Rural Health
Resources by Topic: Service delivery models
Innovation Center State-Based Initiatives: A Systematic Review of Lessons Learned
A synthesis of findings from 47 evaluation reports covering 12 Center for Medicare & Medicaid Innovation models with a state component. Includes information on the impact of models for rural areas and identifies barriers and challenges faced in rural areas.
Date: 08/2018
Sponsoring organizations: Centers for Medicare and Medicaid Services, L&M Policy Research
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A synthesis of findings from 47 evaluation reports covering 12 Center for Medicare & Medicaid Innovation models with a state component. Includes information on the impact of models for rural areas and identifies barriers and challenges faced in rural areas.
Date: 08/2018
Sponsoring organizations: Centers for Medicare and Medicaid Services, L&M Policy Research
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Advanced Primary Care: A Key Contributor to Successful ACOs
Reviews the literature on accountable care organizations (ACOs) regarding characteristics of successful ACOs and outcomes for cost, quality, and utilization, including literature on rural ACOs. Analyzes Medicare and National Committee for Quality Assurance (NCQA) data on ACO cost and quality outcomes to assess the role of advanced primary care models such as patient-centered medical homes on ACO success.
Additional links: Executive Summary, White Paper
Author(s): Yalda Jabbarpour, Megan Coffman, Andy Habib, et al.
Date: 08/2018
Sponsoring organizations: Primary Care Collaborative, Robert Graham Center
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Reviews the literature on accountable care organizations (ACOs) regarding characteristics of successful ACOs and outcomes for cost, quality, and utilization, including literature on rural ACOs. Analyzes Medicare and National Committee for Quality Assurance (NCQA) data on ACO cost and quality outcomes to assess the role of advanced primary care models such as patient-centered medical homes on ACO success.
Additional links: Executive Summary, White Paper
Author(s): Yalda Jabbarpour, Megan Coffman, Andy Habib, et al.
Date: 08/2018
Sponsoring organizations: Primary Care Collaborative, Robert Graham Center
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Roadmap for Action: Advancing the Adoption of Telehealth in Child Care Centers and Schools to Promote Children's Health and Well-Being
Discusses strategies and benefits to adopting a telehealth program in a childcare center or school. Describes successful rural specific program examples. Outlines a guide for program adoption that covers identifying and building relationships with stakeholders, needs assessment, finding equipment, privacy, payment, sustainability, and implementation challenges.
Date: 08/2018
Sponsoring organization: The Children's Partnership
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Discusses strategies and benefits to adopting a telehealth program in a childcare center or school. Describes successful rural specific program examples. Outlines a guide for program adoption that covers identifying and building relationships with stakeholders, needs assessment, finding equipment, privacy, payment, sustainability, and implementation challenges.
Date: 08/2018
Sponsoring organization: The Children's Partnership
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Evaluation of the Accountable Care Organization Investment Model: AIM Impacts in the First Performance Year
Evaluation examining the first year performance of the 47 Accountable Care Organizations (ACOs) participating in the ACO Investment Model (AIM), which tests the use of prepaid shared savings to encourage new ACOs to form in rural and underserved areas (Test 1) and to encourage current Medicare Shared Savings Program ACOs to transition to arrangements with greater financial risk (Test 2). Describes provider characteristics, beneficiary characteristics, and impacts of the 41 Test 1 AIM ACOs. Includes data on rurality for both Test 1 and Test 2 AIM ACOs.
Additional links: Appendices, Findings At-A-Glance
Date: 08/2018
Sponsoring organizations: Abt Associates, Centers for Medicare and Medicaid Services
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Evaluation examining the first year performance of the 47 Accountable Care Organizations (ACOs) participating in the ACO Investment Model (AIM), which tests the use of prepaid shared savings to encourage new ACOs to form in rural and underserved areas (Test 1) and to encourage current Medicare Shared Savings Program ACOs to transition to arrangements with greater financial risk (Test 2). Describes provider characteristics, beneficiary characteristics, and impacts of the 41 Test 1 AIM ACOs. Includes data on rurality for both Test 1 and Test 2 AIM ACOs.
Additional links: Appendices, Findings At-A-Glance
Date: 08/2018
Sponsoring organizations: Abt Associates, Centers for Medicare and Medicaid Services
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First Annual Report: Next Generation Accountable Care Organization (NGACO) Model Evaluation
Reports initial descriptive and analytic findings for the 18 Next Generation ACOs (NGACOs) that launched in 2016. Includes information on NGACO organizational characteristics, market characteristics, model implementation, and performance. Offers some data and discussion related to the inclusion of rural areas. Also provides information on institutional providers by type of facility, including Critical Access Hospitals, Rural Health Clinics, and Federally Qualified Health Centers.
Additional links: Findings at a Glance, Volume II: Technical Appendices, January 2018
Date: 08/2018
Sponsoring organizations: Centers for Medicare and Medicaid Services, NORC at the University of Chicago
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Reports initial descriptive and analytic findings for the 18 Next Generation ACOs (NGACOs) that launched in 2016. Includes information on NGACO organizational characteristics, market characteristics, model implementation, and performance. Offers some data and discussion related to the inclusion of rural areas. Also provides information on institutional providers by type of facility, including Critical Access Hospitals, Rural Health Clinics, and Federally Qualified Health Centers.
Additional links: Findings at a Glance, Volume II: Technical Appendices, January 2018
Date: 08/2018
Sponsoring organizations: Centers for Medicare and Medicaid Services, NORC at the University of Chicago
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Rural Hospitals and Medicaid Payment Policy
Describes how rural hospitals serve Medicaid beneficiaries and the process through which Medicaid programs pay rural hospitals. Features statistics from 2015 with breakdowns by urban hospitals, Critical Access Hospitals (CAHs), and other rural hospitals.
Date: 08/2018
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Describes how rural hospitals serve Medicaid beneficiaries and the process through which Medicaid programs pay rural hospitals. Features statistics from 2015 with breakdowns by urban hospitals, Critical Access Hospitals (CAHs), and other rural hospitals.
Date: 08/2018
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Telemental Health Research Catalogue
Presents telemental health literature measuring the use of telehealth in achieving one or more of the Triple Aim goals to: improve the patient healthcare experience, improve population health, and reduce the per capita cost of healthcare.
Date: 08/2018
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
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Presents telemental health literature measuring the use of telehealth in achieving one or more of the Triple Aim goals to: improve the patient healthcare experience, improve population health, and reduce the per capita cost of healthcare.
Date: 08/2018
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
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Adult Experts' Perceptions of Telemental Health for Youth: A Delphi Study
Study exploring telemental health treatment based on online surveys of 25 adult experts, including mental health professionals, adults who experienced depression or suicidality as youth, and parents of youth with similar experiences, following the Delphi process. Discusses barriers to youth access to mental health services in rural and urban areas, including stigma, provider shortages, and transportation issues. Survey results also address the need for support of telemental health among healthcare organizations, especially in rural areas, and possible delivery modalities.
Author(s): Abigail Howard, Mindy Flanagan, Michelle Drouin, et al.
Citation: JAMIA Open, 1(1), 67-74
Date: 07/2018
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Study exploring telemental health treatment based on online surveys of 25 adult experts, including mental health professionals, adults who experienced depression or suicidality as youth, and parents of youth with similar experiences, following the Delphi process. Discusses barriers to youth access to mental health services in rural and urban areas, including stigma, provider shortages, and transportation issues. Survey results also address the need for support of telemental health among healthcare organizations, especially in rural areas, and possible delivery modalities.
Author(s): Abigail Howard, Mindy Flanagan, Michelle Drouin, et al.
Citation: JAMIA Open, 1(1), 67-74
Date: 07/2018
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Primary Care: The Foundation for a High Performance Rural Health Care System
Describes elements of a robust rural primary care system. Discusses the development and maintenance of a high performance rural primary care system and workforce. Includes policy considerations and opportunities to address rural primary care and sustainability.
Author(s): Keith J. Mueller, Charlie Alfero, Andrew F. Coburn, et al.
Date: 07/2018
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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Describes elements of a robust rural primary care system. Discusses the development and maintenance of a high performance rural primary care system and workforce. Includes policy considerations and opportunities to address rural primary care and sustainability.
Author(s): Keith J. Mueller, Charlie Alfero, Andrew F. Coburn, et al.
Date: 07/2018
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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Telemedicine in N.H.
Radio interview discusses the advantages and barriers to telemedicine both broadly and within New Hampshire. Covers the role of state laws regarding reimbursement, broadband access, and how rural hospitals are using telemedicine.
Citation: New Hampshire Public Radio
Date: 07/2018
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Radio interview discusses the advantages and barriers to telemedicine both broadly and within New Hampshire. Covers the role of state laws regarding reimbursement, broadband access, and how rural hospitals are using telemedicine.
Citation: New Hampshire Public Radio
Date: 07/2018
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