Rural Health
Resources by Topic: Service delivery models
Tele-Hospitalist Services to Support the Opening of a New Rural Hospital
Describes a tele-hospitalist model designed to support the Medical University of South Carolina Health System (MUSC Health) Black River, a 25-bed rural hospital in South Carolina that opened in 2023. Examines the operational and clinical performance of MUSC Health Black River during its first six quarters of operation, including patient volume, payer mix, average daily census (ADC), 30-day readmissions, and more.
Author(s): Yotam Papo, Jillian Harvey, Dunc Williams Jr., et al.
Citation: Journal of Hospital Medicine, 21(9), 1075-1080
Date: 09/2026
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Describes a tele-hospitalist model designed to support the Medical University of South Carolina Health System (MUSC Health) Black River, a 25-bed rural hospital in South Carolina that opened in 2023. Examines the operational and clinical performance of MUSC Health Black River during its first six quarters of operation, including patient volume, payer mix, average daily census (ADC), 30-day readmissions, and more.
Author(s): Yotam Papo, Jillian Harvey, Dunc Williams Jr., et al.
Citation: Journal of Hospital Medicine, 21(9), 1075-1080
Date: 09/2026
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State RHTP & Telehealth Database
Excel spreadsheet detailing the telehealth-related initiatives included in each state's Rural Health Transformation Program project narrative. Allows users to filter by telehealth modality, healthcare issue addressed, proposed use of AI, and more.
Date: 08/2026
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
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Excel spreadsheet detailing the telehealth-related initiatives included in each state's Rural Health Transformation Program project narrative. Allows users to filter by telehealth modality, healthcare issue addressed, proposed use of AI, and more.
Date: 08/2026
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
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Choosing a Falls Prevention Program That Works for Your Community
Describes how to match a falls prevention program to community needs. Highlights evidence-based programs approved by the Administration for Community Living (ACL). Discusses rural considerations regarding training demands and delivery methods.
Date: 08/2026
Sponsoring organization: National Council on Aging
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Describes how to match a falls prevention program to community needs. Highlights evidence-based programs approved by the Administration for Community Living (ACL). Discusses rural considerations regarding training demands and delivery methods.
Date: 08/2026
Sponsoring organization: National Council on Aging
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Mandatory Value-Based Payment Programs and Hospital Administrative Costs
Explores the association between hospital participation in mandatory value-based payment programs and hospital administrative costs. Analyzes Medicare cost report data from 2006 to 2020 to examine hospital administrative costs before and during implementation of four mandatory programs: the Hospital Value-Based Purchasing (HVBP) program, the Hospital Readmissions Reduction Program (HRRP), the Hospital-Acquired Condition Reduction Program (HACRP), and the Comprehensive Care for Joint Replacement (CJR) model. Compares data from participating hospitals to data from nonparticipating hospitals, including general acute care hospitals in Maryland that were paid under Maryland's all-payer model, Critical Access Hospitals, and long-term care hospitals.
Author(s): Zehui Zhou, Jason D. Buxbaum, Andrew M. Ryan
Citation: JAMA Health Forum, 7(8), e262503
Date: 08/2026
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Explores the association between hospital participation in mandatory value-based payment programs and hospital administrative costs. Analyzes Medicare cost report data from 2006 to 2020 to examine hospital administrative costs before and during implementation of four mandatory programs: the Hospital Value-Based Purchasing (HVBP) program, the Hospital Readmissions Reduction Program (HRRP), the Hospital-Acquired Condition Reduction Program (HACRP), and the Comprehensive Care for Joint Replacement (CJR) model. Compares data from participating hospitals to data from nonparticipating hospitals, including general acute care hospitals in Maryland that were paid under Maryland's all-payer model, Critical Access Hospitals, and long-term care hospitals.
Author(s): Zehui Zhou, Jason D. Buxbaum, Andrew M. Ryan
Citation: JAMA Health Forum, 7(8), e262503
Date: 08/2026
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MedPAC Comment on CMS's Proposed Rule on the Payment System for End-Stage Renal Disease for CY 2027
Comments on a June 26, 2026, Federal Register proposed rule related to Medicare payment policies for end-stage renal disease (ESRD). Includes comments addressing updates to the ESRD bundled market basket and the low-volume payment adjustment (LVPA), approaches to increase home dialysis use, and more.
Date: 08/2026
Sponsoring organization: Medicare Payment Advisory Commission
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Comments on a June 26, 2026, Federal Register proposed rule related to Medicare payment policies for end-stage renal disease (ESRD). Includes comments addressing updates to the ESRD bundled market basket and the low-volume payment adjustment (LVPA), approaches to increase home dialysis use, and more.
Date: 08/2026
Sponsoring organization: Medicare Payment Advisory Commission
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Measuring the Association of Medicaid Accountable Care Organizations on Total Cost of Care Across the Perinatal Period
Evaluates the impact of Medicaid Accountable Care Organizations (ACOs) on the cost of healthcare in prenatal, delivery, and postpartum periods. Compares 150,879 Medicaid-covered live deliveries in Massachusetts practices that both did and did not participate in an ACO implementation between January 2016 and March 2023. Includes the rural ZIP code residence percentage for deliveries included in the study.
Author(s): Kathleen Carey, Megan B. Cole
Citation: Health Affairs Scholar, 4(8)
Date: 08/2026
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Evaluates the impact of Medicaid Accountable Care Organizations (ACOs) on the cost of healthcare in prenatal, delivery, and postpartum periods. Compares 150,879 Medicaid-covered live deliveries in Massachusetts practices that both did and did not participate in an ACO implementation between January 2016 and March 2023. Includes the rural ZIP code residence percentage for deliveries included in the study.
Author(s): Kathleen Carey, Megan B. Cole
Citation: Health Affairs Scholar, 4(8)
Date: 08/2026
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Five Milestones to Addressing Rural Veteran Care Coordination, Care Management, and Case Management Needs: An Integrated Case Management Practice Framework
Explores the implementation of the Veterans Health Administration (VHA) Care Coordination and Integrated Case Management (CCICM) program into rural facilities. Highlights the goals of the CCICM program and outlines the challenges of implementing it in rural areas. Breaks down the implementation process into five milestones – leadership awareness, facility readiness, preparing to implement, systems and clinical integration, and establishment of a governance structure.
Author(s): Christine Melillo, Heidi Sjoberg, Marcie Lee, et al.
Citation: Journal of Rural Health, 42(3), e70190
Date: 08/2026
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Explores the implementation of the Veterans Health Administration (VHA) Care Coordination and Integrated Case Management (CCICM) program into rural facilities. Highlights the goals of the CCICM program and outlines the challenges of implementing it in rural areas. Breaks down the implementation process into five milestones – leadership awareness, facility readiness, preparing to implement, systems and clinical integration, and establishment of a governance structure.
Author(s): Christine Melillo, Heidi Sjoberg, Marcie Lee, et al.
Citation: Journal of Rural Health, 42(3), e70190
Date: 08/2026
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Rural West Virginia Health Center Helps Patients Access Prescriptions
Features Mountain Laurel Integrated Healthcare (MLIH), which started its own onsite pharmacy to help patients fill prescriptions the same day they see their provider. MLIH offers medication management, compliance packaging, and assistance addressing access barriers.
Author(s): Allee Mead
Citation: Rural Monitor
Date: 08/2026
Sponsoring organization: Rural Health Information Hub
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Features Mountain Laurel Integrated Healthcare (MLIH), which started its own onsite pharmacy to help patients fill prescriptions the same day they see their provider. MLIH offers medication management, compliance packaging, and assistance addressing access barriers.
Author(s): Allee Mead
Citation: Rural Monitor
Date: 08/2026
Sponsoring organization: Rural Health Information Hub
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Expansion of Access to Rheumatology Care for Rural Veterans: Program Development and Initial Feasibility of the National Tele-Rheumatology Program Using the RE-AIM Framework
Presents a study exploring the feasibility of the National Tele-Rheumatology Program (NTRP) hub-and-spoke model to expand access to rheumatology care for rural veterans. Discusses the program's design and implementation and evaluates outcomes based on surveys of veterans and staff interviews. Compares findings by rural and urban settings.
Author(s): Gabriela Schmajuk, Cherish R. Wilson, Catherine Nasrallah, et al.
Citation: Journal of Rural Health, 42(3), e70198
Date: 08/2026
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Presents a study exploring the feasibility of the National Tele-Rheumatology Program (NTRP) hub-and-spoke model to expand access to rheumatology care for rural veterans. Discusses the program's design and implementation and evaluates outcomes based on surveys of veterans and staff interviews. Compares findings by rural and urban settings.
Author(s): Gabriela Schmajuk, Cherish R. Wilson, Catherine Nasrallah, et al.
Citation: Journal of Rural Health, 42(3), e70198
Date: 08/2026
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Integrating Physical and Behavioral Health: Addressing Co-Occurring Mental Health and Substance Use Disorders with Chronic Physical Illnesses
Report details the way physical and behavioral healthcare integration can support patients with co-occurring behavioral health disorders and chronic physical issues. Discusses the different levels of care integration, evidence-based approaches, and established models for care integration in different settings. Highlights a rural clinic-based telepsychiatry model in South Carolina.
Date: 08/2026
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Report details the way physical and behavioral healthcare integration can support patients with co-occurring behavioral health disorders and chronic physical issues. Discusses the different levels of care integration, evidence-based approaches, and established models for care integration in different settings. Highlights a rural clinic-based telepsychiatry model in South Carolina.
Date: 08/2026
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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