Rural Health
Resources by Topic: Service delivery models
Challenges and Solutions for Disaster Behavioral Health in Rural and Remote Communities
Describes the scope and diversity of rural and remote populations across the nation, highlighting sources of strength and struggle, including the effects of stigma, for rural Americans and rural healthcare providers. Explores potential approaches to disaster behavioral health in rural and remote areas, including governmental and policy approaches, community-based approaches, and telemedicine.
Date: 04/2023
Type: Document
Sponsoring organization: SAMHSA Disaster Technical Assistance Center
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Describes the scope and diversity of rural and remote populations across the nation, highlighting sources of strength and struggle, including the effects of stigma, for rural Americans and rural healthcare providers. Explores potential approaches to disaster behavioral health in rural and remote areas, including governmental and policy approaches, community-based approaches, and telemedicine.
Date: 04/2023
Type: Document
Sponsoring organization: SAMHSA Disaster Technical Assistance Center
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Evaluation of the Maternal Opioid Misuse (MOM) Model Second Annual Report (Implementation Year 1)
Provides an overview of the Maternal Opioid Misuse Model, which provides evidence-based integrated care and care coordination for pregnant and postpartum Medicaid beneficiaries with opioid use disorder (OUD). Describes activities MOM Model awardees undertook during the MOM Model's first implementation year, July 1, 2021–June 30, 2022. Discusses barriers pregnant and postpartum people with OUD face in accessing high-quality, continuous care, specifically in rural areas.
Additional links: Findings at a Glance
Date: 04/2023
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, Insight Policy Research
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Provides an overview of the Maternal Opioid Misuse Model, which provides evidence-based integrated care and care coordination for pregnant and postpartum Medicaid beneficiaries with opioid use disorder (OUD). Describes activities MOM Model awardees undertook during the MOM Model's first implementation year, July 1, 2021–June 30, 2022. Discusses barriers pregnant and postpartum people with OUD face in accessing high-quality, continuous care, specifically in rural areas.
Additional links: Findings at a Glance
Date: 04/2023
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, Insight Policy Research
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Comparative Effectiveness of 2 Interventions to Increase Breast, Cervical, and Colorectal Cancer Screening Among Women in the Rural US: A Randomized Clinical Trial
Evaluated the effectiveness of remote interventions compared to the standard care protocols for cancer screenings in 963 Indiana and Ohio women between 50 and 74 years old. Discusses cost-effectiveness compared to increased screening odds and the impact on health outcomes, particularly mortality.
Author(s): Victoria L. Champion, Electra D. Paskett, Timothy E. Stump, Erika B. Biederman, Eric Vachon, et al.
Citation: JAMA Network Open, 6(4)
Date: 04/2023
Type: Document
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Evaluated the effectiveness of remote interventions compared to the standard care protocols for cancer screenings in 963 Indiana and Ohio women between 50 and 74 years old. Discusses cost-effectiveness compared to increased screening odds and the impact on health outcomes, particularly mortality.
Author(s): Victoria L. Champion, Electra D. Paskett, Timothy E. Stump, Erika B. Biederman, Eric Vachon, et al.
Citation: JAMA Network Open, 6(4)
Date: 04/2023
Type: Document
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April 2023 MedPAC Meeting Transcript
Transcript from the Medicare Payment Advisory Commission's (MedPAC) April 2023 meeting. Covers high prices of drugs covered under Medicare Part B, draft recommendations for reforming Medicare's wage index systems, aligning fee-for-service payment rates across ambulatory settings, leveraging Medicare policies to address social determinants of health, assessing post-sale rebates for prescription drugs in Medicare Part D, and assessing the need for Medicare safety net payments for skilled nursing facilities and home health agencies. Features discussions on draft reports regarding a prototype design for a post-acute care prospective payment system, telehealth in Medicare, and behavioral health in Medicare. Includes rural references throughout.
Date: 04/2023
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Transcript from the Medicare Payment Advisory Commission's (MedPAC) April 2023 meeting. Covers high prices of drugs covered under Medicare Part B, draft recommendations for reforming Medicare's wage index systems, aligning fee-for-service payment rates across ambulatory settings, leveraging Medicare policies to address social determinants of health, assessing post-sale rebates for prescription drugs in Medicare Part D, and assessing the need for Medicare safety net payments for skilled nursing facilities and home health agencies. Features discussions on draft reports regarding a prototype design for a post-acute care prospective payment system, telehealth in Medicare, and behavioral health in Medicare. Includes rural references throughout.
Date: 04/2023
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Health Care's Role in Rural Economic Development: How Broadband Can Improve Health Outcomes
Policy brief exploring how lack of broadband infrastructure and adaptation in rural areas limits access to healthcare. Includes recommendations for policies and actions to improve the rural broadband infrastructure and promote telehealth.
Author(s): Jeremy Cannon
Date: 04/2023
Type: Document
Sponsoring organization: National Rural Health Association
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Policy brief exploring how lack of broadband infrastructure and adaptation in rural areas limits access to healthcare. Includes recommendations for policies and actions to improve the rural broadband infrastructure and promote telehealth.
Author(s): Jeremy Cannon
Date: 04/2023
Type: Document
Sponsoring organization: National Rural Health Association
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Better Together: Rural Hospital High-Value Networks
Examines how rural hospital high-value networks can create economies of scale and value-based care capacity in order to enter into value-based payment contracts.
Author(s): Clint MacKinney, Nate White, Brett Norell
Citation: Rural Monitor
Date: 04/2023
Type: Document
Sponsoring organization: Rural Health Information Hub
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Examines how rural hospital high-value networks can create economies of scale and value-based care capacity in order to enter into value-based payment contracts.
Author(s): Clint MacKinney, Nate White, Brett Norell
Citation: Rural Monitor
Date: 04/2023
Type: Document
Sponsoring organization: Rural Health Information Hub
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Association Between Broadband Capacity and Telehealth Utilization Among Medicare Fee-for-Service Beneficiaries During the COVID-19 Pandemic
Evaluates the relationship between broadband access and telehealth utilization throughout the U.S. during the COVID-19 pandemic, from January through September 2020, by merging county-level data from 3,107 counties focused on broadband capacity, telehealth utilization by Medicare Fee-for-Service beneficiaries, rural-urban residence, and demographic characteristics.
Author(s): Ambrish A Pandit, Ruchira V Mahashabde, Clare C Brown, et al.
Citation: Journal of Telemedicine and Telecare, 2023
Date: 04/2023
Type: Document
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Evaluates the relationship between broadband access and telehealth utilization throughout the U.S. during the COVID-19 pandemic, from January through September 2020, by merging county-level data from 3,107 counties focused on broadband capacity, telehealth utilization by Medicare Fee-for-Service beneficiaries, rural-urban residence, and demographic characteristics.
Author(s): Ambrish A Pandit, Ruchira V Mahashabde, Clare C Brown, et al.
Citation: Journal of Telemedicine and Telecare, 2023
Date: 04/2023
Type: Document
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The Rural Behavioral Health Crisis Continuum: Considerations and Emerging State Strategies
Presents examples of state strategies for bolstering the rural behavioral health crisis care continuum at each level of care.
Author(s): Miriam Pearsall, Sandra Wilkniss
Date: 04/2023
Type: Document
Sponsoring organization: National Academy for State Health Policy
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Presents examples of state strategies for bolstering the rural behavioral health crisis care continuum at each level of care.
Author(s): Miriam Pearsall, Sandra Wilkniss
Date: 04/2023
Type: Document
Sponsoring organization: National Academy for State Health Policy
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Descriptive Study: The Novel "Full Spectrum People-With-Opioid-Use-Disorder Care Model"
Examines the implementation of a comprehensive care delivery model that provides access to harm reduction services for people with opioid use disorder (PWOUD). Analyzes 565 encounters with people utilizing medical and/or behavioral healthcare services in a rural New Mexico county. Provides demographic breakdown of encounters and data on the counties with highest overdose rates, along with discussion on how to provide harm reduction services to hard-to-reach populations.
Author(s): Richard Gadomski, Snehal Bhatt, Jessica Gross, et al.
Citation: Harm Reduction Journal, 20, 47
Date: 04/2023
Type: Document
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Examines the implementation of a comprehensive care delivery model that provides access to harm reduction services for people with opioid use disorder (PWOUD). Analyzes 565 encounters with people utilizing medical and/or behavioral healthcare services in a rural New Mexico county. Provides demographic breakdown of encounters and data on the counties with highest overdose rates, along with discussion on how to provide harm reduction services to hard-to-reach populations.
Author(s): Richard Gadomski, Snehal Bhatt, Jessica Gross, et al.
Citation: Harm Reduction Journal, 20, 47
Date: 04/2023
Type: Document
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The End of the COVID-19 Public Health Emergency - Impact for RHCs
Recording of an April 5, 2023, webinar regarding how the end of the COVID-19 public health emergency (PHE) impacts regulatory waivers and flexibilities related to Rural Health Clinics (RHCs). Part of the Rural Health Clinic Technical Assistance Series.
Additional links: Presentation Slides, Q&A Follow-Up, Transcript
Date: 04/2023
Type: Video/Multimedia
Sponsoring organization: National Association of Rural Health Clinics
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Recording of an April 5, 2023, webinar regarding how the end of the COVID-19 public health emergency (PHE) impacts regulatory waivers and flexibilities related to Rural Health Clinics (RHCs). Part of the Rural Health Clinic Technical Assistance Series.
Additional links: Presentation Slides, Q&A Follow-Up, Transcript
Date: 04/2023
Type: Video/Multimedia
Sponsoring organization: National Association of Rural Health Clinics
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