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Rural Health
Resources by Topic: Service delivery models

Understanding the Optimal Balance of Using Telehealth and In-person Services to Support Adults with Serious Mental Illness and Children with Serious Emotional Disturbance
Explores the balance between telehealth and in-person care for serious mental illness (SMI) and children with serious emotional disturbance (SED). Summarizes findings from an environmental scan and focus groups with mental health providers, adults with SMI, and parents of children with SED. Discusses how focus group participants made decisions about using telehealth versus in-person mental healthcare and how telehealth impacted access to care and engagement in treatment relative to in-person services.
Author(s): Jasmine Little, Megan Dormond, Sarah Croake, et al.
Date: 11/2024
Type: Document
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Identifying Factors Associated With Variation in Telemental Health Delivery at Federally Qualified Health Centers
Examines telemental health delivery at Federally Qualified Health Centers (FQHCs) across the U.S. Analyzes 1,270 FQHCs and their telemental appointments in 2021 and provides statistics according to mental health staffing, rurality of FQHC, state, and patient population descriptors, including age, race/ethnicity, and insurance status.
Author(s): Brianna Lombardi, Connor Sullivan, Maria Gaiser, et al.
Citation: Journal of Primary Care & Community Health
Date: 11/2024
Type: Document
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Ever Use of Telehealth in Nebraska by March 2021: Cross-Sectional Analysis
Analyzes telehealth usage in Nebraska according to sociodemographic variables as well as health status and healthcare access. Analyzes survey data from 1,101 respondents and discusses the impact of the digital divide, age, and race/ethnicity on telehealth use in a mostly rural state.
Author(s): Lisa C Smith, George Johnson, Snehal Jadhav, et al.
Citation: Journal of Medical Internet Research, 26
Date: 11/2024
Type: Document
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Building a Rural Cancer Care Network: Federal Funding Supports Collaboration of Urban, Regional, and Local Organizations
Features a rural cancer care network in Georgia funded by a federal care coordination grant that brings together an urban nonprofit organization, a regional healthcare system with rural locations, and a local rural physician's office. Highlights the network's work related to patient navigation and clinical cancer trial enrollment.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 11/2024
Type: Document
Sponsoring organization: Rural Health Information Hub
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Introducing the Rural Chronic Disease Management Toolkit
Webinar recording discusses the newly released Rural Chronic Disease Management Toolkit which is aimed at supporting rural communities and organizations interested in building chronic disease management programs. Features presentations from representatives of the Great Mines Health Center, NORC Walsh Center for Rural Health Analysis, and the Lake County Tribal Health Consortium.
Additional links: Audio Recording, Webinar Slides
Date: 11/2024
Type: Video/Multimedia
Sponsoring organization: Rural Health Information Hub
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Federally Qualified Health Centers and Performance of Medicare Accountable Care Organizations
Explores the association between participation of Federally Qualified Health Centers (FQHCs) and Rural Health Clinics (RHCs) in Medicare Shared Savings Program Accountable Care Organizations (ACOs) with ACOs' beneficiary characteristics, utilization, expenditure, and quality. Features statistics including estimated changes in Medicare Shared Savings Program ACO-assigned beneficiaries, utilization, and expenditure, with breakdowns by FQHC and RHC visits and other types of visits.
Author(s): Kun Li, Yucheng Hou, Frank McStay, Jonathan Gonzalez-Smith, Robert S. Saunders
Citation: JAMA Network Open, 7(11), e2445536
Date: 11/2024
Type: Document
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RHC Regulatory Changes in 2025 - Medicare Physician Fee Schedule Updates You Need to Know!
Recording of a November 18, 2024, webinar providing an overview of telehealth payment rates for Rural Health Clinics (RHCs) and other regulatory updates and potential changes for 2025. Covers Medicare vaccine reimbursement changes, the elimination of productivity standards, lab requirement changes, intensive outpatient program (IOP) services, telehealth regulations, and more. Part of the Rural Health Clinic Technical Assistance Series.
Additional links: Presentation Slides
Date: 11/2024
Type: Video/Multimedia
Sponsoring organization: National Association of Rural Health Clinics
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State Telehealth Laws and Reimbursement Policies Report, Fall 2024
Provides an overview of state telehealth policies as of early September 2024. Covers Medicaid reimbursement, private payer laws, and professional requirements.
Additional links: Executive Summary, Infographic, State Summary Chart
Date: 11/2024
Type: Document
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
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USDA Rural Development Rural Health: What We Do
Presents an overview of USDA Rural Development funding for rural health in fiscal year 2024. Covers telehealth and broadband, rural facilities, economic development, housing, infrastructure, mental health and substance use, and emergency medical services.
Date: 11/2024
Type: Document
Sponsoring organization: USDA Rural Development
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Telemedicine Use Among Adults With and Without Diagnosed Prediabetes or Diabetes, National Health Interview Survey, United States, 2021 and 2022
Examines telemedicine usage among adults with prediabetes, diabetes, or no diabetes diagnosis. Utilizes 2021-2022 National Health Interview Survey data to examine telemedicine usage and diabetes diagnoses according to sex, age, race/ethnicity, education, family income, health insurance, rural versus urban residence, and U.S. Census region.
Author(s): Ibrahim Zaganjor, Ryan Saelee, Stephen Onufrak, et al.
Citation: Preventing Chronic Disease, 21
Date: 11/2024
Type: Document
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