Rural Health
Resources by Topic: Service delivery models
Health Information Technology Adoption and Utilization in Behavioral Health Settings
Explores the adoption and use of health information technology (HIT) among behavioral health providers. Presents findings from a literature review and focus group interviews regarding digital strategies that support integrated care models between physical health and behavioral health. Discusses how a lagging adoption and interoperability of HIT may affect community-based behavioral health providers working with underserved populations. Identifies policy considerations to increase interoperable HIT use among behavioral health providers. Includes rural references throughout.
Author(s): Michelle Dougherty, Rebecca McGavin, Meagan Pilar, Marc Horvath, Stephen Brown
Date: 12/2024
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, RTI International
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Explores the adoption and use of health information technology (HIT) among behavioral health providers. Presents findings from a literature review and focus group interviews regarding digital strategies that support integrated care models between physical health and behavioral health. Discusses how a lagging adoption and interoperability of HIT may affect community-based behavioral health providers working with underserved populations. Identifies policy considerations to increase interoperable HIT use among behavioral health providers. Includes rural references throughout.
Author(s): Michelle Dougherty, Rebecca McGavin, Meagan Pilar, Marc Horvath, Stephen Brown
Date: 12/2024
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, RTI International
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Racial and Ethnic and Rural Variations in the Use of Hybrid Prenatal Care in the US
Examines how factors of race/ethnicity, location, and telehealth restriction waivers during COVID-19 impact the uptake of hybrid prenatal care. Provides demographic breakdowns related to telehealth use of women during pregnancy and the COVID-19 public health emergency, with additional data on health conditions, U.S. region, and urban or rural residence.
Author(s): Peiyin Hung, Jiani Yu, Sayward E. Harrison, et al.
Citation: JAMA Network Open, 7(12)
Date: 12/2024
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Examines how factors of race/ethnicity, location, and telehealth restriction waivers during COVID-19 impact the uptake of hybrid prenatal care. Provides demographic breakdowns related to telehealth use of women during pregnancy and the COVID-19 public health emergency, with additional data on health conditions, U.S. region, and urban or rural residence.
Author(s): Peiyin Hung, Jiani Yu, Sayward E. Harrison, et al.
Citation: JAMA Network Open, 7(12)
Date: 12/2024
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Urban and Rural Differences in the Efficacy of a Mobile Health Depression Treatment for Young Adults
Examines the efficacy of a randomized clinical trial of a mobile health (mHealth) depression treatment in 103 young adults ages 18-25 across the U.S. Explores whether treatment efficacy differed by rural and urban residence.
Author(s): Jeremy Mennis, J. Douglas Coatsworth, Michael Russell, et al.
Citation: International Journal of Environmental Research and Public Health, 21(12), 1572
Date: 11/2024
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Examines the efficacy of a randomized clinical trial of a mobile health (mHealth) depression treatment in 103 young adults ages 18-25 across the U.S. Explores whether treatment efficacy differed by rural and urban residence.
Author(s): Jeremy Mennis, J. Douglas Coatsworth, Michael Russell, et al.
Citation: International Journal of Environmental Research and Public Health, 21(12), 1572
Date: 11/2024
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Primary Care Collaborative 2024 Evidence Report: An Evaluation of Primary Care in Medicare Accountable Care Organizations
Examines the role of primary care in Accountable Care Organizations (ACOs) in the Medicare Shared Savings Program (MSSP), and includes 3 case studies of MSSP ACOs that are primary care centric. Explores how the performance of ACOs may be affected by serving beneficiaries with high economic and social need. Mentions rural throughout.
Author(s): Ann Greiner, David Muhlestein, Ann Kempski, Melissa K. Fillippi, Alison N. Huffstetler
Date: 11/2024
Sponsoring organizations: Primary Care Collaborative, Robert Graham Center, Simple Healthcare
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Examines the role of primary care in Accountable Care Organizations (ACOs) in the Medicare Shared Savings Program (MSSP), and includes 3 case studies of MSSP ACOs that are primary care centric. Explores how the performance of ACOs may be affected by serving beneficiaries with high economic and social need. Mentions rural throughout.
Author(s): Ann Greiner, David Muhlestein, Ann Kempski, Melissa K. Fillippi, Alison N. Huffstetler
Date: 11/2024
Sponsoring organizations: Primary Care Collaborative, Robert Graham Center, Simple Healthcare
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Understanding the Optimal Balance of Using Telehealth and In-person Services to Support Adults with Serious Mental Illness and Children with Serious Emotional Disturbance
Explores the balance between telehealth and in-person care for serious mental illness (SMI) and children with serious emotional disturbance (SED). Summarizes findings from an environmental scan and focus groups with mental health providers, adults with SMI, and parents of children with SED. Discusses how focus group participants made decisions about using telehealth versus in-person mental healthcare and how telehealth impacted access to care and engagement in treatment relative to in-person services.
Author(s): Jasmine Little, Megan Dormond, Sarah Croake, et al.
Date: 11/2024
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Explores the balance between telehealth and in-person care for serious mental illness (SMI) and children with serious emotional disturbance (SED). Summarizes findings from an environmental scan and focus groups with mental health providers, adults with SMI, and parents of children with SED. Discusses how focus group participants made decisions about using telehealth versus in-person mental healthcare and how telehealth impacted access to care and engagement in treatment relative to in-person services.
Author(s): Jasmine Little, Megan Dormond, Sarah Croake, et al.
Date: 11/2024
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Identifying Factors Associated with Variation in Telemental Health Delivery at Federally Qualified Health Centers
Examines telemental health delivery at Federally Qualified Health Centers (FQHCs) across the U.S. Analyzes 1,270 FQHCs and their telemental appointments in 2021 and provides statistics according to mental health staffing, rurality of FQHC, state, and patient population descriptors, including age, race/ethnicity, and insurance status.
Author(s): Brianna Lombardi, Connor Sullivan, Maria Gaiser, et al.
Citation: Journal of Primary Care & Community Health
Date: 11/2024
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Examines telemental health delivery at Federally Qualified Health Centers (FQHCs) across the U.S. Analyzes 1,270 FQHCs and their telemental appointments in 2021 and provides statistics according to mental health staffing, rurality of FQHC, state, and patient population descriptors, including age, race/ethnicity, and insurance status.
Author(s): Brianna Lombardi, Connor Sullivan, Maria Gaiser, et al.
Citation: Journal of Primary Care & Community Health
Date: 11/2024
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Ever Use of Telehealth in Nebraska by March 2021: Cross-Sectional Analysis
Analyzes telehealth usage in Nebraska according to sociodemographic variables as well as health status and healthcare access. Analyzes survey data from 1,101 respondents and discusses the impact of the digital divide, age, and race/ethnicity on telehealth use in a mostly rural state.
Author(s): Lisa C Smith, George Johnson, Snehal Jadhav, et al.
Citation: Journal of Medical Internet Research, 26
Date: 11/2024
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Analyzes telehealth usage in Nebraska according to sociodemographic variables as well as health status and healthcare access. Analyzes survey data from 1,101 respondents and discusses the impact of the digital divide, age, and race/ethnicity on telehealth use in a mostly rural state.
Author(s): Lisa C Smith, George Johnson, Snehal Jadhav, et al.
Citation: Journal of Medical Internet Research, 26
Date: 11/2024
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Building a Rural Cancer Care Network: Federal Funding Supports Collaboration of Urban, Regional, and Local Organizations
Features a rural cancer care network in Georgia funded by a federal care coordination grant that brings together an urban nonprofit organization, a regional healthcare system with rural locations, and a local rural physician's office. Highlights the network's work related to patient navigation and clinical cancer trial enrollment.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 11/2024
Sponsoring organization: Rural Health Information Hub
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Features a rural cancer care network in Georgia funded by a federal care coordination grant that brings together an urban nonprofit organization, a regional healthcare system with rural locations, and a local rural physician's office. Highlights the network's work related to patient navigation and clinical cancer trial enrollment.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 11/2024
Sponsoring organization: Rural Health Information Hub
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Federally Qualified Health Centers and Performance of Medicare Accountable Care Organizations
Explores the association between participation of Federally Qualified Health Centers (FQHCs) and Rural Health Clinics (RHCs) in Medicare Shared Savings Program Accountable Care Organizations (ACOs) with ACOs' beneficiary characteristics, utilization, expenditure, and quality. Features statistics including estimated changes in Medicare Shared Savings Program ACO-assigned beneficiaries, utilization, and expenditure, with breakdowns by FQHC and RHC visits and other types of visits.
Author(s): Kun Li, Yucheng Hou, Frank McStay, Jonathan Gonzalez-Smith, Robert S. Saunders
Citation: JAMA Network Open, 7(11), e2445536
Date: 11/2024
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Explores the association between participation of Federally Qualified Health Centers (FQHCs) and Rural Health Clinics (RHCs) in Medicare Shared Savings Program Accountable Care Organizations (ACOs) with ACOs' beneficiary characteristics, utilization, expenditure, and quality. Features statistics including estimated changes in Medicare Shared Savings Program ACO-assigned beneficiaries, utilization, and expenditure, with breakdowns by FQHC and RHC visits and other types of visits.
Author(s): Kun Li, Yucheng Hou, Frank McStay, Jonathan Gonzalez-Smith, Robert S. Saunders
Citation: JAMA Network Open, 7(11), e2445536
Date: 11/2024
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RHC Regulatory Changes in 2025 - Medicare Physician Fee Schedule Updates You Need to Know!
Recording of a November 18, 2024, webinar providing an overview of telehealth payment rates for Rural Health Clinics (RHCs) and other regulatory updates and potential changes for 2025. Covers Medicare vaccine reimbursement changes, the elimination of productivity standards, lab requirement changes, intensive outpatient program (IOP) services, telehealth regulations, and more. Part of the Rural Health Clinic Technical Assistance Series.
Additional links: Presentation Slides
Date: 11/2024
Sponsoring organization: National Association of Rural Health Clinics
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Recording of a November 18, 2024, webinar providing an overview of telehealth payment rates for Rural Health Clinics (RHCs) and other regulatory updates and potential changes for 2025. Covers Medicare vaccine reimbursement changes, the elimination of productivity standards, lab requirement changes, intensive outpatient program (IOP) services, telehealth regulations, and more. Part of the Rural Health Clinic Technical Assistance Series.
Additional links: Presentation Slides
Date: 11/2024
Sponsoring organization: National Association of Rural Health Clinics
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