Rural Health
Resources by Topic: Service delivery models
Pennsylvania Mental Health Care Workforce Shortage: Challenges and Solutions: A Staff Study
Provides a discussion of mental healthcare workforce occupations and examines the factors that led to shortages in these fields. Describes how telemedicine can be used to extend the mental healthcare workforce in rural Pennsylvania and determines how state government entities can encourage more people to enter and remain in the mental healthcare workforce. Makes recommendations including increasing the number of psychiatric residencies in rural areas and designating more Rural Health Clinics. Includes a county-level map of Mental Health Professional Shortage Areas.
Author(s): Grant Rosul, Stephen J. Kramer, Wendy L. Baker
Date: 06/2020
Type: Document
Sponsoring organization: Joint State Government Commission, General Assembly of the Commonwealth of Pennsylvania
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Provides a discussion of mental healthcare workforce occupations and examines the factors that led to shortages in these fields. Describes how telemedicine can be used to extend the mental healthcare workforce in rural Pennsylvania and determines how state government entities can encourage more people to enter and remain in the mental healthcare workforce. Makes recommendations including increasing the number of psychiatric residencies in rural areas and designating more Rural Health Clinics. Includes a county-level map of Mental Health Professional Shortage Areas.
Author(s): Grant Rosul, Stephen J. Kramer, Wendy L. Baker
Date: 06/2020
Type: Document
Sponsoring organization: Joint State Government Commission, General Assembly of the Commonwealth of Pennsylvania
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Telehealth in Rural America: Disruptive Innovation for the Long Term?
Blog post discussing policy challenges and rural-specific concerns related to telehealth and telemedicine expansion during and following the COVID-19 pandemic. Addresses potential impacts of telehealth on rural facilities, Medicaid programs, and policy efforts.
Author(s): Matthew Ralls, Lauren Moran
Date: 06/2020
Type: Document
Sponsoring organization: Center for Health Care Strategies
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Blog post discussing policy challenges and rural-specific concerns related to telehealth and telemedicine expansion during and following the COVID-19 pandemic. Addresses potential impacts of telehealth on rural facilities, Medicaid programs, and policy efforts.
Author(s): Matthew Ralls, Lauren Moran
Date: 06/2020
Type: Document
Sponsoring organization: Center for Health Care Strategies
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Improving Rural Health: State Policy Options for Increasing Access to Care
Discusses strategies from state legislatures and other stakeholders to increase access to healthcare in rural areas. Focuses on policies and policy options for state legislatures in three areas: improving health insurance coverage, safeguarding rural health facilities, and changing rural healthcare delivery. Features examples from Colorado, Georgia, Pennsylvania, and Wisconsin.
Author(s): Jack Pitsor
Date: 06/2020
Type: Document
Sponsoring organization: National Conference of State Legislatures
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Discusses strategies from state legislatures and other stakeholders to increase access to healthcare in rural areas. Focuses on policies and policy options for state legislatures in three areas: improving health insurance coverage, safeguarding rural health facilities, and changing rural healthcare delivery. Features examples from Colorado, Georgia, Pennsylvania, and Wisconsin.
Author(s): Jack Pitsor
Date: 06/2020
Type: Document
Sponsoring organization: National Conference of State Legislatures
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Improving Mental Health Care by Understanding the Culture of Farming and Rural Communities
Session one of a four-part webinar series on the interplay of COVID-19 and the mental health crisis in rural and agricultural communities. Discusses co-occurring substance use disorders, telehealth, and provider compassion fatigue, among other issues.
Additional links: Session 2: Approaching and Treating Co-Occurring Mental and Substance Use Disorders in Farming and Rural Communities, Session 3: Providing Mental Health Telehealth Services in Farming and Rural Communities, Session 4: Co-Occurring Mental and Substance Use Disorders in Farming and Rural Communities: Assessment, Ethics, and Preventing Compassion Fatigue
Date: 06/2020
Type: Video/Multimedia
Sponsoring organizations: Mental Health Technology Transfer Center Network, Mountain Plains Mental Health Technology Transfer Center
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Session one of a four-part webinar series on the interplay of COVID-19 and the mental health crisis in rural and agricultural communities. Discusses co-occurring substance use disorders, telehealth, and provider compassion fatigue, among other issues.
Additional links: Session 2: Approaching and Treating Co-Occurring Mental and Substance Use Disorders in Farming and Rural Communities, Session 3: Providing Mental Health Telehealth Services in Farming and Rural Communities, Session 4: Co-Occurring Mental and Substance Use Disorders in Farming and Rural Communities: Assessment, Ethics, and Preventing Compassion Fatigue
Date: 06/2020
Type: Video/Multimedia
Sponsoring organizations: Mental Health Technology Transfer Center Network, Mountain Plains Mental Health Technology Transfer Center
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How Telehealth Policy is Structured in the United States
June 23, 2020, webinar recording provides an overview of the telehealth policy landscape on the federal and state levels. Discusses telehealth reimbursement policies. Outlines federal and state telehealth policy changes as a result of the COVID-19 pandemic.
Additional links: Presentation Slides
Date: 06/2020
Type: Video/Multimedia
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
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June 23, 2020, webinar recording provides an overview of the telehealth policy landscape on the federal and state levels. Discusses telehealth reimbursement policies. Outlines federal and state telehealth policy changes as a result of the COVID-19 pandemic.
Additional links: Presentation Slides
Date: 06/2020
Type: Video/Multimedia
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
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Grantee Sourcebook: Rural Health Network Planning Development Program, 2019
Detailed descriptions of 25 Rural Health Network Development Planning Program grant projects funded in fiscal year 2019. Reports on each grantee's network infrastructure development, plans for sustaining the network after the grant, and program activities addressing topics such as integrated service delivery, behavioral health, telehealth, and care coordination. Grantee profiles identify the geographic areas served, network partners, and primary contact person.
Date: 06/2020
Type: Document
Sponsoring organization: Federal Office of Rural Health Policy
Detailed descriptions of 25 Rural Health Network Development Planning Program grant projects funded in fiscal year 2019. Reports on each grantee's network infrastructure development, plans for sustaining the network after the grant, and program activities addressing topics such as integrated service delivery, behavioral health, telehealth, and care coordination. Grantee profiles identify the geographic areas served, network partners, and primary contact person.
Date: 06/2020
Type: Document
Sponsoring organization: Federal Office of Rural Health Policy
Related funding:
Rural Health Network Development Planning Program
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CMS Bundled Payments for Care Improvement Advanced Model: Year 1 Evaluation Annual Report
A formative evaluation of the Bundled Payments for Care Improvement Advanced (BPCI Advanced) Model, which tests whether linking payments for a clinical episode of care can reduce Medicare expenditures while maintaining or improving quality of care. Covers the period from October 1, 2018 through March 31, 2019. Describes participants in the model, clinical episodes included, and the reach of the model. Includes information on rural hospital participation in the model.
Additional links: Appendices, Findings at a Glance
Author(s): The Lewin Group, Abt Associates, GDIT, Telligen
Date: 06/2020
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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A formative evaluation of the Bundled Payments for Care Improvement Advanced (BPCI Advanced) Model, which tests whether linking payments for a clinical episode of care can reduce Medicare expenditures while maintaining or improving quality of care. Covers the period from October 1, 2018 through March 31, 2019. Describes participants in the model, clinical episodes included, and the reach of the model. Includes information on rural hospital participation in the model.
Additional links: Appendices, Findings at a Glance
Author(s): The Lewin Group, Abt Associates, GDIT, Telligen
Date: 06/2020
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Effect of Telehealth Extended Care for Maintenance of Weight Loss in Rural US Communities: A Randomized Clinical Trial
Evaluates the effectiveness of obesity management programs conducted from 2013-2018 by telephone or email for participants in 14 rural Florida counties. Includes demographics and statistics on weight loss with breakdowns by method of remote counseling.
Author(s): Michael G. Perri, Meena N. Shankar, Michael J. Daniels, et al.
Citation: JAMA Network Open, 3(6)
Date: 06/2020
Type: Document
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Evaluates the effectiveness of obesity management programs conducted from 2013-2018 by telephone or email for participants in 14 rural Florida counties. Includes demographics and statistics on weight loss with breakdowns by method of remote counseling.
Author(s): Michael G. Perri, Meena N. Shankar, Michael J. Daniels, et al.
Citation: JAMA Network Open, 3(6)
Date: 06/2020
Type: Document
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MedPAC Report to the Congress: Medicare and the Health Care Delivery System, June 2020
Evaluates Medicare payment issues and offers recommendations to the U.S. Congress. Includes chapters on value-based payment in Medicare, Accountable Care Organizations (ACOs), the Medicare Advantage quality bonus program, the impact of changes in the 21st Century Cures Act to risk adjustment for Medicare Advantage enrollees, Medicare Part D, separately payable drugs in the hospital outpatient prospective payment system, and the Medicare end-stage renal disease prospective payment system. Examines the current payment policy for low-volume and rural dialysis facilities and proposes changes.
Additional links: Executive Summary
Date: 06/2020
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Evaluates Medicare payment issues and offers recommendations to the U.S. Congress. Includes chapters on value-based payment in Medicare, Accountable Care Organizations (ACOs), the Medicare Advantage quality bonus program, the impact of changes in the 21st Century Cures Act to risk adjustment for Medicare Advantage enrollees, Medicare Part D, separately payable drugs in the hospital outpatient prospective payment system, and the Medicare end-stage renal disease prospective payment system. Examines the current payment policy for low-volume and rural dialysis facilities and proposes changes.
Additional links: Executive Summary
Date: 06/2020
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Report to Congress on Medicaid and CHIP, June 2020
Semi-annual report to Congress from the Medicaid and CHIP Payment and Access Commission (MACPAC). Discusses care integration for beneficiaries dually eligible for Medicaid and Medicare, recommendations for increasing enrollment in Medicare Shared Savings Programs, the role of Medicaid in relation to TRICARE, how to address increasing mortality and morbidity among pregnant and postpartum women, and the effects of substance use disorder on pregnant and postpartum women and their infants. Includes rural references throughout.
Date: 06/2020
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Semi-annual report to Congress from the Medicaid and CHIP Payment and Access Commission (MACPAC). Discusses care integration for beneficiaries dually eligible for Medicaid and Medicare, recommendations for increasing enrollment in Medicare Shared Savings Programs, the role of Medicaid in relation to TRICARE, how to address increasing mortality and morbidity among pregnant and postpartum women, and the effects of substance use disorder on pregnant and postpartum women and their infants. Includes rural references throughout.
Date: 06/2020
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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