Rural Health
Resources by Topic: Service delivery models
Care Coordination Between Rural Primary Care and Telemedicine to Expand Medication Treatment for Opioid Use Disorder: Results from a Single-Arm, Multisite Feasibility Study
Examines the feasibility of expanding access to medication treatment for opioid use disorder (MOUD) in rural areas through the use of telemedicine. Analyzes 6 rural primary care sites and their care coordination model. Includes data on patients referred to telemedicine and total number of patient-days on MOUD.
Author(s): Yih-Ing Hser, Larissa J. Mooney, Laura-Mae Baldwin, et al.
Citation: Journal of Rural Health, 39(4), 780-788
Date: 09/2023
Type: Document
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Examines the feasibility of expanding access to medication treatment for opioid use disorder (MOUD) in rural areas through the use of telemedicine. Analyzes 6 rural primary care sites and their care coordination model. Includes data on patients referred to telemedicine and total number of patient-days on MOUD.
Author(s): Yih-Ing Hser, Larissa J. Mooney, Laura-Mae Baldwin, et al.
Citation: Journal of Rural Health, 39(4), 780-788
Date: 09/2023
Type: Document
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Rural Maternity and Obstetrics Management Strategies (RMOMS) Program
Describes a pilot grant program designed to improve maternal and neonatal health in rural communities by collecting data and supporting the development of financially sustainable and coordinated network models. Aims to make maternal and obstetrics care more accessible through increased use of telehealth and specialty care. Fact sheet provides information on the activities of 3 rural networks funded through the RMOMS program.
Date: 09/2023
Type: Website
Sponsoring organizations: Federal Office of Rural Health Policy, Maternal and Child Health Bureau
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Describes a pilot grant program designed to improve maternal and neonatal health in rural communities by collecting data and supporting the development of financially sustainable and coordinated network models. Aims to make maternal and obstetrics care more accessible through increased use of telehealth and specialty care. Fact sheet provides information on the activities of 3 rural networks funded through the RMOMS program.
Date: 09/2023
Type: Website
Sponsoring organizations: Federal Office of Rural Health Policy, Maternal and Child Health Bureau
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Missouri Rural Health Clinic Provider Manual
Provider manual identifying the conditions of participation providing services in Missouri state-funded healthcare programs, including MO HealthNet, Missouri's Medicaid program. Addresses enrollment, eligibility, claim filing, and billing requirements for Rural Health Clinics (RHCs) in Missouri. Includes information on covered telehealth services.
Date: 09/2023
Type: Document
Sponsoring organization: Missouri Department of Social Services
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Provider manual identifying the conditions of participation providing services in Missouri state-funded healthcare programs, including MO HealthNet, Missouri's Medicaid program. Addresses enrollment, eligibility, claim filing, and billing requirements for Rural Health Clinics (RHCs) in Missouri. Includes information on covered telehealth services.
Date: 09/2023
Type: Document
Sponsoring organization: Missouri Department of Social Services
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Who's Accountable? Low-Value Care Received By Medicare Beneficiaries Outside Of Their Attributed Health Systems
Examines how much low-volume care and health system spending can be attributed to fee-for-service Medicare beneficiaries aged 65-years-old and older receiving care outside of the health system between 2017-2018. Explores beneficiary and health system factors associated with receiving the thirty most common low-value services, including beneficiaries' rurality and whether the low-value services originated from primary care physicians or specialists.
Author(s): Ishani Ganguli, Maia L. Crawford, Benjamin Usadi, et al.
Citation: Health Affairs, 42(8), 1128-1139
Date: 08/2023
Type: Document
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Examines how much low-volume care and health system spending can be attributed to fee-for-service Medicare beneficiaries aged 65-years-old and older receiving care outside of the health system between 2017-2018. Explores beneficiary and health system factors associated with receiving the thirty most common low-value services, including beneficiaries' rurality and whether the low-value services originated from primary care physicians or specialists.
Author(s): Ishani Ganguli, Maia L. Crawford, Benjamin Usadi, et al.
Citation: Health Affairs, 42(8), 1128-1139
Date: 08/2023
Type: Document
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Evaluation of the Million Hearts® Cardiovascular Disease Risk Reduction Model: Final Evaluation Report
Describes the results of the Centers for Medicare & Medicaid Services (CMS) Million Hearts Cardiovascular Disease Risk Reduction Model, a five-year randomized trial that aimed to reduce the incidence of first-time heart attacks and strokes among Medicare beneficiaries. Covers participant characteristics, including rural or urban status and organization type; changes in cardiovascular disease risk scores; effects of the model on healthcare utilization; intermediate- and long-term impacts on beneficiaries; and the contribution of these findings to the broader literature on cardiovascular disease prevention and value-based care.
Additional links: Findings at a Glance
Date: 08/2023
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, Mathematica, RAND Corporation
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Describes the results of the Centers for Medicare & Medicaid Services (CMS) Million Hearts Cardiovascular Disease Risk Reduction Model, a five-year randomized trial that aimed to reduce the incidence of first-time heart attacks and strokes among Medicare beneficiaries. Covers participant characteristics, including rural or urban status and organization type; changes in cardiovascular disease risk scores; effects of the model on healthcare utilization; intermediate- and long-term impacts on beneficiaries; and the contribution of these findings to the broader literature on cardiovascular disease prevention and value-based care.
Additional links: Findings at a Glance
Date: 08/2023
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, Mathematica, RAND Corporation
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Iowa Community Health Centers and Value-Based Care
Describes how Iowa Primary Care Association (Iowa PCA) and two sister organizations, IowaHealth+ and INConcertCare, pursued value-based care opportunities before joining the Medicare Shared Savings Program. Discusses the network's Medicaid value-based care contract; a partnership with Main Street Health to expand value-based contracting and provide more comprehensive, integrated primary care to patients with Medicare Advantage; data analytics; strategic planning and roadmaps; and next steps.
Date: 08/2023
Type: Document
Sponsoring organization: Rural Health Value
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Describes how Iowa Primary Care Association (Iowa PCA) and two sister organizations, IowaHealth+ and INConcertCare, pursued value-based care opportunities before joining the Medicare Shared Savings Program. Discusses the network's Medicaid value-based care contract; a partnership with Main Street Health to expand value-based contracting and provide more comprehensive, integrated primary care to patients with Medicare Advantage; data analytics; strategic planning and roadmaps; and next steps.
Date: 08/2023
Type: Document
Sponsoring organization: Rural Health Value
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Telehealth Use and Perceptions among Prostate Cancer Survivors
Examines the perceptions of telehealth among prostate cancer survivors and considers its perceived usefulness during the COVID-19 pandemic. Analyzes survey data from 487 prostate cancer survivors according to age, race, education, income, rural-urban residence, and time of survey.
Author(s): Luke W. Chen, Deborah S. Usinger, Aaron J. Katz
Citation: Cancer Medicine, 12(16), 17308-17312
Date: 08/2023
Type: Document
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Examines the perceptions of telehealth among prostate cancer survivors and considers its perceived usefulness during the COVID-19 pandemic. Analyzes survey data from 487 prostate cancer survivors according to age, race, education, income, rural-urban residence, and time of survey.
Author(s): Luke W. Chen, Deborah S. Usinger, Aaron J. Katz
Citation: Cancer Medicine, 12(16), 17308-17312
Date: 08/2023
Type: Document
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Association Between Insurer Connectivity in Appalachian Population Health Networks and Preventable Hospitalizations: Evidence from Kentucky
Examines insurer connectivity in community networks across regions in Kentucky, and the association between connectivity and the probability of experiencing a preventable hospitalization. Features statistics with breakdowns by urban, rural non-Appalachian, and Appalachian locations.
Author(s): Rachel Hogg-Graham, Kelsey R. Gatton, Rick Ingram, Glen P. Mays
Citation: Journal of Appalachian Health, 5(2), 15-31
Date: 08/2023
Type: Document
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Examines insurer connectivity in community networks across regions in Kentucky, and the association between connectivity and the probability of experiencing a preventable hospitalization. Features statistics with breakdowns by urban, rural non-Appalachian, and Appalachian locations.
Author(s): Rachel Hogg-Graham, Kelsey R. Gatton, Rick Ingram, Glen P. Mays
Citation: Journal of Appalachian Health, 5(2), 15-31
Date: 08/2023
Type: Document
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DRCHSD Spotlight: Urgent & Primary Care of Clarksdale in Clarksdale, Mississippi
Discusses how Urgent and Primary Care of Clarksdale in Clarksdale, Mississippi, and community partners constructed a community garden to improve patient and community access to healthy food. Describes how clinic staff used Delta Region Community Health Systems Development Program resources to increase access to care through telehealth, including using technology to provide healthcare services to people incarcerated at the Coahoma County Detention Facility.
Date: 08/2023
Type: Video/Multimedia
Sponsoring organization: National Rural Health Resource Center
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Discusses how Urgent and Primary Care of Clarksdale in Clarksdale, Mississippi, and community partners constructed a community garden to improve patient and community access to healthy food. Describes how clinic staff used Delta Region Community Health Systems Development Program resources to increase access to care through telehealth, including using technology to provide healthcare services to people incarcerated at the Coahoma County Detention Facility.
Date: 08/2023
Type: Video/Multimedia
Sponsoring organization: National Rural Health Resource Center
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Use of Real Time Clinical Video Telehealth to Home by Primary Care Providers Within the Veterans Health Administration During the First Wave of the COVID-19 Pandemic: Variability Across VA Stations and with Time
Describes the extent to which Clinical Video Telehealth to Home (VT2H) was used for primary care licensed independent practitioner visits (PCLIPVs) across the Veterans Health Administration (VA) during the first 18 months of the COVID pandemic. Explores how VT2H use varied over time and by VA station characteristics, including rurality.
Author(s): Dennis H. Sullivan, Linda M. Sawyer, Bonnie D. Dawson, et al.
Citation: JAMIA Open, 6(3)
Date: 08/2023
Type: Document
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Describes the extent to which Clinical Video Telehealth to Home (VT2H) was used for primary care licensed independent practitioner visits (PCLIPVs) across the Veterans Health Administration (VA) during the first 18 months of the COVID pandemic. Explores how VT2H use varied over time and by VA station characteristics, including rurality.
Author(s): Dennis H. Sullivan, Linda M. Sawyer, Bonnie D. Dawson, et al.
Citation: JAMIA Open, 6(3)
Date: 08/2023
Type: Document
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