Rural Health
Resources by Topic: Service delivery models
Creation of a Telehealth Addiction Consultation Service at a Rural Hospital: A Case Study
Details the implementation and evaluation of the Community Addiction Consult (CAC) service, which facilitated medications for opioid use disorder (MOUD) treatment and provided other supports for hospital-based addiction care via telehealth consultations by community, non-hospital clinicians in rural Massachusetts. Highlights the significance of the CAC model as a support for improving access to hospital-based substance use disorder treatment in rural areas.
Author(s): Rachel Katz, Tiarra Fisher, Talia Singer-Clark, et al.
Citation: Addiction Science & Clinical Practice, 20, 76
Date: 09/2025
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Details the implementation and evaluation of the Community Addiction Consult (CAC) service, which facilitated medications for opioid use disorder (MOUD) treatment and provided other supports for hospital-based addiction care via telehealth consultations by community, non-hospital clinicians in rural Massachusetts. Highlights the significance of the CAC model as a support for improving access to hospital-based substance use disorder treatment in rural areas.
Author(s): Rachel Katz, Tiarra Fisher, Talia Singer-Clark, et al.
Citation: Addiction Science & Clinical Practice, 20, 76
Date: 09/2025
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Stuck in the Middle: Internet Insecurity in Rural America
Reports on internet insecurity and internet use among 2,600 rural households in Michigan and Colorado, with additional data and discussion of factors influencing rural internet access throughout the United States.
Date: 09/2025
Sponsoring organization: Connected Nation
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Reports on internet insecurity and internet use among 2,600 rural households in Michigan and Colorado, with additional data and discussion of factors influencing rural internet access throughout the United States.
Date: 09/2025
Sponsoring organization: Connected Nation
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State Strategies for Strengthening Rural Health: Insights from NASHP's 2025 Annual Conference
Summarizes a session from the National Academy for State Health Policy (NASHP) 2025 Annual Conference regarding state strategies to improve access to care in rural communities. Highlights policies from North Dakota, Washington, and West Virginia related to workforce and capacity challenges, broadband and telehealth, behavioral health access points, and linking health and social care.
Date: 09/2025
Sponsoring organization: National Academy for State Health Policy
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Summarizes a session from the National Academy for State Health Policy (NASHP) 2025 Annual Conference regarding state strategies to improve access to care in rural communities. Highlights policies from North Dakota, Washington, and West Virginia related to workforce and capacity challenges, broadband and telehealth, behavioral health access points, and linking health and social care.
Date: 09/2025
Sponsoring organization: National Academy for State Health Policy
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Best Practices for Implementing the Continuum of Crisis Services Under Medicaid and CHIP
Provides guidance for states to maintain a continuum of behavioral health crisis care for patients covered by Medicaid and CHIP. Details core elements of the continuum of crisis care and how Medicaid and CHIP function within that framework. Highlights considerations for rural communities.
Date: 09/2025
Sponsoring organizations: Centers for Medicare and Medicaid Services, Substance Abuse and Mental Health Services Administration
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Provides guidance for states to maintain a continuum of behavioral health crisis care for patients covered by Medicaid and CHIP. Details core elements of the continuum of crisis care and how Medicaid and CHIP function within that framework. Highlights considerations for rural communities.
Date: 09/2025
Sponsoring organizations: Centers for Medicare and Medicaid Services, Substance Abuse and Mental Health Services Administration
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Diabetes in Pennsylvania: Prevention and Maintenance Programs
Present data and describes government and non-government programs working to help people prevent and manage diabetes in Pennsylvania. Includes information about possible new treatments and summaries of other new research on diabetes including the effects of social determinants of health. Mentions special needs of rural and underserved populations.
Author(s): Allison Kobzowicz, Lydia K. Ring, Wendy L. Baker
Date: 09/2025
Sponsoring organization: Joint State Government Commission, General Assembly of the Commonwealth of Pennsylvania
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Present data and describes government and non-government programs working to help people prevent and manage diabetes in Pennsylvania. Includes information about possible new treatments and summaries of other new research on diabetes including the effects of social determinants of health. Mentions special needs of rural and underserved populations.
Author(s): Allison Kobzowicz, Lydia K. Ring, Wendy L. Baker
Date: 09/2025
Sponsoring organization: Joint State Government Commission, General Assembly of the Commonwealth of Pennsylvania
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Sustaining Rural Labor & Delivery Programs: Strategies for Financial Analyses and Considerations for Maintaining Services
A guide for Critical Access Hospital and other rural hospital executives to use when assessing the financial viability of their Labor & Delivery programs. Outlines three strategies that may bring a Labor & Delivery program closer to sustainability and prevent unnecessary closure of services in rural areas.
Author(s): Eric Shell, Dahlia McGrath, Jeff Sommer, et al.
Date: 09/2025
Sponsoring organization: Flex Monitoring Team
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A guide for Critical Access Hospital and other rural hospital executives to use when assessing the financial viability of their Labor & Delivery programs. Outlines three strategies that may bring a Labor & Delivery program closer to sustainability and prevent unnecessary closure of services in rural areas.
Author(s): Eric Shell, Dahlia McGrath, Jeff Sommer, et al.
Date: 09/2025
Sponsoring organization: Flex Monitoring Team
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MedPAC Comment on CMS's Proposed Rule on CY 2026 Revisions to Payment Policies Under the Physician Fee Schedule and Other Changes to Part B for Payment Policies
Comment on a July 16, 2025, Federal Register proposed rule revising the physician fee schedule to improve payment systems for physicians and other Medicare Part B revisions. Includes a discussion of a proposal to allow Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) to provide and bill for medical visits via telehealth and be paid at Physician Fee Schedule (PFS)-equivalent rates through December 2026.
Date: 09/2025
Sponsoring organization: Medicare Payment Advisory Commission
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Comment on a July 16, 2025, Federal Register proposed rule revising the physician fee schedule to improve payment systems for physicians and other Medicare Part B revisions. Includes a discussion of a proposal to allow Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) to provide and bill for medical visits via telehealth and be paid at Physician Fee Schedule (PFS)-equivalent rates through December 2026.
Date: 09/2025
Sponsoring organization: Medicare Payment Advisory Commission
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Boosting Maternity Care in Rural America
Provides a brief overview of the state of maternal healthcare in rural areas. Highlights state and federal actions taken to improve access to quality maternal care and improve birth outcomes.
Date: 09/2025
Sponsoring organization: National Conference of State Legislatures
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Provides a brief overview of the state of maternal healthcare in rural areas. Highlights state and federal actions taken to improve access to quality maternal care and improve birth outcomes.
Date: 09/2025
Sponsoring organization: National Conference of State Legislatures
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Telemedicine Buprenorphine Access For Incarcerated People: Lessons Learned From Maryland's Rural Jails
Explores the lessons learned form implementing a telemedicine-based buprenorphine treatment for opioid use disorder in rural Maryland jails. Highlights the challenges and opportunities expanding, establishing, and implementing buprenorphine treatment via tele-medicine. Draws conclusions for future interventions.
Author(s): Max Spaderna, Annabelle M. Belcher, Chris Welsh, et al.
Citation: Health Affairs, 44(9), 1131-1137
Date: 09/2025
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Explores the lessons learned form implementing a telemedicine-based buprenorphine treatment for opioid use disorder in rural Maryland jails. Highlights the challenges and opportunities expanding, establishing, and implementing buprenorphine treatment via tele-medicine. Draws conclusions for future interventions.
Author(s): Max Spaderna, Annabelle M. Belcher, Chris Welsh, et al.
Citation: Health Affairs, 44(9), 1131-1137
Date: 09/2025
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Implementing High-Quality Primary Care: A Policy Menu for States
Presents policy strategies utilized by states to strengthen primary care across five priority areas. Strategies cover primary care reimbursement; addressing individual, community, and market-level barriers to care; expanding and supporting the primary care workforce; and supporting practice transformation. Includes rural references throughout.
Date: 09/2025
Sponsoring organizations: Milbank Memorial Fund, National Academy for State Health Policy
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Presents policy strategies utilized by states to strengthen primary care across five priority areas. Strategies cover primary care reimbursement; addressing individual, community, and market-level barriers to care; expanding and supporting the primary care workforce; and supporting practice transformation. Includes rural references throughout.
Date: 09/2025
Sponsoring organizations: Milbank Memorial Fund, National Academy for State Health Policy
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