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Rural Health
Resources by Topic: Service delivery models

Iowa Community Health Centers and Value-Based Care
Describes how Iowa Primary Care Association (Iowa PCA) and two sister organizations, IowaHealth+ and INConcertCare, pursued value-based care opportunities before joining the Medicare Shared Savings Program. Discusses the network's Medicaid value-based care contract; a partnership with Main Street Health to expand value-based contracting and provide more comprehensive, integrated primary care to patients with Medicare Advantage; data analytics; strategic planning and roadmaps; and next steps.
Date: 06/2025
Sponsoring organization: Rural Health Value
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Care Packages to Promote Universal Suicide Prevention for Remote Alaska Native Communities: What Worked?
Presents a study on the efficacy of a suicide prevention intervention aimed at teens in remote Alaska Native communities. Details the distribution of mental health and safety promotion care packages sent to participants through the mail and highlights the results of a survey of participants on the perceived success of the intervention.
Author(s): Joshua Kennedy, Lisa Wexler, Tara Schmidt, et al.
Citation: Journal of Rural Health, 41(2), e70032
Date: 05/2025
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Medicare Care Management Billing Strategies
Webinar recording featuring speakers from Eide Bailly and the NORC Walsh Center for Rural Health Analysis discussing new 2025 Medicare care management billing codes and how they can be used to support care coordination to improve care quality for Medicare beneficiaries
Additional links: Audio Recording, Webinar Slides
Date: 05/2025
Sponsoring organization: Rural Health Information Hub
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Relevance and Acceptability of a Technology-Delivered Childhood Obesity Intervention for Hispanic/Latino Families in Rural Nebraska: A Qualitative Approach
Examines program strengths and challenges, implementation concerns, and cultural relevance of Hispanic Family Connections, a Spanish-language childhood obesity intervention for Latino families in rural Nebraska, via focus group interviews with 26 participants.
Author(s): Thais F. Alves, Natalia Santos, Camila Squarcini, et al.
Citation: Journal of Primary Care & Community Health, 16
Date: 05/2025
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Evaluating Spoke Facilitation Costs of Implementing TelePain in the Veterans Health Administration
Examines TelePain and hub-and-spoke healthcare models to treat pain in U.S. veterans. Discusses implementation costs, staffing, patients reached, and potential cost barriers of the model in rural and small clinics.
Author(s): Alexandra L. Rose, Shaina Coogan, Jess Indresano, Steven B. Zeliadt, Jessica A. Chen
Citation: Implementation Science Communications, 6, 51
Date: 05/2025
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Discreet but Accessible: A Qualitative Study with People Who Use Drugs and Service Staff about the Optimal Design of a Harm Reduction Vending Machine in Rural Kentucky
Analyzes perspectives on harm reduction vending machine (HRVM) access and suitability via interviews with people who use drugs as well as health department and syringe service program (SSP) staff in rural Appalachian Kentucky. Discusses factors influencing the usefulness of HRVMs and their ability to address public health needs such as infectious disease prevention, overdose reduction, and other community benefits.
Author(s): Rachel M. Marschke, April M. Young, Hannah K. Knudsen, Chelsi N. Cheatom, Hannah L. F. Cooper
Citation: Harm Reduction Journal, 22, 88
Date: 05/2025
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Barriers and Facilitators to Implementing a Technology-Enhanced Psychiatric Collaborative Care Model among Rural Primary Care Sites: A Mixed-Methods Implementation Case Study
Examines the process of implementing a telehealth psychiatric collaborative care management (CoCM) model in rural South Carolina clinics. Utilizes mixed-methods data to examine workflow development, telehealth platform configuration, provider teams, implementation assessment, and more.
Author(s): Ryan Kruis, Emily Johnson, Constance Guille, et al.
Citation: BMC Primary Care, 26, 177
Date: 05/2025
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Using the Practical, Robust Implementation and Sustainability Model to Identify Implementation Determinants of a Statewide Diabetes Learning Collaborative in Kentucky
Examines the impact of utilizing a learning collaborative to implement a diabetes self-management education and support (DSMES) intervention. Utilizes interview feedback with collaborative participants to discuss issues such as organizational perspectives of DSMES, organizational and patient perspectives, and implementation and sustainability infrastructure. Discusses issues of implementing DSMES in rural areas of Kentucky.
Author(s): Aaron J. Kruse-Diehr, Borsika A. Rabin, Jessica Elliott, et al.
Citation: BMC Health Services Research, 25, 735
Date: 05/2025
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Effectiveness of a Respiratory Therapist-Led, Community-Based Asthma Program in an Under Resourced Rural Border Town in California
Analyzes the impact of the Asthma Community Linkages Project (ACLP), a community-based asthma self-management program delivered through Rural Health Clinics, on asthma control and emergency department visit frequency among 233 asthma patients in Imperial County, California. Highlights the value of the ACLP model for other rural and underserved border settings.
Author(s): Torrie Staten, Ping-Hui Liu, Catalina Holt, Abdullah Alismail
Citation: Respiratory Medicine, 241, 108071
Date: 05/2025
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Community Health Centers: Leading Innovation in Health Care
Presents graphs, charts, and data highlighting services provided by Community Health Centers, characteristics of the patients served, and progress made in improving access to healthcare. Reports on health centers' historical growth and recent trends, financial health, healthcare screening and disease prevention, management of chronic diseases, maternal and child health, workforce and service utilization, health information technology, and more. Includes urban-rural comparisons and maps with data by state throughout.
Author(s): Sarah Hurlbert, Mahima Singeetham, Amy Flowers
Date: 05/2025
Sponsoring organization: National Association of Community Health Centers
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