Rural Health
Resources by Topic: Service delivery models
State Medicaid Managed Care and Access to Rural Behavioral Health Services
Details how states with Medicaid managed care organizations (MCOs) are using MCO contract language to increase access to behavioral healthcare through service access requirements, provider network requirements, and telehealth utilization policies. Includes links to available MCO contracts and requests for applications.
Author(s): Eliza Mette, Jodi Manz
Date: 05/2022
Type: Website
Sponsoring organization: National Academy for State Health Policy
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Details how states with Medicaid managed care organizations (MCOs) are using MCO contract language to increase access to behavioral healthcare through service access requirements, provider network requirements, and telehealth utilization policies. Includes links to available MCO contracts and requests for applications.
Author(s): Eliza Mette, Jodi Manz
Date: 05/2022
Type: Website
Sponsoring organization: National Academy for State Health Policy
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Rural Patient Experiences of Accessing Care for Chronic Conditions: A Systematic Review and Thematic Synthesis of Qualitative Studies
Investigates rural patient experiences related to accessing healthcare for the purpose of chronic disease management. Analyzes 62 studies from 2010-2019 with a total of 1,354 participants experiencing chronic health issues. Discusses themes of navigating the rural environment and its cultural expectations, navigating the healthcare system, and financing healthcare.
Author(s): Elizabeth H. Golembiewski, Derek L. Gravholt, Victor D. Torres Roldan, et al.
Citation: The Annals of Family Medicine, 20(3), 266-272
Date: 05/2022
Type: Document
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Investigates rural patient experiences related to accessing healthcare for the purpose of chronic disease management. Analyzes 62 studies from 2010-2019 with a total of 1,354 participants experiencing chronic health issues. Discusses themes of navigating the rural environment and its cultural expectations, navigating the healthcare system, and financing healthcare.
Author(s): Elizabeth H. Golembiewski, Derek L. Gravholt, Victor D. Torres Roldan, et al.
Citation: The Annals of Family Medicine, 20(3), 266-272
Date: 05/2022
Type: Document
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Independent Evaluation of Comprehensive Primary Care Plus (CPC+): Fourth Annual Report
Reports on the first four program years of the Comprehensive Primary Care Plus (CPC+) model, a CMS primary care payment and delivery reform effort. Discusses CPC+ participating practices, payer partners, and health information technology (HIT) vendors supporting the program. Describes practice changes regarding care delivery and outcomes for Medicare fee-for-service beneficiaries.
Additional links: Appendices, Findings at a Glance
Date: 05/2022
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, Mathematica
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Reports on the first four program years of the Comprehensive Primary Care Plus (CPC+) model, a CMS primary care payment and delivery reform effort. Discusses CPC+ participating practices, payer partners, and health information technology (HIT) vendors supporting the program. Describes practice changes regarding care delivery and outcomes for Medicare fee-for-service beneficiaries.
Additional links: Appendices, Findings at a Glance
Date: 05/2022
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, Mathematica
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The Future of Telehealth Roundtable: The Potential Impact of Emerging Technologies on Health Equity
Presents insights and key ideas from a roundtable on the future of telehealth following the COVID-19 pandemic, covering barriers to telehealth delivery, opportunities for equitable care, and policy and regulatory issues impacting telehealth access. Includes rural mentions throughout.
Date: 05/2022
Type: Document
Sponsoring organization: National Committee for Quality Assurance
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Presents insights and key ideas from a roundtable on the future of telehealth following the COVID-19 pandemic, covering barriers to telehealth delivery, opportunities for equitable care, and policy and regulatory issues impacting telehealth access. Includes rural mentions throughout.
Date: 05/2022
Type: Document
Sponsoring organization: National Committee for Quality Assurance
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Dentist Perceptions About the Value of Teledentistry
Highlights a study on dentist's perceptions on teledentistry as a means of expanding access to oral healthcare across the country. Discusses the role teledentistry plays in rural and underserved areas. Explores perceived barriers to adopting teledentistry.
Author(s): Tamanna Tiwari, Vuong Diep, Eric Tranby, et al.
Citation: BMC Oral Health, 22, 176
Date: 05/2022
Type: Document
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Highlights a study on dentist's perceptions on teledentistry as a means of expanding access to oral healthcare across the country. Discusses the role teledentistry plays in rural and underserved areas. Explores perceived barriers to adopting teledentistry.
Author(s): Tamanna Tiwari, Vuong Diep, Eric Tranby, et al.
Citation: BMC Oral Health, 22, 176
Date: 05/2022
Type: Document
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Assessing the Effectiveness of Policies to Improve Access to Primary Care for Underserved Populations: Case Study Analysis: Grant County, New Mexico
Case study of policy initiatives to increase access to primary care, focusing on rural Grant County, New Mexico. Discusses challenges to expanding the primary care workforce, bringing outpatient clinics into communities, mobile clinics and telehealth, affordability, and more.
Author(s): Maanasa Kona, Megan Houston, Jalisa Clark, Emma Walsh-Alker
Date: 05/2022
Type: Document
Sponsoring organization: Milbank Memorial Fund
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Case study of policy initiatives to increase access to primary care, focusing on rural Grant County, New Mexico. Discusses challenges to expanding the primary care workforce, bringing outpatient clinics into communities, mobile clinics and telehealth, affordability, and more.
Author(s): Maanasa Kona, Megan Houston, Jalisa Clark, Emma Walsh-Alker
Date: 05/2022
Type: Document
Sponsoring organization: Milbank Memorial Fund
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Telemedicine Use in Children Aged 0–17 Years: United States, July–December 2020
Report examining telemedicine use by children ages 0-17 based on data from the National Health Interview Survey collected between July-December 2020 and covering the prior 12 months. Discusses findings related to telemedicine use in general and because of the COVID-19 pandemic; percentages of children who used telehealth because of the pandemic by rural, medium and small metropolitan, and large metropolitan residence; and telehealth use among children with selected chronic conditions.
Date: 05/2022
Type: Document
Sponsoring organization: National Center for Health Statistics
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Report examining telemedicine use by children ages 0-17 based on data from the National Health Interview Survey collected between July-December 2020 and covering the prior 12 months. Discusses findings related to telemedicine use in general and because of the COVID-19 pandemic; percentages of children who used telehealth because of the pandemic by rural, medium and small metropolitan, and large metropolitan residence; and telehealth use among children with selected chronic conditions.
Date: 05/2022
Type: Document
Sponsoring organization: National Center for Health Statistics
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Bringing Mental Health Services to Rural Residents
Describes how rural areas are using teams of lay mental health workers and mental health professionals to provide mental health services. Features a new library initiative in Texas and an established crisis line in Georgia.
Author(s): Allee Mead
Citation: Rural Monitor
Date: 05/2022
Type: Document
Sponsoring organization: Rural Health Information Hub
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Describes how rural areas are using teams of lay mental health workers and mental health professionals to provide mental health services. Features a new library initiative in Texas and an established crisis line in Georgia.
Author(s): Allee Mead
Citation: Rural Monitor
Date: 05/2022
Type: Document
Sponsoring organization: Rural Health Information Hub
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The Impact of COVID-19 on the Rural Health Care Landscape: Challenges and Opportunities
Presents an overview of key findings from interviews with stakeholders in eight states - Iowa, Minnesota, Montana, Nebraska, Nevada, North Dakota, South Dakota, and Wyoming - regarding the rural healthcare landscape. Discusses rural hospital financial health, rural hospital transformation models, challenges facing the rural healthcare workforce, and the role of telehealth in increasing access to care. Provides recommendations aimed at further advancing the use of virtual care in all communities, including rural and frontier areas, beyond the temporary federal COVID-19 public health emergency flexibilities.
Author(s): Sabah Bhatnagar, Julia Harris, Tara Hartnett, et al.
Date: 05/2022
Type: Document
Sponsoring organization: Bipartisan Policy Center
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Presents an overview of key findings from interviews with stakeholders in eight states - Iowa, Minnesota, Montana, Nebraska, Nevada, North Dakota, South Dakota, and Wyoming - regarding the rural healthcare landscape. Discusses rural hospital financial health, rural hospital transformation models, challenges facing the rural healthcare workforce, and the role of telehealth in increasing access to care. Provides recommendations aimed at further advancing the use of virtual care in all communities, including rural and frontier areas, beyond the temporary federal COVID-19 public health emergency flexibilities.
Author(s): Sabah Bhatnagar, Julia Harris, Tara Hartnett, et al.
Date: 05/2022
Type: Document
Sponsoring organization: Bipartisan Policy Center
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Behavioral Health Screening and Care Coordination for Rural Veterans in a Federally Qualified Health Center
Highlights the VA's nurse-led Collaborative System of Care (CSC) program's work in connecting veterans at rural Federally Qualified Health Centers (FQHCs) to the VA's behavioral health services and discusses the role care coordination can play in connecting rural veterans to other healthcare services. Details the efficacy of the CSC program and outlines the program's structure and screening process.
Author(s): M. Bryant Howren, Debra Kazmerzak, Sheryl Pruin, et al.
Citation: Journal of Behavioral Health Services and Research, 49, 50-60
Date: 05/2022
Type: Document
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Highlights the VA's nurse-led Collaborative System of Care (CSC) program's work in connecting veterans at rural Federally Qualified Health Centers (FQHCs) to the VA's behavioral health services and discusses the role care coordination can play in connecting rural veterans to other healthcare services. Details the efficacy of the CSC program and outlines the program's structure and screening process.
Author(s): M. Bryant Howren, Debra Kazmerzak, Sheryl Pruin, et al.
Citation: Journal of Behavioral Health Services and Research, 49, 50-60
Date: 05/2022
Type: Document
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