned shared savings, and quality scores each year since 2012; the number and percent of ACOs in each track; and more. Includes information on ACO participants, including the number of Rural Health Clinics (RHCs) and Critical Access Hospitals (CAHs) participating in the program.
Date: 01/2025
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Patient Centered Medication Treatment for Opioid Use Disorder in Rural Vermont: A Qualitative Study
Examines patient perspectives on medications for opioid use disorder (MOUD) treatment in rural Vermont, utilizing interview data from 15 people who received care at Vermont Hub and Spoke clinics. Highlights patient perspectives on aspects of patient-centered care, and their influences on retention and engagement with treatment.
Author(s): Emily G. Hichborn, Owen B. Murray, Eilis I. Murphy, et al.
Citation: Addiction Science & Clinical Practice, 20, 3
Date: 01/2025
Type: Document
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Examines patient perspectives on medications for opioid use disorder (MOUD) treatment in rural Vermont, utilizing interview data from 15 people who received care at Vermont Hub and Spoke clinics. Highlights patient perspectives on aspects of patient-centered care, and their influences on retention and engagement with treatment.
Author(s): Emily G. Hichborn, Owen B. Murray, Eilis I. Murphy, et al.
Citation: Addiction Science & Clinical Practice, 20, 3
Date: 01/2025
Type: Document
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Maximizing the Value of Remote Patient Monitoring
Provides a brief description of the remote patient monitoring landscape. Discusses four areas policymakers could focus on to improve the effectiveness and accessibility of remote patient monitoring.
Author(s): Maya Sandalow, Julia Harris
Date: 01/2025
Type: Document
Sponsoring organization: Bipartisan Policy Center
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Provides a brief description of the remote patient monitoring landscape. Discusses four areas policymakers could focus on to improve the effectiveness and accessibility of remote patient monitoring.
Author(s): Maya Sandalow, Julia Harris
Date: 01/2025
Type: Document
Sponsoring organization: Bipartisan Policy Center
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Implementation of Mobile Medication Units: Findings from a Qualitative Study
Provides a brief overview of the development of policy regarding the approval of mobile medication units (MMUs) operated by opioid treatment programs (OTPs). Presents findings from an environmental scan and key informant interviews regarding MMU implementation. Discusses barriers to establishing, sustaining, and expanding MMU services. Describes opportunities to increase access to methadone in underserved communities. Includes rural references throughout.
Date: 01/2025
Type: Document
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, Mathematica
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Provides a brief overview of the development of policy regarding the approval of mobile medication units (MMUs) operated by opioid treatment programs (OTPs). Presents findings from an environmental scan and key informant interviews regarding MMU implementation. Discusses barriers to establishing, sustaining, and expanding MMU services. Describes opportunities to increase access to methadone in underserved communities. Includes rural references throughout.
Date: 01/2025
Type: Document
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, Mathematica
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