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Rural Health
Resources by Topic: Service delivery models

Telehomecare Monitoring Services: Eastern Maine Healthcare Systems VNA Home Health Hospice
Discusses the development, impact, lessons learned, and future goals of a telehealth home health and hospice monitoring program for a healthcare system in rural Maine.
Date: 04/2018
Type: Document
Sponsoring organization: American Hospital Association
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Expanding Care for Rural Patients
Discusses the telehealth psychology program at Texas A&M and the effect the program has had on mental health access across the state. Details the program's implementation and the ways it is overcoming barriers for rural people.
Author(s): Amy Novotney
Citation: APA Monitor on Psychology, 49(3), 64
Date: 03/2018
Type: Document
Sponsoring organization: American Psychological Association
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COPD & Rural Health: A Dialogue on the National Action Plan
Video of rural health experts discussing the challenges, opportunities, and resources related to the COPD National Action Plan's 5 goals. Presentations feature data including county-level maps on prevalence of COPD and death rates.
Date: 03/2018
Type: Video/Multimedia
Sponsoring organizations: National Heart, Lung, and Blood Institute, National Institutes of Health
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State Innovation Models (SIM) Initiative Evaluation: Model Test Year Four Annual Report
Fourth annual report on Round 1 of the CMS State Innovation Models (SIM) Initiative, which tests the ability of the governments in six states - Arkansas, Maine, Massachusetts, Minnesota, Oregon, and Vermont - to move providers to value-based payment models (VPMs). Describes the experiences of providers, health systems, consumers, payers, and state officials during the final full implementation year for most Round 1 states. Presents interim impacts on healthcare utilization, cost, and quality for individuals reached by SIM-supported VPMs during the SIM Initiative period. Includes information specific to rural areas.
Date: 03/2018
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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Illinois Rural Community Care Organization – Princeton, IL: Statewide Rural Accountable Care Organization
Provides an overview of the work and impact of the Illinois Rural Community Care Organization (IRCCO), a Medicare shared savings Accountable Care Organization (ACO). IRCCO includes 24 Critical Access Hospitals and rural hospitals and associated physician practices and clinics.
Date: 03/2018
Type: Document
Sponsoring organization: American Hospital Association
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What's MAT Got to Do with It? Medication-Assisted Treatment for Opioid Use Disorder in Rural America
Provides an overview of medication-assisted treatment (MAT), an evidence-based treatment for opioid use disorder, with information on the science behind the disorder and how three MAT medications work. Highlights rural health organizations providing MAT treatment.
Author(s): Kay Miller Temple
Date: 03/2018
Type: Document
Sponsoring organization: Rural Health Information Hub
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MedPAC Report to the Congress: Medicare Payment Policy, 2018
Annual review of Medicare payment policies, with recommendations to Congress. Includes discussion on Medicare payment policies directly affecting rural providers and beneficiaries. Addresses Medicare Part D, Medicare Advantage, telehealth, payment incentive programs, and payment adequacy for healthcare facilities and services.
Additional links: Chapter 14 Online-Only Appendixes: The Medicare Prescription Drug Program (Part D): Status Report (March 2018 Report, Revised June 25, 2018), Chapter 16 Online-Only Appendixes: Mandated Report: Telehealth Services and the Medicare Program (March 2018 report), Errata Sheet: Table 9-7, Page 255 (March 2018 Report, Revised May 30, 2018)
Date: 03/2018
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Report to Congress on Medicaid and CHIP, March 2018
Reports on three aspects of Medicaid: managed care, telehealth, and Disproportionate Share Hospital (DSH) payments. Chapter 2 discusses how the use of telehealth services can help patients access healthcare services in rural and frontier areas. Chapter 3 includes the third annual report on DSH payments, which provide support to safety-net hospitals to help offset uncompensated care costs for Medicaid and uninsured patients. Table 3-2 identifies DSH spending for urban and rural hospitals and for Critical Access Hospitals.
Date: 03/2018
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Medicare Accountable Care Organization Growth in Rural America, 2014-2016
Data report comparing accountable care organization (ACO) growth in metropolitan and nonmetropolitan counties. Features statistics including numbers of ACOs with attributed beneficiaries, beneficiaries attributed to an ACO per county, growth in percentage of fee-for-service beneficiaries, and growth in percentage of beneficiaries attributed to ACOs, with breakdowns by metropolitan and nonmetropolitan counties.
Author(s): A. Clinton MacKinney, Fred Ullrich, Keith Mueller
Date: 03/2018
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Behavioral Health Integration into Primary Care
Profile of a rural health system, Western Wisconsin Health (WWH), and its work to deliver behavioral health services. Provides an overview of how behavioral health providers and services were integrated with primary care, with a cultural change to focus on whole-person care. Includes information on Medicare and Medicaid reimbursement for the behavioral health services provided at WWH's Rural Health Clinic. Discusses how WWH behavioral health providers offer telehealth services to other rural areas of Wisconsin.
Date: 03/2018
Type: Document
Sponsoring organization: Rural Health Value
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