Rural Health
Resources by Topic: Service delivery models
Adoption of Telemedicine in a Rural US Cancer Center Amid the COVID-19 Pandemic: Qualitative Study
Describes the implementation of telemedicine in outpatient oncology clinics affiliated with the Dartmouth Cancer Center that serve rural patients. Discusses findings from interviews with staff, specialty providers, and practice managers, noting challenges to implementation, the need for guidance, and concerns about communication quality.
Author(s): Matthew Mackwood, Rebecca Butcher, Danielle Vaclavik, et al.
Citation: JMIR Cancer, 8(3), e33768
Date: 08/2022
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Describes the implementation of telemedicine in outpatient oncology clinics affiliated with the Dartmouth Cancer Center that serve rural patients. Discusses findings from interviews with staff, specialty providers, and practice managers, noting challenges to implementation, the need for guidance, and concerns about communication quality.
Author(s): Matthew Mackwood, Rebecca Butcher, Danielle Vaclavik, et al.
Citation: JMIR Cancer, 8(3), e33768
Date: 08/2022
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Health Panel Comment Letter – Medicare Advantage Program
Offers comments in response to the Centers for Medicare & Medicaid Services (CMS) Request for Information on various aspects of the Medicare Advantage (MA) program. Presents a rural perspective on the MA program and discusses health equity in the MA program, expanding access to care, and value-based contracting. Includes data on the proportion of MA plans offering supplemental benefits in noncore, micropolitan, and metropolitan counties in 2020.
Date: 08/2022
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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Offers comments in response to the Centers for Medicare & Medicaid Services (CMS) Request for Information on various aspects of the Medicare Advantage (MA) program. Presents a rural perspective on the MA program and discusses health equity in the MA program, expanding access to care, and value-based contracting. Includes data on the proportion of MA plans offering supplemental benefits in noncore, micropolitan, and metropolitan counties in 2020.
Date: 08/2022
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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Perceptions of How Integrated Care Impacts Treatment in Rural Settings
Examines provider perceptions when working in rural integrated care contexts. Analyzes 8 interviews from primary and behavioral health professionals in Ohio, Maine, and Tennessee about their experiences on integrated care teams and discusses themes such as healthcare access, interprofessional education, and provider communication.
Author(s): Dawn Graham, Samantha Nandyal, Salonas Ayad
Citation: Ohio Journal of Public Health, 5(1), 79-84
Date: 08/2022
Sponsoring organization: Ohio Public Health Association
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Examines provider perceptions when working in rural integrated care contexts. Analyzes 8 interviews from primary and behavioral health professionals in Ohio, Maine, and Tennessee about their experiences on integrated care teams and discusses themes such as healthcare access, interprofessional education, and provider communication.
Author(s): Dawn Graham, Samantha Nandyal, Salonas Ayad
Citation: Ohio Journal of Public Health, 5(1), 79-84
Date: 08/2022
Sponsoring organization: Ohio Public Health Association
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Integrated Care for Kids (InCK) Model Evaluation: Report 1
Presents findings from the 2020-2021 pre-implementation period of the Integrated Care for Kids (InCK) Model, which aims to improve health outcomes for Medicaid-enrolled children with complex physical and behavioral health needs. Provides an overview of the InCK Model and profiles each InCK award recipient's model, community context, planned approach, and progress with implementing the model. Identifies models serving rural areas and service gaps in these areas.
Additional links: Findings at a Glance
Date: 08/2022
Sponsoring organizations: Abt Associates, Centers for Medicare and Medicaid Services
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Presents findings from the 2020-2021 pre-implementation period of the Integrated Care for Kids (InCK) Model, which aims to improve health outcomes for Medicaid-enrolled children with complex physical and behavioral health needs. Provides an overview of the InCK Model and profiles each InCK award recipient's model, community context, planned approach, and progress with implementing the model. Identifies models serving rural areas and service gaps in these areas.
Additional links: Findings at a Glance
Date: 08/2022
Sponsoring organizations: Abt Associates, Centers for Medicare and Medicaid Services
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Breaking the Cycle: Missouri Community Paramedicine Program Brings Primary Care to High-Risk Patients
Features a community paramedicine program that is a partnership between a Federally Qualified Health Center (FQHC) and an ambulance district. Discusses how the program is helping chronically ill patients access care at home. Also highlights a related community college program to train community paramedics.
Author(s): Gretel Kauffman
Citation: Rural Monitor
Date: 08/2022
Sponsoring organization: Rural Health Information Hub
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Features a community paramedicine program that is a partnership between a Federally Qualified Health Center (FQHC) and an ambulance district. Discusses how the program is helping chronically ill patients access care at home. Also highlights a related community college program to train community paramedics.
Author(s): Gretel Kauffman
Citation: Rural Monitor
Date: 08/2022
Sponsoring organization: Rural Health Information Hub
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Adaptations and Innovations for Delivering Mental Health and Substance Use Disorder Treatment Services During the COVID-19 Pandemic
Examines disruptions and adaptations in delivering mental health and substance use treatment services during the COVID-19 pandemic, including benefits and challenges of telehealth adoption. Discusses changes to substance use disorder (SUD) and medication for opioid use disorder (MOUD) treatment during the pandemic and remaining challenges related to access to remote services.
Date: 08/2022
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Examines disruptions and adaptations in delivering mental health and substance use treatment services during the COVID-19 pandemic, including benefits and challenges of telehealth adoption. Discusses changes to substance use disorder (SUD) and medication for opioid use disorder (MOUD) treatment during the pandemic and remaining challenges related to access to remote services.
Date: 08/2022
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Improving Access and Quality of Maternal and Infant Services in Rural Iowa through a Regional Center of Excellence
Profiles St. Anthony Regional Hospital in Carroll, Iowa, which serves six counties in west central Iowa. Discusses the hospital's efforts to improve maternal health and birth outcomes, including improving care coordination, increasing access to support and behavioral health services, and promoting better access to care in the region.
Date: 08/2022
Sponsoring organization: American Hospital Association
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Profiles St. Anthony Regional Hospital in Carroll, Iowa, which serves six counties in west central Iowa. Discusses the hospital's efforts to improve maternal health and birth outcomes, including improving care coordination, increasing access to support and behavioral health services, and promoting better access to care in the region.
Date: 08/2022
Sponsoring organization: American Hospital Association
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State Telehealth Policy: Summary and Findings from the Summer 2022 Webinar Series
Offers a summary of presentations included in the Center for Connected Health Policy's (CCHP) Summer 2022 webinar series. Covered topics include telehealth in school-based programs, licensure, private payer telehealth laws, and telehealth policies for substance use disorder treatment.
Date: 08/2022
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
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Offers a summary of presentations included in the Center for Connected Health Policy's (CCHP) Summer 2022 webinar series. Covered topics include telehealth in school-based programs, licensure, private payer telehealth laws, and telehealth policies for substance use disorder treatment.
Date: 08/2022
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
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MedPAC Comment on CMS's Proposed Rule on the Home Health Prospective Payment System for CY 2023
Comments on a June 23, 2022, Federal Register proposed rule related to Medicare payment policies for home health agencies. Includes comments regarding the collection of data on the use of telecommunications technology under the Medicare home health benefit and quality measure stratification as a tool to address healthcare disparities and advance health equity.
Date: 08/2022
Sponsoring organization: Medicare Payment Advisory Commission
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Comments on a June 23, 2022, Federal Register proposed rule related to Medicare payment policies for home health agencies. Includes comments regarding the collection of data on the use of telecommunications technology under the Medicare home health benefit and quality measure stratification as a tool to address healthcare disparities and advance health equity.
Date: 08/2022
Sponsoring organization: Medicare Payment Advisory Commission
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Advancing Primary Care Innovation in Medicaid Managed Care: A Toolkit for States
Designed to help states leverage their Medicaid managed care contracts and request for proposals (RFPs) to advance primary care innovation (PCI). Outlines strategies for states to conceptualize and design advanced primary care core functions and use managed care contract levers to drive uptake and spread. Provides examples of state approaches, with rural considerations, for identifying and addressing social determinants of health, integrating behavioral healthcare, developing team-based care, implementing technology to improve access, and more.
Date: 08/2022
Sponsoring organization: Center for Health Care Strategies
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Designed to help states leverage their Medicaid managed care contracts and request for proposals (RFPs) to advance primary care innovation (PCI). Outlines strategies for states to conceptualize and design advanced primary care core functions and use managed care contract levers to drive uptake and spread. Provides examples of state approaches, with rural considerations, for identifying and addressing social determinants of health, integrating behavioral healthcare, developing team-based care, implementing technology to improve access, and more.
Date: 08/2022
Sponsoring organization: Center for Health Care Strategies
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