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Rural Health Information Hub

Rural Health
Resources by Topic: Service delivery models

2023 Physician Fee Schedule Update
Webinar recording discusses the Centers for Medicare & Medicaid Services (CMS) Calendar Year (CY) 2023 Physician Fee Schedule and highlights how the policy changes around behavioral health and telehealth services may affect rural communities. Features presentations from representatives of the Health Resources and Services Administration (HRSA) and the CMS Center for Medicare, Hospital and Ambulatory Policy Group, Division of Ambulatory Services.
Additional links: Audio Recording, Webinar Slides, Webinar Transcript
Date: 12/2022
Type: Video/Multimedia
Sponsoring organization: Rural Health Information Hub
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Office of Rural Health and Primary Care Spotlight: Telehealth in Minnesota
Examines changes in telehealth use before COVID-19 compared to 2021 through 2022 in Minnesota. Provides data on telehealth use by profession, healthcare setting, frequency, and urban, micropolitan, small town, or rural/isolated location.
Date: 12/2022
Type: Document
Sponsoring organization: Minnesota Department of Health - Office of Rural Health and Primary Care
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Public Law 117–328: Consolidated Appropriations Act, 2023
Text of the Consolidated Appropriations Act, 2023, Public Law 117-328 (December 29, 2022). Section 4113 extends certain COVID-19 telehealth flexibilities, including the ability of Rural Health Clinics and Federally Qualified Health Centers to serve as distant site providers, through December 31, 2024. Section 4137 authorizes the extension of a 1% add-on payment for home health services provided in high-utilization rural counties through 2023.
Date: 12/2022
Type: Document
Sponsoring organization: U.S. Congress
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Medicare Beneficiaries' Use of Audio-Only Health Care Services
Describes the use of audio-only telehealth services among Medicare beneficiaries before and during the COVID-19 pandemic. Presents data on the use of telehealth by age, number of chronic conditions, service type and modality, race and ethnicity, urbanicity, and outpatient facility provider type.
Date: 12/2022
Type: Document
Sponsoring organization: Bipartisan Policy Center
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Improving Rural Health Through Telehealth-Guided Provider-to-Provider Communication
Presents the results of a comprehensive literature review to identify, summarize, and evaluate available research on the contributions of rural provider-to-provider telehealth communication and collaboration in addressing health disparities, and improving the health of rural populations. Topics cover the specific applications, effectiveness, implementation, sustainability, and barriers and facilitators of provider-to-provider telehealth in rural areas.
Additional links: Executive Summary, Full Report, Telehealth's Potential To Benefit Rural Healthcare Delivery: Infographic 1, Telehealth's Potential To Benefit Rural Healthcare Delivery: Infographic 2
Author(s): Annette Totten, Dana M. Womack, Marian S. McDonagh, et al.
Date: 12/2022
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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National Institutes of Health Pathways to Prevention Workshop: Improving Rural Health Through Telehealth-Guided Provider-to-Provider Communication
Examines the effectiveness of rural provider-to-provider collaboration through the use of telehealth based on a systematic review of rural provider-to-provider telehealth (RPPT), and the results of a workshop of rural health experts. Discusses uptake of different types of telehealth, benefits of provider-to-provider telehealth for rural patients, barriers and facilitators to implementation and sustainability, and limitations of studies examining rural telehealth.
Author(s): Mary Wakefield, Jayashri Sankaranarayanan, Joanne Mather Conroy, et al.
Citation: Journal of Telemedicine and Telecare, 2022
Date: 12/2022
Type: Document
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Comparing Enhancements to Well-Child Visits in the Prevention of Obesity: Encircle Cluster-Randomized Controlled Trial
Analyzes care delivery models aimed at preventing obesity in disadvantaged preschool children living in rural Pennsylvania. Reports on 2,025 parents and their preschool-aged children recruited in the ENCIRCLE (patiEnt-cliNic-Community Integration to prevent obesity in Rural preschool ChiLdrEn) trial, which tests the effectiveness of enhanced well-child visits (WCVs) that include obesity prevention tools.
Author(s): Lisa Bailey-Davis, Amy M. Moore, Melissa N. Poulsen, et al.
Citation: BMC Public Health, 22, 2429
Date: 12/2022
Type: Document
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Experiences with Health Care Access, Cost, and Coverage: Findings from the 2022 KFF Women's Health Survey
Presents findings from the 2022 KFF Women's Health Survey of 5,145 women ages 18-64 who were asked about their health status, use of prescription medications, accessibility to healthcare, their selected care sites, check-ups, use of telemedicine, and health coverage and costs. Includes data on telehealth services provided by urban and rural location.
Author(s): Michelle Long, Brittni Frederiksen, Usha Ranji Alina Salganicoff, Karen Diep
Date: 12/2022
Type: Document
Sponsoring organization: KFF
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Access and Coverage for Mental Health Care: Findings from the 2022 KFF Women's Health Survey
Presents data from the national 2022 KFF Women's Health Survey of 5,145 women and 1,225 men ages 18-64 where respondents were asked about their experiences in obtaining mental health services, including the use of telehealth, over the past two years. Data is focused on the mental health service needs of women by age, race/ethnicity, income, insurance, and on rural and urban telehealth usage.
Author(s): Karen Diep, Brittni Frederiksen, Michelle Long, Usha Ranji, Alina Salganicoff
Date: 12/2022
Type: Document
Sponsoring organization: KFF
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Disparities in Virtual Cardiology Visits Among Veterans Health Administration Patients During the COVID-19 Pandemic
Presents the results of a study to determine how the COVID-19 pandemic, during the first year, influenced the digital divide for patients using virtual and video-based care in Veterans Health Administration (VA) cardiology clinics across the U.S. Study examined sociodemographic and clinical characteristics, drive time to care, geographic location – rural and urban – and encounter type to determine changes in access to care by video, phone, and face-to-face.
Author(s): Rebecca L Tisdale, Jacqueline Ferguson, James Van Campen, et al.
Citation: JAMIA Open, 5(4)
Date: 12/2022
Type: Document
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