Rural Health
Resources by Topic: Service delivery models
Beneficiary and Clinician Perspectives on Medicare and Other Issues: Findings from 2023 Focus Groups in Select States
Summarizes findings from 24 focus groups of Medicare beneficiaries, Medicare and Medicaid (dual eligible) beneficiaries, and clinicians conducted between May and July 2023, including three virtual focus groups of rural Medicare beneficiaries. Highlights themes that emerged across the focus groups covering Medicare coverage options, access to care, telehealth, organization of care, and prescription drugs.
Date: 02/2024
Type: Document
Sponsoring organizations: Medicare Payment Advisory Commission, NORC at the University of Chicago
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Summarizes findings from 24 focus groups of Medicare beneficiaries, Medicare and Medicaid (dual eligible) beneficiaries, and clinicians conducted between May and July 2023, including three virtual focus groups of rural Medicare beneficiaries. Highlights themes that emerged across the focus groups covering Medicare coverage options, access to care, telehealth, organization of care, and prescription drugs.
Date: 02/2024
Type: Document
Sponsoring organizations: Medicare Payment Advisory Commission, NORC at the University of Chicago
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Evaluation of the Primary Care First Model: Second Annual Report
Provides an overview of the Primary Care First (PCF) model, which aims to enhance primary care and move primary care practitioners toward value-based payment. Describes the PCF model implementation experiences for Cohort 1 and Cohort 2 practices. Explores the preliminary impact of the PCF Model on acute hospitalizations and Medicare Part A and B expenditures relative to a comparison group. Estimates the impacts of the model on a set of seven leading indicators to provide an early assessment of whether care delivery changes are resulting in meaningful early outcome changes. Highlights implications from this report for the Primary Care First model and future models.
Additional links: Findings at a Glance
Date: 02/2024
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, Mathematica
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Provides an overview of the Primary Care First (PCF) model, which aims to enhance primary care and move primary care practitioners toward value-based payment. Describes the PCF model implementation experiences for Cohort 1 and Cohort 2 practices. Explores the preliminary impact of the PCF Model on acute hospitalizations and Medicare Part A and B expenditures relative to a comparison group. Estimates the impacts of the model on a set of seven leading indicators to provide an early assessment of whether care delivery changes are resulting in meaningful early outcome changes. Highlights implications from this report for the Primary Care First model and future models.
Additional links: Findings at a Glance
Date: 02/2024
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, Mathematica
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Mobile Units and Your RHC - Is It a Good Fit?
Recording of a February 21, 2024, webinar reviewing current regulations and guidance regarding Rural Health Clinic (RHC) mobile units. Explores operational considerations regarding whether a mobile unit is a good fit for an RHC. Profiles the experiences of Baptist Health opening a mobile RHC unit in rural Kentucky. Part of the Rural Health Clinic Technical Assistance Series.
Additional links: Presentation Slides
Date: 02/2024
Type: Video/Multimedia
Sponsoring organization: National Association of Rural Health Clinics
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Recording of a February 21, 2024, webinar reviewing current regulations and guidance regarding Rural Health Clinic (RHC) mobile units. Explores operational considerations regarding whether a mobile unit is a good fit for an RHC. Profiles the experiences of Baptist Health opening a mobile RHC unit in rural Kentucky. Part of the Rural Health Clinic Technical Assistance Series.
Additional links: Presentation Slides
Date: 02/2024
Type: Video/Multimedia
Sponsoring organization: National Association of Rural Health Clinics
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CommHIT Shoots for the Moon
Features a Rural Public Health Workforce Training Network grantee, CommHIT, that is assisting Florida partners with workforce development initiatives. Describes its workforce development efforts focused on community health workers (CHWs) and community paramedics, as well as cybersecurity and other technology-related trainings.
Author(s): Brendan Stermer
Citation: Rural Monitor
Date: 02/2024
Type: Document
Sponsoring organization: Rural Health Information Hub
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Features a Rural Public Health Workforce Training Network grantee, CommHIT, that is assisting Florida partners with workforce development initiatives. Describes its workforce development efforts focused on community health workers (CHWs) and community paramedics, as well as cybersecurity and other technology-related trainings.
Author(s): Brendan Stermer
Citation: Rural Monitor
Date: 02/2024
Type: Document
Sponsoring organization: Rural Health Information Hub
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Assessing the Acceptability and Feasibility of Remote Spirometric Monitoring for Rural Patients with Interstitial Lung Disease: A Multimethod Approach
Examines the acceptability and feasibility of utilizing telemonitoring for rural lung disease patients who have limited access to hospital-based tests. Analyzes home-based spirometry use of 20 rural patients and provides patient feedback on satisfaction of using telehealth to complete remote monitoring of lung disease.
Author(s): Ryan D. Boente, Sydney Schacht, Rebecca Borton, et al.
Citation: Respiratory Research, 25, 92
Date: 02/2024
Type: Document
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Examines the acceptability and feasibility of utilizing telemonitoring for rural lung disease patients who have limited access to hospital-based tests. Analyzes home-based spirometry use of 20 rural patients and provides patient feedback on satisfaction of using telehealth to complete remote monitoring of lung disease.
Author(s): Ryan D. Boente, Sydney Schacht, Rebecca Borton, et al.
Citation: Respiratory Research, 25, 92
Date: 02/2024
Type: Document
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Integrated Care for Kids (InCK) Model: Evaluation Report 2
Presents findings from the first year of the implementation of the Integrated Care for Kids (InCK) Model, which aims to improve health outcomes for Medicaid-enrolled children with complex physical and behavioral health needs. Provides an overview of the InCK Model and profiles each InCK award recipient's model, community context, approach to assessing beneficiary needs, and alternative payment model design. Identifies models serving rural areas and service gaps in these areas.
Additional links: Findings at a Glance
Date: 02/2024
Type: Document
Sponsoring organizations: Abt Associates, Centers for Medicare and Medicaid Services
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Presents findings from the first year of the implementation of the Integrated Care for Kids (InCK) Model, which aims to improve health outcomes for Medicaid-enrolled children with complex physical and behavioral health needs. Provides an overview of the InCK Model and profiles each InCK award recipient's model, community context, approach to assessing beneficiary needs, and alternative payment model design. Identifies models serving rural areas and service gaps in these areas.
Additional links: Findings at a Glance
Date: 02/2024
Type: Document
Sponsoring organizations: Abt Associates, Centers for Medicare and Medicaid Services
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Lessons Learned from Efforts to Support Vulnerable Critical Access and Other Rural Hospitals
Provides an overview of state and federal programs, demonstrations, and models designed to support Critical Access Hospitals (CAHs) and other rural hospitals. Describes challenges facing CAHs and rural hospitals, including chronic workforce shortages, high operating and staffing costs, inadequate reimbursement, operational and regulatory issues, and the diverse demographics of rural communities. Discusses lessons learned, the new for a new rural hospital model, and next steps.
Author(s): John Gale, Celia Jewell, Karen Pearson
Date: 02/2024
Type: Document
Sponsoring organization: Flex Monitoring Team
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Provides an overview of state and federal programs, demonstrations, and models designed to support Critical Access Hospitals (CAHs) and other rural hospitals. Describes challenges facing CAHs and rural hospitals, including chronic workforce shortages, high operating and staffing costs, inadequate reimbursement, operational and regulatory issues, and the diverse demographics of rural communities. Discusses lessons learned, the new for a new rural hospital model, and next steps.
Author(s): John Gale, Celia Jewell, Karen Pearson
Date: 02/2024
Type: Document
Sponsoring organization: Flex Monitoring Team
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How to Launch a Pulmonary Rehab Program
Highlights the benefits to hospitals and their community of operating rural pulmonary rehab programs, and shares practical advice and tips on how Critical Access Hospitals and small rural hospitals can successfully build and sustain their own pulmonary rehab programs. Features Sparta Community Hospital in Illinois and Hood Memorial Hospital in Louisiana, which opened pulmonary rehab programs in 2023. Includes transcript.
Date: 02/2024
Type: Video/Multimedia
Sponsoring organization: National Rural Health Resource Center
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Highlights the benefits to hospitals and their community of operating rural pulmonary rehab programs, and shares practical advice and tips on how Critical Access Hospitals and small rural hospitals can successfully build and sustain their own pulmonary rehab programs. Features Sparta Community Hospital in Illinois and Hood Memorial Hospital in Louisiana, which opened pulmonary rehab programs in 2023. Includes transcript.
Date: 02/2024
Type: Video/Multimedia
Sponsoring organization: National Rural Health Resource Center
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Understanding COPD and Pulmonary Rehabilitation
Provides an overview of chronic obstructive pulmonary disease (COPD) symptoms and causes, and explains how rural-based pulmonary rehabilitation services help to restore independence and quality of life in COPD patients. Highlights the prevalence of COPD in rural communities and the steps that Critical Access Hospitals and other small rural hospitals can take to improve access to much-needed pulmonary rehabilitation services. Includes transcript.
Date: 02/2024
Type: Video/Multimedia
Sponsoring organization: National Rural Health Resource Center
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Provides an overview of chronic obstructive pulmonary disease (COPD) symptoms and causes, and explains how rural-based pulmonary rehabilitation services help to restore independence and quality of life in COPD patients. Highlights the prevalence of COPD in rural communities and the steps that Critical Access Hospitals and other small rural hospitals can take to improve access to much-needed pulmonary rehabilitation services. Includes transcript.
Date: 02/2024
Type: Video/Multimedia
Sponsoring organization: National Rural Health Resource Center
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State Medicaid & CHIP Telehealth Toolkit
Toolkit to support state policymakers in expanding the use of telehealth to deliver Medicaid and Children's Health Insurance Program (CHIP) services. Provides information on telehealth flexibilities under Medicaid and CHIP; billing best practices; strategies for telehealth in value-based care; best practices from states during the COVID-19 public health emergency; strategies to promote the delivery of accessible and culturally competent care via telehealth; evaluation strategies to understand how telehealth affects quality, outcomes, and cost, and more. Offers state policy and operational considerations; information about common telehealth modalities; frequently asked questions for states to consider as they explore whether to expand the use of telehealth; Medicaid managed care and fee-for-service state checklists; and other planning tools. Includes information about using telehealth to deliver services to medically underserved and rural communities, American Indian and Alaska Native individuals, individuals with disabilities, older adults, and other specific populations.
Date: 02/2024
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Toolkit to support state policymakers in expanding the use of telehealth to deliver Medicaid and Children's Health Insurance Program (CHIP) services. Provides information on telehealth flexibilities under Medicaid and CHIP; billing best practices; strategies for telehealth in value-based care; best practices from states during the COVID-19 public health emergency; strategies to promote the delivery of accessible and culturally competent care via telehealth; evaluation strategies to understand how telehealth affects quality, outcomes, and cost, and more. Offers state policy and operational considerations; information about common telehealth modalities; frequently asked questions for states to consider as they explore whether to expand the use of telehealth; Medicaid managed care and fee-for-service state checklists; and other planning tools. Includes information about using telehealth to deliver services to medically underserved and rural communities, American Indian and Alaska Native individuals, individuals with disabilities, older adults, and other specific populations.
Date: 02/2024
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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