Rural Health
Resources by Topic: Service delivery models
Aligning Systems for Health: Research Learnings from Across the Nation
Summarizes findings from three cohorts funded through the Aligning Systems for Health initiative, which explores how systems can better work together to address community goals and needs. Covers research on how established collaborative systems responded to the COVID-19 pandemic, how collaborative systems can be measured, and the evidence base around approaches and conditions that foster collaborative systems. Features findings from the Strengthening Health Equity in Recovery Outcomes (SHERO) study, which measured and described the context surrounding cross-sector alignment within rural and urban community networks in Kentucky, and system alignment efforts across four tribal partners.
Date: 10/2023
Type: Document
Sponsoring organization: Georgia Health Policy Center
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Summarizes findings from three cohorts funded through the Aligning Systems for Health initiative, which explores how systems can better work together to address community goals and needs. Covers research on how established collaborative systems responded to the COVID-19 pandemic, how collaborative systems can be measured, and the evidence base around approaches and conditions that foster collaborative systems. Features findings from the Strengthening Health Equity in Recovery Outcomes (SHERO) study, which measured and described the context surrounding cross-sector alignment within rural and urban community networks in Kentucky, and system alignment efforts across four tribal partners.
Date: 10/2023
Type: Document
Sponsoring organization: Georgia Health Policy Center
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Rural Hospital Experiences in the Colorado Hospital Transformation Program
Provides an overview of the Colorado Hospital Transformation Program (CO HTP), a 5-year program that ties Medicaid supplemental payments to hospitals' ability to meet performance targets through September 2026. Describes the experiences of three Critical Access Hospitals (CAHs) and explores how CO HTP impacts rural hospitals. Covers planning and community engagement, quality of care, and healthcare costs.
Date: 10/2023
Type: Document
Sponsoring organization: Rural Health Value
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Provides an overview of the Colorado Hospital Transformation Program (CO HTP), a 5-year program that ties Medicaid supplemental payments to hospitals' ability to meet performance targets through September 2026. Describes the experiences of three Critical Access Hospitals (CAHs) and explores how CO HTP impacts rural hospitals. Covers planning and community engagement, quality of care, and healthcare costs.
Date: 10/2023
Type: Document
Sponsoring organization: Rural Health Value
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Use of Telemedicine and Quality of Care Among Medicare Enrollees With Serious Mental Illness
Examines telemedicine use during the COVID-19 pandemic among Medicare beneficiaries with mental illness. Analyzes levels of telemental use by mental health practices who saw patients with schizophrenia or bipolar I disorder the year before the COVID-19 pandemic and during the first pandemic year. Discusses patient outcomes and quality of care as correlated with telemental use, with data broken down according to practice characteristics and patient demographics, including rurality.
Author(s): Andrew D. Wilcock, Haiden A. Huskamp, Alisa B. Busch, et al.
Citation: JAMA Health Forum, 4(10)
Date: 10/2023
Type: Document
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Examines telemedicine use during the COVID-19 pandemic among Medicare beneficiaries with mental illness. Analyzes levels of telemental use by mental health practices who saw patients with schizophrenia or bipolar I disorder the year before the COVID-19 pandemic and during the first pandemic year. Discusses patient outcomes and quality of care as correlated with telemental use, with data broken down according to practice characteristics and patient demographics, including rurality.
Author(s): Andrew D. Wilcock, Haiden A. Huskamp, Alisa B. Busch, et al.
Citation: JAMA Health Forum, 4(10)
Date: 10/2023
Type: Document
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Health Panel Comment Letter – Encouraging Rural Participation in Population-Based Total Cost of Care Models
Offers comments in response to the Physician-Focused Payment Model Technical Advisory Committee (PTAC) Request for Information regarding rural participation in population-based total cost of care models. Covers considerations for determining the most relevant definition of rural, barriers that impact rural providers' participation in alternative payment models (APMs), service delivery models and resources that are effective in encouraging value-based care (VBC) transformation in rural areas, and more.
Date: 10/2023
Type: Document
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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Offers comments in response to the Physician-Focused Payment Model Technical Advisory Committee (PTAC) Request for Information regarding rural participation in population-based total cost of care models. Covers considerations for determining the most relevant definition of rural, barriers that impact rural providers' participation in alternative payment models (APMs), service delivery models and resources that are effective in encouraging value-based care (VBC) transformation in rural areas, and more.
Date: 10/2023
Type: Document
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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Telemedicine Buprenorphine Initiation and Retention in Opioid Use Disorder Treatment for Medicaid Enrollees
Evaluated buprenorphine treatment via telemedicine and overdose outcomes for 91,914 people in Kentucky and Ohio on Medicaid in 2020 to determine the impact of telemedicine on treatment retention and opioid-related nonfatal overdose. Includes discussion on the implications for rural residents.
Author(s): Lindsey R. Hammerslag, Aimee Mack, Redonna K. Chandler, et al.
Citation: JAMA Network Open, 6(10), e2336914
Date: 10/2023
Type: Document
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Evaluated buprenorphine treatment via telemedicine and overdose outcomes for 91,914 people in Kentucky and Ohio on Medicaid in 2020 to determine the impact of telemedicine on treatment retention and opioid-related nonfatal overdose. Includes discussion on the implications for rural residents.
Author(s): Lindsey R. Hammerslag, Aimee Mack, Redonna K. Chandler, et al.
Citation: JAMA Network Open, 6(10), e2336914
Date: 10/2023
Type: Document
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Data Element Identification and Data Collection Procedures for the HRSA Direct-to-Consumer Evidence Based Telehealth Network Program
Provides an overview of the development of a common set of data elements to evaluate the Office of the Advancement of Teleheath's Evidence Based Telehealth Network Program, which aims to build an evidence base for telehealth in rural settings. Outlines 27 patient-level, encounter-level, and outcome data elements on patients who receive direct-to-consumer telehealth services and a comparable group of patients who receive in-person services. Describes data collection and management procedures.
Author(s): Marcia M. Ward, Kimberly Merchant, Fred Ullrich, et al.
Date: 10/2023
Type: Document
Sponsoring organization: Rural Telehealth Research Center
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Provides an overview of the development of a common set of data elements to evaluate the Office of the Advancement of Teleheath's Evidence Based Telehealth Network Program, which aims to build an evidence base for telehealth in rural settings. Outlines 27 patient-level, encounter-level, and outcome data elements on patients who receive direct-to-consumer telehealth services and a comparable group of patients who receive in-person services. Describes data collection and management procedures.
Author(s): Marcia M. Ward, Kimberly Merchant, Fred Ullrich, et al.
Date: 10/2023
Type: Document
Sponsoring organization: Rural Telehealth Research Center
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Leveraging Connected Care Strategies to Expand Rural Access to Healthcare
Recorded video that features a conversation focused on connected healthcare, healthcare access, and the digital divide in rural areas. Discusses the future of virtual care to improve access for rural communities and strategies to alleviate barriers to connected healthcare.
Author(s): Jared Antczak
Date: 10/2023
Type: Video/Multimedia
Sponsoring organization: Xtelligent Healthcare Media
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Recorded video that features a conversation focused on connected healthcare, healthcare access, and the digital divide in rural areas. Discusses the future of virtual care to improve access for rural communities and strategies to alleviate barriers to connected healthcare.
Author(s): Jared Antczak
Date: 10/2023
Type: Video/Multimedia
Sponsoring organization: Xtelligent Healthcare Media
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Use of Prenatal Telehealth in the First Year of the COVID-19 Pandemic
Examines the use of telehealth for prenatal appointments during the first year of the COVID-19 pandemic. Utilizes Pregnancy Risk Assessment Monitoring System (PRAMS) data to analyze 12,073 respondents who gave birth between June and December 2020, with data broken down according to insurance type, race/ethnicity, marital status, age, health conditions, and rurality.
Author(s): Rebecca A. Gourevitch, Amylee Anyoha, Mir M. Ali, Priscilla Novak
Citation: JAMA Network Open, 6(10)
Date: 10/2023
Type: Document
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Examines the use of telehealth for prenatal appointments during the first year of the COVID-19 pandemic. Utilizes Pregnancy Risk Assessment Monitoring System (PRAMS) data to analyze 12,073 respondents who gave birth between June and December 2020, with data broken down according to insurance type, race/ethnicity, marital status, age, health conditions, and rurality.
Author(s): Rebecca A. Gourevitch, Amylee Anyoha, Mir M. Ali, Priscilla Novak
Citation: JAMA Network Open, 6(10)
Date: 10/2023
Type: Document
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State Telehealth Laws and Reimbursement Policies Report, Fall 2023
Provides an overview of state telehealth policies as of early September 2023. Covers Medicaid reimbursement, private payer laws, and professional requirements.
Additional links: Executive Summary, Infographic, State Summary Chart
Date: 10/2023
Type: Document
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
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Provides an overview of state telehealth policies as of early September 2023. Covers Medicaid reimbursement, private payer laws, and professional requirements.
Additional links: Executive Summary, Infographic, State Summary Chart
Date: 10/2023
Type: Document
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
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Native Hawaiian Health Care Systems Program: Services, Funding, and Oversight
Provides an overview of the Native Hawaiian Health Care Systems Program, which is administered by the Health Resources and Services Administration (HRSA) and aims to improve access to services for Native Hawaiians living in Hawaii. Describes the provision of culturally sensitive services, the size and other characteristics of the programs, how Native Hawaiian Health Care Systems Program funds are awarded, and how HRSA oversees the program. Includes a snapshot of each of the five Native Hawaiian Health Care Systems.
Additional links: Full Report
Date: 10/2023
Type: Document
Sponsoring organization: Government Accountability Office
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Provides an overview of the Native Hawaiian Health Care Systems Program, which is administered by the Health Resources and Services Administration (HRSA) and aims to improve access to services for Native Hawaiians living in Hawaii. Describes the provision of culturally sensitive services, the size and other characteristics of the programs, how Native Hawaiian Health Care Systems Program funds are awarded, and how HRSA oversees the program. Includes a snapshot of each of the five Native Hawaiian Health Care Systems.
Additional links: Full Report
Date: 10/2023
Type: Document
Sponsoring organization: Government Accountability Office
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