Rural Health
Resources by Topic: Service delivery models
Evaluation of the Accountable Care Organization Investment Model: Final Report
Examines the ACO Investment Model (AIM) over three performance years. AIM tested the use of prepaid shared savings to encourage new ACOs to form in rural and underserved areas and to encourage current Medicare Shared Savings Program ACOs to transition to arrangements with greater financial risk. Reports on AIM results related to ACO formation, risk-taking, and sustainability, including the impact of rurality. Also discusses impacts on healthcare costs, utilization, and quality of care.
Additional links: Appendices, CMS Perspective Report, Findings at a Glance
Date: 09/2020
Type: Document
Sponsoring organizations: Abt Associates, Centers for Medicare and Medicaid Services
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Examines the ACO Investment Model (AIM) over three performance years. AIM tested the use of prepaid shared savings to encourage new ACOs to form in rural and underserved areas and to encourage current Medicare Shared Savings Program ACOs to transition to arrangements with greater financial risk. Reports on AIM results related to ACO formation, risk-taking, and sustainability, including the impact of rurality. Also discusses impacts on healthcare costs, utilization, and quality of care.
Additional links: Appendices, CMS Perspective Report, Findings at a Glance
Date: 09/2020
Type: Document
Sponsoring organizations: Abt Associates, Centers for Medicare and Medicaid Services
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Evaluation of the Health Care Innovation Awards, Round 2: Final Report
Summarizes the final evaluation results of 38 Health Care Innovation Awards Round Two projects. Discusses program impacts on healthcare service use and costs, factors associated with positive impacts, and awardees' experiences sustaining programs and implementing payment models after the end of the awards. Offers overall findings and awardee-specific evaluation reports. Includes some information on results for projects serving rural areas.
Additional links: Findings at a Glance
Date: 09/2020
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, Mathematica Policy Research
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Summarizes the final evaluation results of 38 Health Care Innovation Awards Round Two projects. Discusses program impacts on healthcare service use and costs, factors associated with positive impacts, and awardees' experiences sustaining programs and implementing payment models after the end of the awards. Offers overall findings and awardee-specific evaluation reports. Includes some information on results for projects serving rural areas.
Additional links: Findings at a Glance
Date: 09/2020
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, Mathematica Policy Research
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Telepharmacy and Quality of Medication Use in Rural Areas, 2013–2019
Uses dispensing records from traditional pharmacies and telepharmacies in the Midwest to compare patients' adherence to and inappropriate use of prescription medications between 2013 and 2019. Includes data and statistics on medication adherence and use, with information broken down by patient characteristics, such as age, rurality, payer, risk, and more.
Author(s): Shweta Pathak, Mitchell Haynes, Dima Qato, Benjamin Urick
Citation: Preventing Chronic Disease, 17
Date: 09/2020
Type: Document
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Uses dispensing records from traditional pharmacies and telepharmacies in the Midwest to compare patients' adherence to and inappropriate use of prescription medications between 2013 and 2019. Includes data and statistics on medication adherence and use, with information broken down by patient characteristics, such as age, rurality, payer, risk, and more.
Author(s): Shweta Pathak, Mitchell Haynes, Dima Qato, Benjamin Urick
Citation: Preventing Chronic Disease, 17
Date: 09/2020
Type: Document
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Rural Action Plan
Provides an overview of the rural health care and human services landscape. Outlines a Four-Point strategy to build a sustainable health and human services model for rural communities, leverage technology and innovation, focus on preventing disease and mortality, and increase rural access to care. Identifies opportunities to transform rural health and human services through federal government partnership and describes new policies and programs to implement the Four-Point Strategy. Highlights actions already taken by the U.S. Department of Health and Human Services to support rural communities.
Date: 09/2020
Type: Document
Sponsoring organization: U.S. Department of Health and Human Services
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Provides an overview of the rural health care and human services landscape. Outlines a Four-Point strategy to build a sustainable health and human services model for rural communities, leverage technology and innovation, focus on preventing disease and mortality, and increase rural access to care. Identifies opportunities to transform rural health and human services through federal government partnership and describes new policies and programs to implement the Four-Point Strategy. Highlights actions already taken by the U.S. Department of Health and Human Services to support rural communities.
Date: 09/2020
Type: Document
Sponsoring organization: U.S. Department of Health and Human Services
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MedPAC Comment on CMS's Proposed Rule on the ESRD PPS for CY 2021
Comments on a July 13, 2020, Federal Register proposed rule related to Medicare payment policies for end-stage renal disease (ESRD). Includes comments addressing the ESRD Quality Incentive Program and changes to geographic area delineations.
Date: 09/2020
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Comments on a July 13, 2020, Federal Register proposed rule related to Medicare payment policies for end-stage renal disease (ESRD). Includes comments addressing the ESRD Quality Incentive Program and changes to geographic area delineations.
Date: 09/2020
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Funding and Service Delivery in Rural and Urban Local US Health Departments in 2010 and 2016
Uses nationally representative data from 2010 and 2016 to explore rural/urban differences in local health department (LHD) funding and service delivery. Includes data and statistics on LHD characteristics, sources of revenue, and types of services provided by LHDs, with information broken down by rurality.
Author(s): Kate Beatty, Megan Heffernan, Nathan Hale, Michael Meit
Citation: American Journal of Public Health, 110(9), 1293-1299
Date: 09/2020
Type: Document
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Uses nationally representative data from 2010 and 2016 to explore rural/urban differences in local health department (LHD) funding and service delivery. Includes data and statistics on LHD characteristics, sources of revenue, and types of services provided by LHDs, with information broken down by rurality.
Author(s): Kate Beatty, Megan Heffernan, Nathan Hale, Michael Meit
Citation: American Journal of Public Health, 110(9), 1293-1299
Date: 09/2020
Type: Document
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COVID-19 Reveals Emerging Opportunities for Rural Public Health
Explores potential and existing public health innovations that rural communities can implement to address challenges brought on or exacerbated during the COVID-19 pandemic, including lack of funding for local health departments, insufficient broadband, and more. Describes the expansion of telehealth services, discusses rural/urban disparities, and offers recommendations for improvement.
Author(s): Angela Dearinger
Citation: American Journal of Public Health, 110(9), 1277-1278
Date: 09/2020
Type: Document
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Explores potential and existing public health innovations that rural communities can implement to address challenges brought on or exacerbated during the COVID-19 pandemic, including lack of funding for local health departments, insufficient broadband, and more. Describes the expansion of telehealth services, discusses rural/urban disparities, and offers recommendations for improvement.
Author(s): Angela Dearinger
Citation: American Journal of Public Health, 110(9), 1277-1278
Date: 09/2020
Type: Document
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Telehealth Availability in US Hospitals in the Face of the COVID‐19 Pandemic
Highlights a study on hospital readiness and capability to provide healthcare services via telehealth during the COVID-19 pandemic. Discusses the factors that affect telehealth capability and compares hospitals in rural and urban areas and by census region.
Author(s): Neeraj A. Puro, Scott Feyereisen
Citation: Journal of Rural Health, 36(4), 577-583
Date: 09/2020
Type: Document
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Highlights a study on hospital readiness and capability to provide healthcare services via telehealth during the COVID-19 pandemic. Discusses the factors that affect telehealth capability and compares hospitals in rural and urban areas and by census region.
Author(s): Neeraj A. Puro, Scott Feyereisen
Citation: Journal of Rural Health, 36(4), 577-583
Date: 09/2020
Type: Document
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Oral Health Value-Based Care - The Federally Qualified Health Center (FQHC) Story
Explores the role Federally Qualified Health Centers (FQHCs) play in providing oral healthcare through integration and how FQHCs used technology and flexible workforce modeling to provide care during the COVID-19 pandemic. Analyzes data from the IBM Watson MarketScan Multi-State Database, the Health Resources and Services Administration Uniform Data System, and a survey of participants of the safety net technical assistance program to evaluate health outcomes and service provision of FQHC patients versus non-FQHC patients. Discusses how value-based payment models can effect health outcomes and how FQHCs used telehealth to reach rural and underserved populations during the pandemic.
Date: 08/2020
Type: Document
Sponsoring organizations: CareQuest Institute for Oral Health, National Association of Community Health Centers
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Explores the role Federally Qualified Health Centers (FQHCs) play in providing oral healthcare through integration and how FQHCs used technology and flexible workforce modeling to provide care during the COVID-19 pandemic. Analyzes data from the IBM Watson MarketScan Multi-State Database, the Health Resources and Services Administration Uniform Data System, and a survey of participants of the safety net technical assistance program to evaluate health outcomes and service provision of FQHC patients versus non-FQHC patients. Discusses how value-based payment models can effect health outcomes and how FQHCs used telehealth to reach rural and underserved populations during the pandemic.
Date: 08/2020
Type: Document
Sponsoring organizations: CareQuest Institute for Oral Health, National Association of Community Health Centers
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Small Rural Hospital Transition (SRHT) Project Behavioral Health Care Coordination Summit: Summit Findings
Summarizes the findings from a two-day summit on the role of rural hospitals in addressing behavioral health as part of a community-wide initiative. Identifies barriers to behavioral health care coordination in rural areas. Describes four areas of opportunity to advance care coordination. Includes resources for each area of opportunity identified.
Author(s): Amy Harding
Date: 08/2020
Type: Document
Sponsoring organizations: Advocates for Human Potential, National Rural Health Resource Center
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Summarizes the findings from a two-day summit on the role of rural hospitals in addressing behavioral health as part of a community-wide initiative. Identifies barriers to behavioral health care coordination in rural areas. Describes four areas of opportunity to advance care coordination. Includes resources for each area of opportunity identified.
Author(s): Amy Harding
Date: 08/2020
Type: Document
Sponsoring organizations: Advocates for Human Potential, National Rural Health Resource Center
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