Rural Health
Resources by Topic: Service delivery models
Helping Older Adults Age Well in Rural America
Provides an overview of strategies that mitigate challenges related to aging in rural communities. Provides data on healthcare access in rural areas and presents successful models that focus on transportation, social services, and alternative care models, such as paramedicine and hybrid care.
Author(s): Martha Hostetter, Sarah Klein
Date: 11/2023
Sponsoring organization: Commonwealth Fund
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Provides an overview of strategies that mitigate challenges related to aging in rural communities. Provides data on healthcare access in rural areas and presents successful models that focus on transportation, social services, and alternative care models, such as paramedicine and hybrid care.
Author(s): Martha Hostetter, Sarah Klein
Date: 11/2023
Sponsoring organization: Commonwealth Fund
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HHS is Taking Action to Strengthen Primary Care
Describes the importance of primary care to improving access to healthcare, the health and well-being of individuals and communities, and health equity. Discusses challenges facing primary care and outlines actions taken by the U.S. Department of Health and Human Services (HHS) to address these challenges. Covers primary care payment, workforce, access, health information technology, and research and practice improvement support.
Date: 11/2023
Sponsoring organization: U.S. Department of Health and Human Services
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Describes the importance of primary care to improving access to healthcare, the health and well-being of individuals and communities, and health equity. Discusses challenges facing primary care and outlines actions taken by the U.S. Department of Health and Human Services (HHS) to address these challenges. Covers primary care payment, workforce, access, health information technology, and research and practice improvement support.
Date: 11/2023
Sponsoring organization: U.S. Department of Health and Human Services
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The U.S. Department of Health and Human Services Is Taking Action to Strengthen Primary Care
Commentary describing challenges facing primary care in the United States and actions the U.S. Department of Health and Human Services (HHS) is taking to address these challenges and strengthen primary care.
Author(s): Rachel Levine, R. Burciaga Valdez, Chiquita Brooks-LaSure, et al.
Date: 11/2023
Sponsoring organization: National Academy of Medicine
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Commentary describing challenges facing primary care in the United States and actions the U.S. Department of Health and Human Services (HHS) is taking to address these challenges and strengthen primary care.
Author(s): Rachel Levine, R. Burciaga Valdez, Chiquita Brooks-LaSure, et al.
Date: 11/2023
Sponsoring organization: National Academy of Medicine
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Improving Maternity Care for Indigenous Populations
Podcast episode featuring a discussion with Tina Pattara-Lau, M.D., maternal and child health consultant with the Indian Health Service Office of Clinical and Preventive Services, and Johnna Nynas, M.D., obstetrics and gynecology specialist at Sanford Bemidji Medical Center. Describes common disparities and systemic barriers Indigenous people experience in maternity care and ways hospitals and healthcare organizations can address these challenges and provide culturally-focused care.
Date: 11/2023
Sponsoring organization: American Hospital Association
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Podcast episode featuring a discussion with Tina Pattara-Lau, M.D., maternal and child health consultant with the Indian Health Service Office of Clinical and Preventive Services, and Johnna Nynas, M.D., obstetrics and gynecology specialist at Sanford Bemidji Medical Center. Describes common disparities and systemic barriers Indigenous people experience in maternity care and ways hospitals and healthcare organizations can address these challenges and provide culturally-focused care.
Date: 11/2023
Sponsoring organization: American Hospital Association
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Evaluation of the Medicare Care Choices Model: Fifth and Final Annual Evaluation Report
Evaluates the Medicare Care Choice Model (MCCM), which tests whether offering eligible Medicare beneficiaries the option to receive supportive services without forgoing payment for treatment of their terminal conditions improved their quality of life and care, increased patient and family satisfaction, and reduced Medicare expenditures. Describes the characteristics of participating hospices and withdrawal of providers over time; beneficiaries who were referred to, eligible for, and enrolled in MCCM; services provided and the quality of service delivery; transitions from MCCM to the Medicare hospice benefit; beneficiary outcomes and effects across subgroups; and key findings. Includes information on rural provider and beneficiary participation in the model and compares rural and urban beneficiary outcomes.
Additional links: Findings at a Glance, Participant Experience & Evaluation Results Video
Date: 11/2023
Sponsoring organizations: Centers for Medicare and Medicaid Services, Mathematica
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Evaluates the Medicare Care Choice Model (MCCM), which tests whether offering eligible Medicare beneficiaries the option to receive supportive services without forgoing payment for treatment of their terminal conditions improved their quality of life and care, increased patient and family satisfaction, and reduced Medicare expenditures. Describes the characteristics of participating hospices and withdrawal of providers over time; beneficiaries who were referred to, eligible for, and enrolled in MCCM; services provided and the quality of service delivery; transitions from MCCM to the Medicare hospice benefit; beneficiary outcomes and effects across subgroups; and key findings. Includes information on rural provider and beneficiary participation in the model and compares rural and urban beneficiary outcomes.
Additional links: Findings at a Glance, Participant Experience & Evaluation Results Video
Date: 11/2023
Sponsoring organizations: Centers for Medicare and Medicaid Services, Mathematica
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Identifying a Consensus Set of EMS Agency Licensure Elements and Definitions to Support Rural EMS Data Collection
Discusses gaps in data on rural emergency medical service (EMS) agencies and systems of care. Summarizes findings from a review of state EMS agency licensing applications and discussions from a panel of rural EMS experts. Identifies a consensus set of core EMS licensure elements and definitions for consideration by state EMS authorities in order to enhance licensure application processes and align data collection efforts with other states.
Author(s): John Gale, Celia Jewell, Karen Pearson
Date: 11/2023
Sponsoring organization: Flex Monitoring Team
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Discusses gaps in data on rural emergency medical service (EMS) agencies and systems of care. Summarizes findings from a review of state EMS agency licensing applications and discussions from a panel of rural EMS experts. Identifies a consensus set of core EMS licensure elements and definitions for consideration by state EMS authorities in order to enhance licensure application processes and align data collection efforts with other states.
Author(s): John Gale, Celia Jewell, Karen Pearson
Date: 11/2023
Sponsoring organization: Flex Monitoring Team
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Calendar Year (CY) 2024 Medicare Physician Fee Schedule Final Rule
Fact sheet providing an overview of the Centers for Medicare & Medicaid Services (CMS) final rule regarding updates and changes to the Medicare payments under the Physician Fee Schedule (PFS) and other Medicare Part B issues for calendar year 2024. Summarizes provisions related to paying separately for Community Health Integration, Social Determinants of Health (SDOH) Risk Assessment, and Principal Illness Navigation services; telehealth services; mental health visits furnished by Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs), including marriage and family therapists and mental health counselors as eligible for payment at RHCs and FQHCs; and more.
Date: 11/2023
Sponsoring organization: Centers for Medicare and Medicaid Services
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Fact sheet providing an overview of the Centers for Medicare & Medicaid Services (CMS) final rule regarding updates and changes to the Medicare payments under the Physician Fee Schedule (PFS) and other Medicare Part B issues for calendar year 2024. Summarizes provisions related to paying separately for Community Health Integration, Social Determinants of Health (SDOH) Risk Assessment, and Principal Illness Navigation services; telehealth services; mental health visits furnished by Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs), including marriage and family therapists and mental health counselors as eligible for payment at RHCs and FQHCs; and more.
Date: 11/2023
Sponsoring organization: Centers for Medicare and Medicaid Services
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Health is Primary: Charting a Path to Equity and Sustainability
Examines factors driving the downward trends in primary care, including fewer clinicians practicing primary care, fewer available appointments, lower spending on primary care, and fewer adults reporting that they have a usual source of primary care. Features a literature review, supply and demand analysis, and recommendations for potential solutions. Mentions rural throughout.
Additional links: Slide Presentation
Author(s): Alison Huffstetler, Ann Greiner, Anam Siddiqi, et al.
Date: 11/2023
Sponsoring organizations: Primary Care Collaborative, Robert Graham Center
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Examines factors driving the downward trends in primary care, including fewer clinicians practicing primary care, fewer available appointments, lower spending on primary care, and fewer adults reporting that they have a usual source of primary care. Features a literature review, supply and demand analysis, and recommendations for potential solutions. Mentions rural throughout.
Additional links: Slide Presentation
Author(s): Alison Huffstetler, Ann Greiner, Anam Siddiqi, et al.
Date: 11/2023
Sponsoring organizations: Primary Care Collaborative, Robert Graham Center
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Leveraging Partnerships and Data to Improve Rural Health and Well-Being: A Guidebook for Rural Practitioners
Provides guidance on partnerships and data use for rural health and well-being programs. Covers topics including partnership-building and advocacy, program planning and evaluation, service models, and data selection.
Date: 10/2023
Sponsoring organization: Urban Institute
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Provides guidance on partnerships and data use for rural health and well-being programs. Covers topics including partnership-building and advocacy, program planning and evaluation, service models, and data selection.
Date: 10/2023
Sponsoring organization: Urban Institute
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Active Iowa: Increasing Physical Activity in Iowa Communities Program - Manual of Implementation
Toolkit details the Active Iowa program and provides information and tools for implementing and evaluating similar programs aimed at promoting active lifestyles in rural communities. Presents the structure of Active Iowa and gives step-by-step guidance on planning and implementation. Features supplemental training videos and other programmatic materials on the toolkit landing page.
Additional links: Landing Page, Supplemental Training Videos
Author(s): Barbara Baquero, Natoshia M. Askelson, Edith Parker, et al.
Date: 10/2023
Sponsoring organization: University of Iowa Prevention Research Center for Rural Health
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Toolkit details the Active Iowa program and provides information and tools for implementing and evaluating similar programs aimed at promoting active lifestyles in rural communities. Presents the structure of Active Iowa and gives step-by-step guidance on planning and implementation. Features supplemental training videos and other programmatic materials on the toolkit landing page.
Additional links: Landing Page, Supplemental Training Videos
Author(s): Barbara Baquero, Natoshia M. Askelson, Edith Parker, et al.
Date: 10/2023
Sponsoring organization: University of Iowa Prevention Research Center for Rural Health
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