Rural Health
Resources by Topic: Service delivery models
Rural Health Policy for the Next Decade: Changes are Upon Us
Presentation slides that discuss the future of rural health policy, with a focus on the comprehensive community wealth approach, healthcare modalities and sites of care, and healthcare payment models, including Medicare Advantage.
Author(s): Keith J. Mueller
Date: 10/2023
Type: Presentation Slides
Sponsoring organizations: Iowa College of Public Health, Rural Policy Research Institute
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Presentation slides that discuss the future of rural health policy, with a focus on the comprehensive community wealth approach, healthcare modalities and sites of care, and healthcare payment models, including Medicare Advantage.
Author(s): Keith J. Mueller
Date: 10/2023
Type: Presentation Slides
Sponsoring organizations: Iowa College of Public Health, Rural Policy Research Institute
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Telehealth Use and Availability in VHA Outpatient Mental Health Care
Report discusses the use and availability of telehealth for outpatient mental healthcare within the Veterans Health Administration (VHA). Explores telehealth use and availability in rural areas, highlights barriers to both, and discusses how the VHA can adapt.
Author(s): PhiYen Nguyen, Izabela Sadej, Elsa Pearson Sites, et al.
Date: 10/2023
Type: Document
Sponsoring organizations: Partnered Evidence-based Policy Resource Center (PEPReC), U.S. Department of Veterans Affairs
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Report discusses the use and availability of telehealth for outpatient mental healthcare within the Veterans Health Administration (VHA). Explores telehealth use and availability in rural areas, highlights barriers to both, and discusses how the VHA can adapt.
Author(s): PhiYen Nguyen, Izabela Sadej, Elsa Pearson Sites, et al.
Date: 10/2023
Type: Document
Sponsoring organizations: Partnered Evidence-based Policy Resource Center (PEPReC), U.S. Department of Veterans Affairs
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Telehealth and the Future of Health Care Access in California
Fact sheet offering an overview of telehealth use in California in 2022. Discusses patterns of use by insurance status, age, income, race and ethnicity, language, and geography including rurality.
Additional links: Infographic
Author(s): Sean Tan
Date: 10/2023
Type: Document
Sponsoring organization: UCLA Center for Health Policy Research
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Fact sheet offering an overview of telehealth use in California in 2022. Discusses patterns of use by insurance status, age, income, race and ethnicity, language, and geography including rurality.
Additional links: Infographic
Author(s): Sean Tan
Date: 10/2023
Type: Document
Sponsoring organization: UCLA Center for Health Policy Research
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Recovering from a Cybersecurity Attack and Protecting the Future in Small, Rural Health Organizations
Discusses the impact cyber-attacks can have on rural healthcare facilities. Features two Critical Access Hospital leaders describing attacks at their organizations. Shares insights from an information technology compliance expert, including actions organizations can take to protect themselves.
Author(s): Tami Lichtenberg
Citation: Rural Monitor
Date: 10/2023
Type: Document
Sponsoring organization: Rural Health Information Hub
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Discusses the impact cyber-attacks can have on rural healthcare facilities. Features two Critical Access Hospital leaders describing attacks at their organizations. Shares insights from an information technology compliance expert, including actions organizations can take to protect themselves.
Author(s): Tami Lichtenberg
Citation: Rural Monitor
Date: 10/2023
Type: Document
Sponsoring organization: Rural Health Information Hub
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MedPAC Payment Basics
Series of briefs providing an of Medicare payment systems. Covers payments systems including Accountable Care Organizations (ACO), Critical Access Hospitals (CAH), Federally Qualified Health Centers and Rural Health Clinics, hospital acute inpatient services, and more.
Date: 10/2023
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Series of briefs providing an of Medicare payment systems. Covers payments systems including Accountable Care Organizations (ACO), Critical Access Hospitals (CAH), Federally Qualified Health Centers and Rural Health Clinics, hospital acute inpatient services, and more.
Date: 10/2023
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Medicare Payment Basics: Accountable Care Organizations Payment Systems
Provides an overview of Medicare's Accountable Care Organization (ACO) programs. Discusses the payment mechanics of ACOs, including the maximum shared savings and losses of Medicare Shared Savings Program ACOs by track and level.
Date: 10/2023
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Provides an overview of Medicare's Accountable Care Organization (ACO) programs. Discusses the payment mechanics of ACOs, including the maximum shared savings and losses of Medicare Shared Savings Program ACOs by track and level.
Date: 10/2023
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Sociodemographic Inequities in Telemedicine Use Among US Patients Initiating Treatment in Community Cancer Centers During the Ongoing COVID-19 Pandemic, 2020-2022
Evaluates demographic factors associated with use of telehealth within 90 days after starting cancer treatment during the COVID-19 pandemic, utilizing March 2020-March 2023 data of 36,993 cancer patients. Includes data on telehealth inequities by race and ethnicity, insurance, socioeconomic status, rurality, and more.
Author(s): Jenny S. Guadamuz, Xiaoliang Wang, Trevor J. Royce, Gregory S. Calip
Citation: JCO Oncology Practice, 19(12), 1206-1214
Date: 09/2023
Type: Document
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Evaluates demographic factors associated with use of telehealth within 90 days after starting cancer treatment during the COVID-19 pandemic, utilizing March 2020-March 2023 data of 36,993 cancer patients. Includes data on telehealth inequities by race and ethnicity, insurance, socioeconomic status, rurality, and more.
Author(s): Jenny S. Guadamuz, Xiaoliang Wang, Trevor J. Royce, Gregory S. Calip
Citation: JCO Oncology Practice, 19(12), 1206-1214
Date: 09/2023
Type: Document
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Telehealth Use and Access to Neurology Outpatient Clinical Services for Children: An Observational Cohort Study
Analyzes pediatric neurology appointment completion, cancellation, and no-show rates among telehealth users and telehealth non-users at a tertiary care children's hospital in North Carolina. Compares appointment outcomes before and during the first year of the COVID-19 pandemic, including rural versus urban demographic and outcome data.
Author(s): Savithri Nageswaran, Annette Grefe, Shyh-Huei Chen, Eric Kirkendall, Edward H. Ip
Citation: North Carolina Medical Journal, 85(1)
Date: 09/2023
Type: Document
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Analyzes pediatric neurology appointment completion, cancellation, and no-show rates among telehealth users and telehealth non-users at a tertiary care children's hospital in North Carolina. Compares appointment outcomes before and during the first year of the COVID-19 pandemic, including rural versus urban demographic and outcome data.
Author(s): Savithri Nageswaran, Annette Grefe, Shyh-Huei Chen, Eric Kirkendall, Edward H. Ip
Citation: North Carolina Medical Journal, 85(1)
Date: 09/2023
Type: Document
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Maintaining Fidelity to ACT: Current Issues and Innovations in Implementation
Reports on principles, implementation, and population-based adaptions of the Assertive Community Treatment (ACT) model, which provides community-based treatment and recovery services for people with serious mental illness and high risk of concurrent substance use, homelessness, criminal justice system involvement, or psychiatric crisis. See pages 35-38 for discussion of rural ACT implementation and modifications.
Date: 09/2023
Type: Document
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Reports on principles, implementation, and population-based adaptions of the Assertive Community Treatment (ACT) model, which provides community-based treatment and recovery services for people with serious mental illness and high risk of concurrent substance use, homelessness, criminal justice system involvement, or psychiatric crisis. See pages 35-38 for discussion of rural ACT implementation and modifications.
Date: 09/2023
Type: Document
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Exploring Patient Care Navigation in the Medicare Program
Presents an overview of patient navigation programs through an environmental scan of literature published between 2013 and 2023 and discussions with key informants at four healthcare organizations. Describes the variety of patient navigation services, types of patients targeted, settings that offer navigation services, staffing, funding, clinical outcomes, and more. Includes a brief discussion of programs targeting patients in rural areas. Identifies implementation and policy considerations and potential barriers to supporting patient navigation services.
Additional links: Annex, Executive Summary
Author(s): Zachary Predmore, Joachim Hero, Stephanie Dellva, et al.
Date: 09/2023
Type: Document
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, RAND Health Care
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Presents an overview of patient navigation programs through an environmental scan of literature published between 2013 and 2023 and discussions with key informants at four healthcare organizations. Describes the variety of patient navigation services, types of patients targeted, settings that offer navigation services, staffing, funding, clinical outcomes, and more. Includes a brief discussion of programs targeting patients in rural areas. Identifies implementation and policy considerations and potential barriers to supporting patient navigation services.
Additional links: Annex, Executive Summary
Author(s): Zachary Predmore, Joachim Hero, Stephanie Dellva, et al.
Date: 09/2023
Type: Document
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, RAND Health Care
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