Rural Health
Resources by Topic: Service delivery models
How States Can Expand Health Care Access in Rural Communities
Discusses policy options states could use to increase access to care and the supply of healthcare providers in rural areas. Covers financial assistance programs for medical and dental education; malpractice reform; scope of practice changes for advanced practice registered nurses, physician assistants, and dental health aide therapists; telemedicine parity; and mobile clinics.
Date: 02/2022
Type: Document
Sponsoring organization: Center for American Progress
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Discusses policy options states could use to increase access to care and the supply of healthcare providers in rural areas. Covers financial assistance programs for medical and dental education; malpractice reform; scope of practice changes for advanced practice registered nurses, physician assistants, and dental health aide therapists; telemedicine parity; and mobile clinics.
Date: 02/2022
Type: Document
Sponsoring organization: Center for American Progress
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Meeting the Behavioral Health Needs of Farm Families in Times of Economic Distress
Offers strategies to support development and integration of behavioral health services across healthcare and community-based organizations, including leveraging payment systems to support coordinated care for farm families and aligning federal grant programs to address mental health and substance use disorders. Features recommendations including integrating primary and behavioral care for initial treatment of mental health and substance abuse concerns, expanding the workforce to improve rural behavioral health services capacity, increasing telehealth services, and expanding private and public insurance coverage.
Author(s): Andrew F. Coburn, Alva O. Ferdinand, Alana Knudson, et al.
Date: 02/2022
Type: Document
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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Offers strategies to support development and integration of behavioral health services across healthcare and community-based organizations, including leveraging payment systems to support coordinated care for farm families and aligning federal grant programs to address mental health and substance use disorders. Features recommendations including integrating primary and behavioral care for initial treatment of mental health and substance abuse concerns, expanding the workforce to improve rural behavioral health services capacity, increasing telehealth services, and expanding private and public insurance coverage.
Author(s): Andrew F. Coburn, Alva O. Ferdinand, Alana Knudson, et al.
Date: 02/2022
Type: Document
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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CMS Bundled Payments for Care Improvement Advanced Model: Third Evaluation Report
Third annual report of the Bundled Payments for Care Improvement Advanced (BPCI Advanced) Model, which tests whether linking payments for a clinical episode of care can reduce Medicare expenditures while maintaining or improving quality of care. Explores the impact of BPCI Advanced on episode payments, utilization, and quality of care through Model Years 1 and 2, Medicare savings in Model Years 1 and 2, and how the COVID-19 pandemic affected BPCI Advanced participants through June 30, 2020.
Additional links: Appendices, Findings at a Glance
Author(s): The Lewin Group, Abt Associates, GDIT, Telligen
Date: 02/2022
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Third annual report of the Bundled Payments for Care Improvement Advanced (BPCI Advanced) Model, which tests whether linking payments for a clinical episode of care can reduce Medicare expenditures while maintaining or improving quality of care. Explores the impact of BPCI Advanced on episode payments, utilization, and quality of care through Model Years 1 and 2, Medicare savings in Model Years 1 and 2, and how the COVID-19 pandemic affected BPCI Advanced participants through June 30, 2020.
Additional links: Appendices, Findings at a Glance
Author(s): The Lewin Group, Abt Associates, GDIT, Telligen
Date: 02/2022
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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"I was Unsure at First": A Qualitative Evaluation of Patient Perceptions of VA Clinical Video Telehealth Visits in the V-IMPACT Program
Features a study evaluating a Veterans Health Administration (VHA) program using video-based telehealth to expand access to primary care to rural veterans. Draws conclusions based on interviews with patients who utilized the program.
Author(s): Ashley C Mog, Megan Moldestad, Rachael Kenney, et al.
Citation: Journal of Patient Experience, 9
Date: 01/2022
Type: Document
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Features a study evaluating a Veterans Health Administration (VHA) program using video-based telehealth to expand access to primary care to rural veterans. Draws conclusions based on interviews with patients who utilized the program.
Author(s): Ashley C Mog, Megan Moldestad, Rachael Kenney, et al.
Citation: Journal of Patient Experience, 9
Date: 01/2022
Type: Document
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A Pilot Study Examining Access to and Satisfaction with Maternal Mental Health and Substance Use Disorder Treatment via Telemedicine
Highlights a study on the role telemedicine plays in increasing access to mental health and substance use treatment for women who are pregnant or have recently given birth. The study received a high percentage of participants from rural areas and breaks down the demographic data by rural, as well as several other factors such as age, race, and diagnosis, to name a few.
Author(s): Constance Guille, Emily Johnson, Edie Douglas, et al.
Citation: Telemedicine Reports, 3(1), 24-29
Date: 01/2022
Type: Document
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Highlights a study on the role telemedicine plays in increasing access to mental health and substance use treatment for women who are pregnant or have recently given birth. The study received a high percentage of participants from rural areas and breaks down the demographic data by rural, as well as several other factors such as age, race, and diagnosis, to name a few.
Author(s): Constance Guille, Emily Johnson, Edie Douglas, et al.
Citation: Telemedicine Reports, 3(1), 24-29
Date: 01/2022
Type: Document
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Telemedicine Access and Utilization among Adult Medicaid Beneficiaries with Behavioral and Musculoskeletal Health Conditions
Examines access to care and telemedicine use by adult Medicaid beneficiaries with behavioral health and musculoskeletal conditions in North Carolina based on state Medicaid claims data from March 2019 to March 2021. Covers changes in rates of telemedicine use before and during the COVID-19 pandemic, and offers rural and urban data on telemedicine use in addition to other characteristics in the appendix tables.
Date: 01/2022
Type: Document
Sponsoring organization: Margolis Center for Health Policy
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Examines access to care and telemedicine use by adult Medicaid beneficiaries with behavioral health and musculoskeletal conditions in North Carolina based on state Medicaid claims data from March 2019 to March 2021. Covers changes in rates of telemedicine use before and during the COVID-19 pandemic, and offers rural and urban data on telemedicine use in addition to other characteristics in the appendix tables.
Date: 01/2022
Type: Document
Sponsoring organization: Margolis Center for Health Policy
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Telemedicine Access and Utilization among Pediatric Medicaid Beneficiaries with Behavioral Health and Musculoskeletal Conditions
Data brief examining access to care and telemedicine use by pediatric Medicaid beneficiaries with behavioral health and musculoskeletal conditions in North Carolina based on state Medicaid claims data from March 2019-March 2021. Covers changes in rates of telemedicine use before and during the COVID-19 pandemic, and offers rural and urban data on telemedicine use in the appendix tables.
Date: 01/2022
Type: Document
Sponsoring organization: Margolis Center for Health Policy
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Data brief examining access to care and telemedicine use by pediatric Medicaid beneficiaries with behavioral health and musculoskeletal conditions in North Carolina based on state Medicaid claims data from March 2019-March 2021. Covers changes in rates of telemedicine use before and during the COVID-19 pandemic, and offers rural and urban data on telemedicine use in the appendix tables.
Date: 01/2022
Type: Document
Sponsoring organization: Margolis Center for Health Policy
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Prenatal Telemedicine During COVID-19: Patterns of Use and Barriers to Access
Study examining patient experiences with prenatal telemedicine based on a survey of 164 pregnant patients at a rural New England medical center. Covers barriers to accessing care, internet access, remote surveillance tools, and engagement with providers.
Author(s): Allie Morgan, Daisy Goodman, Julia Vinagolu-Baur, Ilana Cass
Citation: JAMIA Open, 5(1)
Date: 01/2022
Type: Document
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Study examining patient experiences with prenatal telemedicine based on a survey of 164 pregnant patients at a rural New England medical center. Covers barriers to accessing care, internet access, remote surveillance tools, and engagement with providers.
Author(s): Allie Morgan, Daisy Goodman, Julia Vinagolu-Baur, Ilana Cass
Citation: JAMIA Open, 5(1)
Date: 01/2022
Type: Document
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Medi-Cal Specialty Mental Health External Quality Review: FY 2021-22 Statewide Report
Reports on an external review of all 56 county Mental Health Plans (MHPs) that are contracted to provide specialty mental health services to California Medicaid beneficiaries, including breakdowns for rural areas. Discusses challenges meeting demand and recruiting and retaining healthcare providers. Highlights access to services through telehealth; timeliness of providing service and tracking timeliness; quality management; and information systems.
Date: 01/2022
Type: Document
Sponsoring organization: California Department of Health Care Services
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Reports on an external review of all 56 county Mental Health Plans (MHPs) that are contracted to provide specialty mental health services to California Medicaid beneficiaries, including breakdowns for rural areas. Discusses challenges meeting demand and recruiting and retaining healthcare providers. Highlights access to services through telehealth; timeliness of providing service and tracking timeliness; quality management; and information systems.
Date: 01/2022
Type: Document
Sponsoring organization: California Department of Health Care Services
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The Rural Emergency Hospital (REH), a New Hospital Type
Webinar recording discusses the Rural Emergency Hospital model and how it will affect rural emergency care. Features presentations from representatives of the National Advisory Committee on Rural Health and Human Services, the Kansas Health Institute, and the Cecil G. Sheps Center for Health Services Research.
Additional links: Audio Recording, Webinar Slides, Webinar Transcript
Date: 01/2022
Type: Video/Multimedia
Sponsoring organization: Rural Health Information Hub
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Webinar recording discusses the Rural Emergency Hospital model and how it will affect rural emergency care. Features presentations from representatives of the National Advisory Committee on Rural Health and Human Services, the Kansas Health Institute, and the Cecil G. Sheps Center for Health Services Research.
Additional links: Audio Recording, Webinar Slides, Webinar Transcript
Date: 01/2022
Type: Video/Multimedia
Sponsoring organization: Rural Health Information Hub
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