Rural Health
Resources by Topic: Service delivery models
Precious Moments: Tribal Home Visiting Programs Support Families During Pregnancy and Postpartum
Provides an overview of how 7 Tribal Home Visiting grantees provide support to American Indian and Alaskan Native (AI/AN) families during pregnancy and postpartum. Focuses on providing culturally competent care related to AI/AN traditions, addressing historical and personal trauma in caregiving, improving maternal health outcomes, and providing education on breastfeeding, postpartum depression, healthy diet, and more.
Date: 04/2022
Sponsoring organizations: Administration for Children and Families, Tribal Home Visiting
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Provides an overview of how 7 Tribal Home Visiting grantees provide support to American Indian and Alaskan Native (AI/AN) families during pregnancy and postpartum. Focuses on providing culturally competent care related to AI/AN traditions, addressing historical and personal trauma in caregiving, improving maternal health outcomes, and providing education on breastfeeding, postpartum depression, healthy diet, and more.
Date: 04/2022
Sponsoring organizations: Administration for Children and Families, Tribal Home Visiting
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Evaluation of the Medicare Care Choices Model: Annual Report 4
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. Reports on MCCM beneficiary outcomes through March 2021. Includes information on rural beneficiary participation in the model and compares rural and urban beneficiary outcomes.
Additional links: Findings at a Glance
Date: 04/2022
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. Reports on MCCM beneficiary outcomes through March 2021. Includes information on rural beneficiary participation in the model and compares rural and urban beneficiary outcomes.
Additional links: Findings at a Glance
Date: 04/2022
Sponsoring organizations: Centers for Medicare and Medicaid Services, Mathematica
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MACPAC Response to CMS Request for Information on Access and Coverage in Medicaid and CHIP
Letter to the Centers for Medicare & Medicaid Services (CMS) responding to a request for information on access to coverage and care in Medicaid and the State Children's Health Insurance Program (CHIP). Discusses strategies related to enrolling in and maintaining coverage, accessing services, and ensuring adequate payment rates. Includes information on physical and behavioral health integration, substance use disorder treatment for pregnant and postpartum women, telehealth, and more.
Date: 04/2022
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Letter to the Centers for Medicare & Medicaid Services (CMS) responding to a request for information on access to coverage and care in Medicaid and the State Children's Health Insurance Program (CHIP). Discusses strategies related to enrolling in and maintaining coverage, accessing services, and ensuring adequate payment rates. Includes information on physical and behavioral health integration, substance use disorder treatment for pregnant and postpartum women, telehealth, and more.
Date: 04/2022
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Medicaid Coverage of Community Health Worker Services
Provides an overview of types of community health workers (CHWs) and the services they provide. Summarizes studies examining the effects of CHW programs on health outcomes and costs. Discusses state approaches to covering CHW services through Medicaid, including the services covered, regulatory authorities used to provide Medicaid payment, the populations served, and training and certification requirements.
Date: 04/2022
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Provides an overview of types of community health workers (CHWs) and the services they provide. Summarizes studies examining the effects of CHW programs on health outcomes and costs. Discusses state approaches to covering CHW services through Medicaid, including the services covered, regulatory authorities used to provide Medicaid payment, the populations served, and training and certification requirements.
Date: 04/2022
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Designing a Framework for Remote Cancer Care Through Community Co-Design: Participatory Development Study
Explores the design and implementation of a framework to provide telemedicine cancer care in urban and rural areas of Kentucky. Addresses issues of health disparities and lack of broadband access in geographic areas such as Appalachia. Provides examples of participatory and co-design processes to create telemedicine options and engage communities.
Author(s): Eliah Aronoff-Spencer, Melanie McComsey, Ming-Yuan Chih, et al.
Citation: Journal of Medical Internet Research, 24(4)
Date: 04/2022
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Explores the design and implementation of a framework to provide telemedicine cancer care in urban and rural areas of Kentucky. Addresses issues of health disparities and lack of broadband access in geographic areas such as Appalachia. Provides examples of participatory and co-design processes to create telemedicine options and engage communities.
Author(s): Eliah Aronoff-Spencer, Melanie McComsey, Ming-Yuan Chih, et al.
Citation: Journal of Medical Internet Research, 24(4)
Date: 04/2022
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American Indian/Alaskan Native Health Medicaid Telehealth Services Chart
Spreadsheet database of state-by-state telehealth policies related to American Indian/Alaska Native health services. Covers live video, store-and-forward, and remote patient monitoring policies, as well as billing and reimbursement information. Includes links to state policy manuals.
Date: 04/2022
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
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Spreadsheet database of state-by-state telehealth policies related to American Indian/Alaska Native health services. Covers live video, store-and-forward, and remote patient monitoring policies, as well as billing and reimbursement information. Includes links to state policy manuals.
Date: 04/2022
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
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Mental Health Service Use, Suicide Behavior, and Emergency Department Visits Among Rural US Veterans Who Received Video-Enabled Tablets During the COVID-19 Pandemic
Results of a study to examine whether a United States Veterans Affairs initiative to distribute video-enabled tablets during the COVID-19 pandemic was associated with mental healthcare access, suicide behavior, or emergency department (ED) visits among rural veterans. Features demographics and statistics on mental health services use and ED visits, with breakdowns by tablet recipients and nonrecipients.
Author(s): Kritee Gujral, James Van Campen, Josephine Jacobs, et al.
Citation: JAMA Network Open, 5(4)
Date: 04/2022
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Results of a study to examine whether a United States Veterans Affairs initiative to distribute video-enabled tablets during the COVID-19 pandemic was associated with mental healthcare access, suicide behavior, or emergency department (ED) visits among rural veterans. Features demographics and statistics on mental health services use and ED visits, with breakdowns by tablet recipients and nonrecipients.
Author(s): Kritee Gujral, James Van Campen, Josephine Jacobs, et al.
Citation: JAMA Network Open, 5(4)
Date: 04/2022
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Qualitative Analysis of Cancer Care Experiences among Rural Cancer Survivors and Caregivers
Examines cancer survivors and caregivers' perceptions toward cancer care in rural Nebraska. Discusses perceptions of community health status, sources of cancer information, cancer diagnosis, care coordination, provider communication and organizational support, and barriers to care, based on focus group data from 20 participants.
Author(s): Kendra L. Ratnapradipa, Jordan Ranta, Krishtee Napit, et al.
Citation: Journal of Rural Health, 38(4), 876-885
Date: 04/2022
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Examines cancer survivors and caregivers' perceptions toward cancer care in rural Nebraska. Discusses perceptions of community health status, sources of cancer information, cancer diagnosis, care coordination, provider communication and organizational support, and barriers to care, based on focus group data from 20 participants.
Author(s): Kendra L. Ratnapradipa, Jordan Ranta, Krishtee Napit, et al.
Citation: Journal of Rural Health, 38(4), 876-885
Date: 04/2022
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Impact of Telemedicine on Retention in Medications for Opioid Use Disorder (MOUD) Treatment with Buprenorphine in the Times of COVID-19 Pandemic: A Retrospective Chart Review
Study examining treatment retention for medication for opioid use disorder (MOUD) patients via telehealth during the COVID-19 pandemic, based on electronic health records of patients at a rural Federally Qualified Health Center (FQHC) in Pennsylvania. Discusses the impacts of telemedicine on retention rates, COVID-19-related challenges to treatment delivery systems, and policy measures to support telehealth and MOUD interventions.
Author(s): Jagdeep Kaur, Irakli Mania, Raghavendra Tirupathi, Lakshmi Polavarapu
Citation: Journal of Rural Mental Health, 46(2), 75-81
Date: 04/2022
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Study examining treatment retention for medication for opioid use disorder (MOUD) patients via telehealth during the COVID-19 pandemic, based on electronic health records of patients at a rural Federally Qualified Health Center (FQHC) in Pennsylvania. Discusses the impacts of telemedicine on retention rates, COVID-19-related challenges to treatment delivery systems, and policy measures to support telehealth and MOUD interventions.
Author(s): Jagdeep Kaur, Irakli Mania, Raghavendra Tirupathi, Lakshmi Polavarapu
Citation: Journal of Rural Mental Health, 46(2), 75-81
Date: 04/2022
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Trends in Health Disparities of Rural Latinos Pre- and Post-Accountable Care Organization Implementation
Compares diabetes-related hospitalizations among older rural Latino Rural Health Clinic (RHC) patients to those of their White counterparts between 2008 and 2015. Explores whether RHC participation in an Accountable Care Organization reduced diabetes-related hospitalization rates for Latino patients. Presents findings from an analysis of data on 2,683 RHCs nationwide from the Centers for Medicare & Medicaid Services (CMS) and a subset of 516 RHCs in California, Florida, and Texas.
Author(s): Judith Ortiz, Boondaniwon D. Phrathep, Richard Hofler, Chad W. Thomas
Citation: Research in the Sociology of Health Care, 39, 173–187
Date: 03/2022
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Compares diabetes-related hospitalizations among older rural Latino Rural Health Clinic (RHC) patients to those of their White counterparts between 2008 and 2015. Explores whether RHC participation in an Accountable Care Organization reduced diabetes-related hospitalization rates for Latino patients. Presents findings from an analysis of data on 2,683 RHCs nationwide from the Centers for Medicare & Medicaid Services (CMS) and a subset of 516 RHCs in California, Florida, and Texas.
Author(s): Judith Ortiz, Boondaniwon D. Phrathep, Richard Hofler, Chad W. Thomas
Citation: Research in the Sociology of Health Care, 39, 173–187
Date: 03/2022
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