Rural Health
Resources by Topic: Service delivery models
Geographic Disparities in Telemedicine Mental Health Use by Applying Three Way ANOVA on Medicaid Claims Population Data
Examines geographic differences in telemedicine use for mental healthcare visits in Texas. Analyzes 2012 to 2018 Medicaid claims data by urban, suburban, and rural geography, as well as additional sociodemographic variables.
Author(s): Benjamin Ukert, Mark Lawley, Hye-Chung Kum
Citation: BMC Health Services Research, 24, 494
Date: 04/2024
Type: Document
view details
Examines geographic differences in telemedicine use for mental healthcare visits in Texas. Analyzes 2012 to 2018 Medicaid claims data by urban, suburban, and rural geography, as well as additional sociodemographic variables.
Author(s): Benjamin Ukert, Mark Lawley, Hye-Chung Kum
Citation: BMC Health Services Research, 24, 494
Date: 04/2024
Type: Document
view details
Creating a Sustainable Future for Value-Based Care: A Playbook of Voluntary Best Practices for VBC Payment Arrangements
Describes themes that emerged from workgroup meetings regarding the implementation of value-based care (VBC) models, with a focus on total cost of care arrangements. Outlines voluntary best practices and domains within VBC payment arrangements for health plans, facilities, clinicians, and VBC entities to consider during the design, implementation, and evaluation of VBC participation. Includes rural information and considerations throughout.
Date: 04/2024
Type: Document
Sponsoring organizations: AHIP, American Medical Association, National Association of ACOs
view details
Describes themes that emerged from workgroup meetings regarding the implementation of value-based care (VBC) models, with a focus on total cost of care arrangements. Outlines voluntary best practices and domains within VBC payment arrangements for health plans, facilities, clinicians, and VBC entities to consider during the design, implementation, and evaluation of VBC participation. Includes rural information and considerations throughout.
Date: 04/2024
Type: Document
Sponsoring organizations: AHIP, American Medical Association, National Association of ACOs
view details
Medicare Accountable Care Organizations: Past Performance and Future Directions
Summarizes research findings about Medicare accountable care organizations (ACOs) from recent peer-reviewed journals, official evaluations of Medicare ACOs, and research organization reports. Describes characteristics of certain ACOs associated with greater savings and factors that limit ACOs' ability to achieve net budgetary savings for the Medicare program. Identifies policy approaches that could increase savings for Medicare through ACOs and the Medicare Shared Savings Program. Includes a brief discussion of challenges facing ACOs in rural and underserved areas.
Date: 04/2024
Type: Document
Sponsoring organization: Congressional Budget Office
view details
Summarizes research findings about Medicare accountable care organizations (ACOs) from recent peer-reviewed journals, official evaluations of Medicare ACOs, and research organization reports. Describes characteristics of certain ACOs associated with greater savings and factors that limit ACOs' ability to achieve net budgetary savings for the Medicare program. Identifies policy approaches that could increase savings for Medicare through ACOs and the Medicare Shared Savings Program. Includes a brief discussion of challenges facing ACOs in rural and underserved areas.
Date: 04/2024
Type: Document
Sponsoring organization: Congressional Budget Office
view details
Health Subcommittee Hearing: "Legislative Proposals to Support Patient Access to Telehealth Services"
Recording of an April 10, 2024, House Energy & Commerce Committee Subcommittee on Health, hearing on legislative proposals that would support patients' access to telehealth services. Discusses the impact of the COVID-19 pandemic-era regulatory flexibilities on telehealth use and access to care.
Additional links: Ateev Mehrotra, Harvard Medical School and Beth Israel Deaconess Medical Center - Testimony, Hearing Memorandum
Date: 04/2024
Type: Video/Multimedia
Sponsoring organization: House Energy and Commerce Committee, Subcommittee on Health
view details
Recording of an April 10, 2024, House Energy & Commerce Committee Subcommittee on Health, hearing on legislative proposals that would support patients' access to telehealth services. Discusses the impact of the COVID-19 pandemic-era regulatory flexibilities on telehealth use and access to care.
Additional links: Ateev Mehrotra, Harvard Medical School and Beth Israel Deaconess Medical Center - Testimony, Hearing Memorandum
Date: 04/2024
Type: Video/Multimedia
Sponsoring organization: House Energy and Commerce Committee, Subcommittee on Health
view details
Coast Guard Health Care: Information on Telehealth Usage
Describes how the Coast Guard uses telehealth to provide medical care to its active duty personnel. Discusses the development of the Coast Guard's telehealth program, services offered, the extent to which video telehealth services are used, and benefits and challenges the Coast Guard experiences related to telehealth.
Additional links: Full Report
Date: 04/2024
Type: Document
Sponsoring organization: Government Accountability Office
view details
Describes how the Coast Guard uses telehealth to provide medical care to its active duty personnel. Discusses the development of the Coast Guard's telehealth program, services offered, the extent to which video telehealth services are used, and benefits and challenges the Coast Guard experiences related to telehealth.
Additional links: Full Report
Date: 04/2024
Type: Document
Sponsoring organization: Government Accountability Office
view details
Evaluation of the Maryland Total Cost of Care Model: Progress Report
Provides an overview of the Maryland Total Cost of Care Model and evaluates the first four years of the program, 2019-2022. Explores the effects of the model on Medicare spending; service use, including preventable hospital use; and healthcare quality measures. Estimates the potential impact of switching Maryland to the Medicare prospective payment system (PPS) on Medicare spending and service use, including implications for rural and safety net hospitals.
Additional links: Appendices, Findings at a Glance, Transformation Spotlight
Date: 04/2024
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, Mathematica
view details
Provides an overview of the Maryland Total Cost of Care Model and evaluates the first four years of the program, 2019-2022. Explores the effects of the model on Medicare spending; service use, including preventable hospital use; and healthcare quality measures. Estimates the potential impact of switching Maryland to the Medicare prospective payment system (PPS) on Medicare spending and service use, including implications for rural and safety net hospitals.
Additional links: Appendices, Findings at a Glance, Transformation Spotlight
Date: 04/2024
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, Mathematica
view details
2023 National CAH Quality Inventory & Assessment National Report
Presents a high-level summary of key data points from the October-December 2023 National Critical Access Hospital (CAH) Quality Inventory and Assessment. Includes data on CAH system affiliation; median average daily census and emergency department volume; hospital inpatient, behavioral health and specialty care, and outpatient and other service lines; and CAH quality payment model participation.
Author(s): Megan Lahr, Robert Barclay, Madeleine Pick
Date: 04/2024
Type: Document
Sponsoring organization: Flex Monitoring Team
view details
Presents a high-level summary of key data points from the October-December 2023 National Critical Access Hospital (CAH) Quality Inventory and Assessment. Includes data on CAH system affiliation; median average daily census and emergency department volume; hospital inpatient, behavioral health and specialty care, and outpatient and other service lines; and CAH quality payment model participation.
Author(s): Megan Lahr, Robert Barclay, Madeleine Pick
Date: 04/2024
Type: Document
Sponsoring organization: Flex Monitoring Team
view details
Telehealth Use and Health Equity for Mental Health and Substance Use Disorder During the COVID-19 Pandemic: An Updated Systematic Review
Systematic review investigating the impact of telehealth use on health equity for patients with mental health conditions and substance use disorders during COVID-19. Discusses findings in light of previous research. Includes rurality as a demographic group assessed.
Author(s): J. Priyanka Vakkalanka, Khyathi Gadag, Lauren Lavin, et al.
Date: 04/2024
Type: Document
Sponsoring organization: Rural Telehealth Research Center
view details
Systematic review investigating the impact of telehealth use on health equity for patients with mental health conditions and substance use disorders during COVID-19. Discusses findings in light of previous research. Includes rurality as a demographic group assessed.
Author(s): J. Priyanka Vakkalanka, Khyathi Gadag, Lauren Lavin, et al.
Date: 04/2024
Type: Document
Sponsoring organization: Rural Telehealth Research Center
view details
The First 1,000 Days of Life: Creating Brighter Futures for New Moms and Babies
Podcast episode featuring a discussion with leaders from Intermountain Healthcare and St. James Health Care in Butte, Montana, regarding how their initiatives provide wraparound and intensive case management services to at-risk new moms from pregnancy through their baby's first two years. Includes a discussion with a former program participant.
Date: 04/2024
Type: Audio
Sponsoring organization: American Hospital Association
view details
Podcast episode featuring a discussion with leaders from Intermountain Healthcare and St. James Health Care in Butte, Montana, regarding how their initiatives provide wraparound and intensive case management services to at-risk new moms from pregnancy through their baby's first two years. Includes a discussion with a former program participant.
Date: 04/2024
Type: Audio
Sponsoring organization: American Hospital Association
view details
Understanding Planning for Tribal Home Visiting Implementation: A Report From the Multi-Site Implementation Evaluation of Tribal Home Visiting
Examines model implementation of home visiting programs within U.S. indigenous communities. Uses community-engaged approaches to identify planning, implementation, challenges, and supports of the Tribal Maternal, Infant, and Early Childhood Home Visiting (Tribal MIECHV) program.
Author(s): Melina Salvador, Kirsten Keene, Tess Abrahamson-Richards, et al.
Date: 03/2024
Type: Document
Sponsoring organization: Administration for Children and Families
view details
Examines model implementation of home visiting programs within U.S. indigenous communities. Uses community-engaged approaches to identify planning, implementation, challenges, and supports of the Tribal Maternal, Infant, and Early Childhood Home Visiting (Tribal MIECHV) program.
Author(s): Melina Salvador, Kirsten Keene, Tess Abrahamson-Richards, et al.
Date: 03/2024
Type: Document
Sponsoring organization: Administration for Children and Families
view details