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Rural Health
Resources by Topic: Service delivery models

Pandemic-Era Trends in Telehealth Use among Americans with Private Health Insurance
Brief analyzing telehealth use between 2019 and 2021 for people younger than 65 with private health insurance. Discusses the impact of COVID-19 on telehealth use. Analyzes data by various factors such as age, rurality, access, broadband availability, and more. Discusses policy implications related to broadband access, mental healthcare provider shortages, costs, access, and equity. Includes both nationwide and state-by-state rural and urban comparisons.
Author(s): Beth Carter, Olivia Dean, Alex Hartzman, Luis Arzaluz, Aiden Wynia
Date: 05/2024
Type: Document
Sponsoring organization: AARP Public Policy Institute
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CMS Bundled Payments for Care Improvement Advanced Model: Fifth Annual Evaluation Report
Fifth annual report of the Bundled Payments for Care Improvement Advanced (BPCI Advanced) Model, which tests whether linking payments for a clinical episode of care can reduce Medicare expenditures while maintaining or improving the quality of care. Explores the impact of BPCI Advanced on episode payments, utilization, and quality of care, as well as estimates of Medicare program savings in Model Year 4. Describes changes to the model that were implemented in Model Year 4 and how BPCI Advanced relates to Medicare Accountable Care Organizations (ACOs). Analyzes BPCI Advanced outcomes for beneficiaries from populations that have been historically underserved. Includes rural references throughout.
Additional links: Appendices, Executive Summary, Findings at a Glance
Author(s): The Lewin Group, Abt Associates, GDIT, Telligen
Date: 05/2024
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Using mHealth to Reduce Disparities in Black Maternal Health: Perspectives from Black Rural Postpartum Mothers
Provides an overview of factors impacting Black maternal health in rural Georgia. Describes research regarding mobile health (mHealth) as a tool for advancing sexual and reproductive health outcomes. Summarizes findings from group interviews with 14 women and identifies themes related to facilitators and barriers to postpartum transitional care for rural Black women.
Author(s): Natalie Hernandez-Green, Morgan V. Davis, Oluyemi Farinu, et al.
Citation: Women's Health, 20
Date: 05/2024
Type: Document
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Rural Health Network Development Planning Program: 2023 Grantee Directory
Detailed descriptions of 36 Rural Health Network Development Planning Program grant projects funded in fiscal year 2023. Lists grantees by organization type and focus area, including topics such as network organization and infrastructure development, increasing health system efficiencies, behavioral health, and telehealth. Includes grantee profiles describing their programs and network structures, geographic areas served, network partners, and contacts for each network.
Date: 05/2024
Type: Document
Sponsoring organization: Federal Office of Rural Health Policy
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Providing Behavioral Health Support for Older Adults
Podcast episode featuring a discussion with leaders of Broaddus Hospital, a Critical Access Hospital in West Virginia, describing how they work to identify and fill the unique mental health needs of older adults in the community, including the development of an intensive outpatient group therapy program for older adults.
Date: 05/2024
Type: Audio
Sponsoring organization: American Hospital Association
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Tele-Behavioral Health Use Among Medicare Beneficiaries During COVID-19
Explores whether tele-behavioral healthcare was able to meet the demand for behavioral healthcare during the COVID-19 public health emergency. Examines behavioral healthcare and tele-behavioral healthcare use among Medicare beneficiaries in 2019 and 2020 by type of service and beneficiary characteristics, including urban and rural residence.
Author(s): Laura Jacobus-Kantor, Judith Dey, Emma Nye, et al.
Date: 05/2024
Type: Document
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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State Innovations to Advance Respite Care: Policy Strategies Shared at the State-Federal Respite Summit
Presents strategies utilized by states to improve access to and quality of respite care services for family caregivers. Strategies cover awareness and outreach, respite workforce education, and serving diverse populations. Highlights strategies from Colorado, North Dakota, and Oklahoma focused on rural areas.
Author(s): Kimberly Hodges, Ella Taggart, Salom Teshale
Date: 05/2024
Type: Document
Sponsoring organization: National Academy for State Health Policy
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Frontier Health Care: Ensuring Veterans' Access No Matter Where They Live
Recording of a May 15, 2024, U.S. Senate Committee on Veterans' Affairs hearing regarding rural veterans' access to healthcare and efforts to address challenges to care. Covers rural staffing and recruitment, limited access to broadband, distance to healthcare providers, and more. Features testimony from the U.S. Department of Veterans Affairs (VA) Veterans Health Administration's Office of Rural Health, the Great Plains Veterans Services Center, the Government Accountability Office, and Disabled American Veterans.
Additional links: Alyssa M. Hundrup, Government Accountability Office - Testimony, Chauncey Parker, Great Plains Veterans Services Center - Testimony, Jon Retzer, Disabled American Veterans - Testimony, Peter Kaboli, U.S. Department of Veterans Affairs, Veterans Health Administration, Office of Rural Health - Testimony
Date: 05/2024
Type: Video/Multimedia
Sponsoring organizations: Committee on Veterans' Affairs, U.S. Senate
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Rural Health Care: Supporting Lives and Improving Communities
Presents the U.S. Senate Committee on Finance May 16, 2024, hearing on rural healthcare. Discusses the financial vulnerability of rural hospitals, the rural healthcare workforce and graduate medical education (GME), access to maternal healthcare, health information technology and telehealth, and more. Features testimony from the Chartis Center for Rural Health; Grande Ronde Hospital, a Critical Access Hospital in Oregon; the Wisconsin Collaborative for Rural Graduate Medical Education; and the Rural Policy Research Institute.
Additional links: Jeremy P. Davis, Grande Ronde Hospital - Testimony, Keith J. Mueller, Rural Policy Research Institute - Testimony, Lori Rodefeld, Wisconsin Collaborative for Rural Graduate Medical Education - Testimony, Michael Topchik, Chartis Center for Rural Health - Testimony
Date: 05/2024
Type: Video/Multimedia
Sponsoring organization: Senate Committee on Finance
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Housing for Rural Residents Recovering from Substance Use Disorders
Presents a study featuring a number of programs providing housing for substance use disorder (SUD) recovery in rural communities. Discusses three different case studies on programs in MN, OR, and WV. Highlights the community need, organizational structure, and key features of each program.
Author(s): Katie Rydberg, Ingrid Jacobson, Mariana Tuttle, et al.
Date: 05/2024
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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