Rural Health
Resources by Topic: Service delivery models
Billing & Coding Telehealth
Recording of a webinar presented in October at the NARHC 2020 Virtual Fall Institute covering telehealth billing requirements relevant during the COVID-19 pandemic. Discusses changes that may occur once the public health emergency end, and the posting and coding of telehealth services on a cost report.
Additional links: Presentation Slides
Date: 10/2020
Sponsoring organization: National Association of Rural Health Clinics
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Recording of a webinar presented in October at the NARHC 2020 Virtual Fall Institute covering telehealth billing requirements relevant during the COVID-19 pandemic. Discusses changes that may occur once the public health emergency end, and the posting and coding of telehealth services on a cost report.
Additional links: Presentation Slides
Date: 10/2020
Sponsoring organization: National Association of Rural Health Clinics
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Psychiatrist and Psychologist Experiences with Telehealth and Remote Collaborative Care in Primary Care: A Qualitative Study
Discusses delivery of mental health services to rural patients through telehealth referral and remote collaborative care based on focus group sessions with 10 telepsychiatrists and 4 telepsychologists working in primary care clinics in Washington, Michigan, and Arkansas. Summarizes participant experiences of challenges and successes with telehealth delivery models.
Author(s): Molly Howland, McKenna Tennant, Deborah J. Bowen, et al.
Citation: Journal of Rural Health, 37(4), 780-787
Date: 10/2020
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Discusses delivery of mental health services to rural patients through telehealth referral and remote collaborative care based on focus group sessions with 10 telepsychiatrists and 4 telepsychologists working in primary care clinics in Washington, Michigan, and Arkansas. Summarizes participant experiences of challenges and successes with telehealth delivery models.
Author(s): Molly Howland, McKenna Tennant, Deborah J. Bowen, et al.
Citation: Journal of Rural Health, 37(4), 780-787
Date: 10/2020
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Prevalence and Characteristics of Telehealth Utilization in the United States
Results of a survey of 2555 people conducted between February-April 2019 to estimate the use of different forms of telehealth and reasons for nonuse. Features demographic statistics with breakdowns by urban or rural location.
Author(s): Shira H. Fischer, Kristin N. Ray, Ateev Mehrotra, Erika Litvin Bloom, Lori Uscher-Pines
Citation: JAMA Network Open, 3(10)
Date: 10/2020
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Results of a survey of 2555 people conducted between February-April 2019 to estimate the use of different forms of telehealth and reasons for nonuse. Features demographic statistics with breakdowns by urban or rural location.
Author(s): Shira H. Fischer, Kristin N. Ray, Ateev Mehrotra, Erika Litvin Bloom, Lori Uscher-Pines
Citation: JAMA Network Open, 3(10)
Date: 10/2020
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21st Century Cures Mobile Crisis Teams
Findings brief evaluating mobile crisis teams dedicated to addressing opioid and other substance use, especially in rural communities of Indiana. Discusses barriers and facilitators to implementing and operating mobile crisis teams, and offers recommendations.
Author(s): Beca Stockman, Staci Rising, Karla Camacho-Reyes
Date: 10/2020
Sponsoring organization: Indiana University Public Policy Institute
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Findings brief evaluating mobile crisis teams dedicated to addressing opioid and other substance use, especially in rural communities of Indiana. Discusses barriers and facilitators to implementing and operating mobile crisis teams, and offers recommendations.
Author(s): Beca Stockman, Staci Rising, Karla Camacho-Reyes
Date: 10/2020
Sponsoring organization: Indiana University Public Policy Institute
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Coronavirus Pandemic Highlights Critical Gaps in Rural Internet Access for Migrant and Seasonal Farmworkers: A Call for Partnership with Medical Libraries
Highlights the challenges of reaching migrant and seasonal farmworkers with public health information during the COVID-19 pandemic. Discuses migrants' lack of broadband internet as an inhibitor to migrants' ability to access both healthcare and public health information.
Author(s): Joseph G. L. Lee, Catherine E. LePrevost, Emery L. Harwell, et al.
Citation: Journal of the Medical Library Association, 108(4), 651-655
Date: 10/2020
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Highlights the challenges of reaching migrant and seasonal farmworkers with public health information during the COVID-19 pandemic. Discuses migrants' lack of broadband internet as an inhibitor to migrants' ability to access both healthcare and public health information.
Author(s): Joseph G. L. Lee, Catherine E. LePrevost, Emery L. Harwell, et al.
Citation: Journal of the Medical Library Association, 108(4), 651-655
Date: 10/2020
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Telebehavioral Health: An Effective Alternative to In-Person Care
Issue brief discussing telehealth treatment modalities based on a 2019 review of clinical outcomes related to telebehavioral health. Covers three state-level approaches: the Portland Veterans Affairs Medical Center Rural Telemental Health Program (VA RTMH), which serves rural Oregon veterans, and Medicaid policies in Texas and Massachusetts. Addresses telebehavioral health policy details, implementation, and considerations for states looking to develop new telebehavioral health policies during the COVID-19 pandemic.
Author(s): Brittany Lazur, Lily Sobolik, Valerie King
Date: 10/2020
Sponsoring organization: Milbank Memorial Fund
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Issue brief discussing telehealth treatment modalities based on a 2019 review of clinical outcomes related to telebehavioral health. Covers three state-level approaches: the Portland Veterans Affairs Medical Center Rural Telemental Health Program (VA RTMH), which serves rural Oregon veterans, and Medicaid policies in Texas and Massachusetts. Addresses telebehavioral health policy details, implementation, and considerations for states looking to develop new telebehavioral health policies during the COVID-19 pandemic.
Author(s): Brittany Lazur, Lily Sobolik, Valerie King
Date: 10/2020
Sponsoring organization: Milbank Memorial Fund
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Implementation of Flex EMS Supplemental Funding Projects: Year One Activities
Provides an overview of the first-year implementation efforts of the eight Emergency Medical Services (EMS) Supplemental funding grant recipients. Describes each grant project, the impact of COVID-19 and other challenges on project implementation, and factors that facilitated implementation. Includes recommendations for grantees.
Author(s): Karen Pearson, John Gale, Sara Kahn-Troster
Date: 10/2020
Sponsoring organization: Flex Monitoring Team
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Provides an overview of the first-year implementation efforts of the eight Emergency Medical Services (EMS) Supplemental funding grant recipients. Describes each grant project, the impact of COVID-19 and other challenges on project implementation, and factors that facilitated implementation. Includes recommendations for grantees.
Author(s): Karen Pearson, John Gale, Sara Kahn-Troster
Date: 10/2020
Sponsoring organization: Flex Monitoring Team
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The Impact of Coronavirus on Households in Rural America
Reports on the experiences of rural households during the COVID-19 pandemic. Discusses impacts on finances, employment, healthcare, housing, food, and child care. Concerns related to healthcare include access to care during the pandemic, concerns for those with special health issues such as chronic conditions, and use of telehealth.
Date: 10/2020
Sponsoring organizations: Harvard T.H. Chan School of Public Health, National Public Radio, Robert Wood Johnson Foundation
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Reports on the experiences of rural households during the COVID-19 pandemic. Discusses impacts on finances, employment, healthcare, housing, food, and child care. Concerns related to healthcare include access to care during the pandemic, concerns for those with special health issues such as chronic conditions, and use of telehealth.
Date: 10/2020
Sponsoring organizations: Harvard T.H. Chan School of Public Health, National Public Radio, Robert Wood Johnson Foundation
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MedPAC Comment on CMS's Proposed Rule on the Physician Fee Schedule and Other Revisions to Part B for CY 2021
Comment on an August 17, 2020 Federal Register proposed rule revising the physician fee schedule to improve payment systems for physicians and other Medicare Part B revisions. Includes a discussion of COVID-19-related telehealth expansion.
Date: 10/2020
Sponsoring organization: Medicare Payment Advisory Commission
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Comment on an August 17, 2020 Federal Register proposed rule revising the physician fee schedule to improve payment systems for physicians and other Medicare Part B revisions. Includes a discussion of COVID-19-related telehealth expansion.
Date: 10/2020
Sponsoring organization: Medicare Payment Advisory Commission
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State Support to Rural Hospitals Fact Sheet
Overview of the Small Rural Hospital Improvement Program (SHIP) and the Medicare Rural Hospital Flexibility (Flex) program supporting rural hospitals and Critical Access Hospitals. Highlights with data the impact of these programs on a national level.
Date: 10/2020
Sponsoring organization: Health Resources and Services Administration
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Overview of the Small Rural Hospital Improvement Program (SHIP) and the Medicare Rural Hospital Flexibility (Flex) program supporting rural hospitals and Critical Access Hospitals. Highlights with data the impact of these programs on a national level.
Date: 10/2020
Sponsoring organization: Health Resources and Services Administration
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