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Rural Health Information Hub

Rural Health
Resources by Topic: Service delivery models

Trends in Mental Health Care Utilization in Rural and Nonrural Areas, 2019-2023
Examines changes in mental healthcare utilization between 2019 and 2023. Utilizes National Health Interview Survey data to compare rural and nonrural trends related to mental health utilization, therapy, and medication. Discusses the impact of telehealth options and the COVID-19 pandemic on mental healthcare availability.
Author(s): Bryce J. Stanley
Citation: Journal of Rural Health, 41(3), e70074
Date: 08/2025
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Rural Health Symposium May 8-9, 2025: Advancing Rural Health Through Research, Policy, and Community Partnerships
Summarizes research presentations, panel discussions, and other proceedings of a May 2025 conference on rural health disparities hosted by the Dartmouth Institute for Health Policy and Clinical Practice and Dartmouth Health. Identifies factors contributing to rural health disparities and suggests actions to be taken by healthcare systems, community groups, policymakers, and researchers, among others.
Date: 08/2025
Sponsoring organizations: Dartmouth Health, The Dartmouth Institute for Health Policy and Clinical Practice
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Time is Tissue: How CommonSpirit Mercy Hospital is Revolutionizing Rural Cardiac Care
Podcast episode discussing how CommonSpirit Mercy Hospital in Durango, Colorado, uses a communications platform that connects emergency medical services and pre-hospital providers with patients who are having chest pain and cardiac-related issues with on-call cardiologists.
Date: 08/2025
Sponsoring organization: American Hospital Association
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2025 Indiana State Rural Health Report
Examines the state of rural health in Indiana and provides data on the health of rural citizens. Focuses on access, healthcare workforce shortages, health insurance, healthcare facilities availability, mobile health, telehealth services, maternal and infant health, mental health, substance use, and rural health finances and funding.
Author(s): Amnah Anwar, Kasia Hamman, Anureet Sandhu, et al.
Date: 08/2025
Sponsoring organization: Indiana Rural Health Association
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Beyond Our Walls: Leveraging Pharmacies for STI Services and Care
Profiles NACCHO and CDC-funded partnerships between local health departments and pharmacies to expand sexually-transmitted infection (STI) services and access to care in their communities. See Appendix 2 for discussion of observations and implementation of HIV/STI programming in rural Chaffee County, Colorado.
Date: 07/2025
Sponsoring organization: National Association of County and City Health Officials
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New Resource Webinar: CRC Screening in Rural Communities Best Practices Guidebook
Webinar introducing the ACS NCCRT Colorectal Cancer (CRC) Screening in Rural Communities Best Practices Guidebook. Includes an overview of CRC disparities in rural communities and offers guidance for organizations working to improve CRC screening rates in their communities. Highlights successes of CRC screening programs in Alaska and Arizona administered by the Bristol Bay Area Health Corporation and Mariposa Community Health Center.
Additional links: Colorectal Cancer Screening in Rural Communities Best Practices Guidebook, Presentation Slides
Date: 07/2025
Sponsoring organization: American Cancer Society National Colorectal Cancer Roundtable (ACS NCCRT)
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Increasing Colorectal Cancer Screening in Rural Communities: A Practical Guide
Provides an overview of rural colorectal cancer (CRC) disparities and guidance for community organizations on improving CRC screening in rural areas. Includes recommendations related to recognizing and addressing barriers to screening, organizational planning and strategy, service delivery models, and more.
Date: 07/2025
Sponsoring organization: American Cancer Society National Colorectal Cancer Roundtable (ACS NCCRT)
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Quickstart Roadmap for a Solo Tele-Nutrition Practice
Guide outlining steps to setting up a solo tele-nutrition practice. Discusses technology selection, workflow design, and patient engagement.
Date: 07/2025
Sponsoring organization: National Telehealth Technology Assessment Resource Center
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Interstate Occupational Licensure Arrangements to Expand Access to Behavioral Health Services
Policy brief describing state-based provisions to expand behavioral health services through interstate licensure arrangements for providers. Discusses potential impact on provision of behavioral health services, including telehealth, with a focus on how expanded services might enhance access for rural residents. Features state-level maps showing where legislation has been enacted or introduced, as of November 2024.
Author(s): Natalia V. Oster, C. Holly A. Andrilla, Davis G. Patterson, Lisa A. Garberson, Janessa M. Graves
Date: 07/2025
Sponsoring organization: WWAMI Rural Health Research Center
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Proposed CY 2026 Medicare Physician Fee Schedule: Fact Sheet
Fact sheet covering Centers for Medicare & Medicaid Services (CMS) telehealth policy changes for 2026 as outlined in the final calendar year (CY) 2026 Physician Fee Schedule. Covers the process for determining which services can be delivered by telehealth; frequency limitations for inpatient visits, nursing facilities, and critical care consults; direct supervision through the use of live video; payment to Federally Qualified Health Centers (FQHCs) and Rural Health Clinics (RHCs); and more.
Date: 07/2025
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
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