Rural Health
Resources by Topic: Service delivery models
Inequities in Adequacy of Prenatal Care and Shifts in Rural/Urban Differences Early in the COVID-19 Pandemic
Compares prenatal care adequacy before and during the early COVID-19 pandemic, utilizing 2016-2020 Pregnancy Risk Assessment Monitoring System (PRAMS) data. Breaks down data by sociodemographic characteristics, including rural versus urban status, with further data on the influence of barriers to virtual care on rural-urban care disparities.
Author(s): Mounika Polavarapu, Shipra Singh, Camelia Arsene, Rachel Stanton
Citation: Women's Health Issues
Date: 09/2024
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Compares prenatal care adequacy before and during the early COVID-19 pandemic, utilizing 2016-2020 Pregnancy Risk Assessment Monitoring System (PRAMS) data. Breaks down data by sociodemographic characteristics, including rural versus urban status, with further data on the influence of barriers to virtual care on rural-urban care disparities.
Author(s): Mounika Polavarapu, Shipra Singh, Camelia Arsene, Rachel Stanton
Citation: Women's Health Issues
Date: 09/2024
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Environmental Scan on Identifying a Pathway Toward Maximizing Participation in Population-Based Total Cost of Care (PB-TCOC) Models
Presents results of an environmental scan on the identification of a pathway toward maximizing participation in population-based total cost of care (PB-TCOC) models. Describes the Center for Medicare & Medicaid Services's (CMS's) goal of having all Medicare beneficiaries with Parts A and B in accountable care relationships by 2030. Discusses challenges and technical issues related to maximizing participation in PB-TCOC models, including organizational structure, payment, and risk adjustment. Summarizes relevant features of CMS Innovation Center (CMMI) models identified in previous Physician-Focused Payment Model Technical Advisory Committee (PTAC) proposals. Includes rural references and considerations throughout.
Date: 09/2024
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Presents results of an environmental scan on the identification of a pathway toward maximizing participation in population-based total cost of care (PB-TCOC) models. Describes the Center for Medicare & Medicaid Services's (CMS's) goal of having all Medicare beneficiaries with Parts A and B in accountable care relationships by 2030. Discusses challenges and technical issues related to maximizing participation in PB-TCOC models, including organizational structure, payment, and risk adjustment. Summarizes relevant features of CMS Innovation Center (CMMI) models identified in previous Physician-Focused Payment Model Technical Advisory Committee (PTAC) proposals. Includes rural references and considerations throughout.
Date: 09/2024
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Lessons for Future Pandemics: Temporal Evolution and Rural-Urban Variations in the Impacts of the COVID-19 on Opioid Use Treatment
Presents a study highlighting the lessons learned from opioid use treatment programs operating during the COVID-19 pandemic. Explores the impact of the pandemic on treatment services. Discusses the use of telehealth for both counseling and medication prescribing, as well as the challenges faced by patients trying to obtain treatment during the pandemic.
Author(s): Zhongyang He, Jonathan M. Heess, Travis Young, Zhen Lei
Citation: PLoS ONE, 19(9), e0310386
Date: 09/2024
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Presents a study highlighting the lessons learned from opioid use treatment programs operating during the COVID-19 pandemic. Explores the impact of the pandemic on treatment services. Discusses the use of telehealth for both counseling and medication prescribing, as well as the challenges faced by patients trying to obtain treatment during the pandemic.
Author(s): Zhongyang He, Jonathan M. Heess, Travis Young, Zhen Lei
Citation: PLoS ONE, 19(9), e0310386
Date: 09/2024
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Addressing Travel Costs for Providers of Field-Based Services in Medi-Cal
Examines provider travel costs associated with field-based healthcare services in Medi-Cal, California's Medicaid program. Discusses Medicaid policies related to provider travel costs and the implications for community health workers (CHWs), doula services, and behavioral health services, with emphasis on the impact for rural areas of the state.
Author(s): Logan Kelly
Date: 09/2024
Sponsoring organization: Center for Health Care Strategies
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Examines provider travel costs associated with field-based healthcare services in Medi-Cal, California's Medicaid program. Discusses Medicaid policies related to provider travel costs and the implications for community health workers (CHWs), doula services, and behavioral health services, with emphasis on the impact for rural areas of the state.
Author(s): Logan Kelly
Date: 09/2024
Sponsoring organization: Center for Health Care Strategies
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Telehealth-Guided Provider-to-Provider Communication to Improve Rural Health: A Systematic Review
Provides a literature review of trials and observational studies focused on telehealth-supported provider-to-provider collaboration to improve rural population health. Includes 2010-2021 search results of available telehealth studies and focuses on themes such as use, effectiveness, and implementation.
Author(s): Annette M Totten, Dana M Womack, Jessica C Griffin, et al.
Citation: Journal of Telemedicine and Telecare, 30(8), 1209-1363
Date: 09/2024
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Provides a literature review of trials and observational studies focused on telehealth-supported provider-to-provider collaboration to improve rural population health. Includes 2010-2021 search results of available telehealth studies and focuses on themes such as use, effectiveness, and implementation.
Author(s): Annette M Totten, Dana M Womack, Jessica C Griffin, et al.
Citation: Journal of Telemedicine and Telecare, 30(8), 1209-1363
Date: 09/2024
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A Qualitative Study of Providers' Perspectives on Cross-Institutional Care Coordination for Pancreatic Cancer: Challenges and Opportunities
Examines pancreatic cancer (PC) care coordination by comparing perspectives of urban, high-volume center providers (HVCPs) and rural, community-based providers (CBPs). Utilizes semi-structured interview feedback to explore issues such as communication, electronic health records (EHRs), patient co-management, and more.
Author(s): Matthew J. DePuccio, Karen Shiu-Yee, Natasha A. Kurien, et al.
Citation: BMC Health Services Research, 24, 1041
Date: 09/2024
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Examines pancreatic cancer (PC) care coordination by comparing perspectives of urban, high-volume center providers (HVCPs) and rural, community-based providers (CBPs). Utilizes semi-structured interview feedback to explore issues such as communication, electronic health records (EHRs), patient co-management, and more.
Author(s): Matthew J. DePuccio, Karen Shiu-Yee, Natasha A. Kurien, et al.
Citation: BMC Health Services Research, 24, 1041
Date: 09/2024
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Financial Performance of Rural and Urban Hospitals in the Medicare Shared Savings Program
Presents financial performance trends of hospitals that participated in Medicare's Shared Savings Program (SSP) from 2011-2018. Compares trends in 6 financial outcomes between SSP and non-SSP hospitals, and differences in these trends among rural and urban hospitals.
Author(s): Huang Huang, Xi Zhu, Fred Ullrich, A. Clinton MacKinney, Keith Mueller
Date: 09/2024
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Presents financial performance trends of hospitals that participated in Medicare's Shared Savings Program (SSP) from 2011-2018. Compares trends in 6 financial outcomes between SSP and non-SSP hospitals, and differences in these trends among rural and urban hospitals.
Author(s): Huang Huang, Xi Zhu, Fred Ullrich, A. Clinton MacKinney, Keith Mueller
Date: 09/2024
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Stories of Impact: Great Mines Health Center
Provides an overview of the Great Mines Health Center successes through 2024, a Federally Qualified Health Center (FQHC) that serves 6 rural Missouri counties. Discusses the impact of integrating the Washington County Mobile Integrated Healthcare Network model that created a partnership among an FQHC, an emergency medical services agency, and a nonprofit consulting firm and initiates primary care services in the home.
Date: 09/2024
Sponsoring organization: Georgia Health Policy Center
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Provides an overview of the Great Mines Health Center successes through 2024, a Federally Qualified Health Center (FQHC) that serves 6 rural Missouri counties. Discusses the impact of integrating the Washington County Mobile Integrated Healthcare Network model that created a partnership among an FQHC, an emergency medical services agency, and a nonprofit consulting firm and initiates primary care services in the home.
Date: 09/2024
Sponsoring organization: Georgia Health Policy Center
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Evaluating the Effectiveness of a Patient-Centered, Nonphysician Led Self-Monitoring Blood Pressure Program in a Rural Federally Qualified Health Center
Evaluated the effectiveness of a self-monitoring blood pressure program (SMBP) involving a nonphysician team for 205 patients with recent hypertension diagnoses in a rural Washington Federally Qualified Health Center (FQHC). Discusses facilitators and barriers to implementation including COVID-19, telehealth, community health workers, working with limited English proficiency populations, reimbursement, and collaborations.
Author(s): Magali Sanchez, KeliAnne Hara-Hubbard, Bárbara Baquero
Citation: Journal of Public Health Management and Practice, 30, S3167-S174
Date: 09/2024
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Evaluated the effectiveness of a self-monitoring blood pressure program (SMBP) involving a nonphysician team for 205 patients with recent hypertension diagnoses in a rural Washington Federally Qualified Health Center (FQHC). Discusses facilitators and barriers to implementation including COVID-19, telehealth, community health workers, working with limited English proficiency populations, reimbursement, and collaborations.
Author(s): Magali Sanchez, KeliAnne Hara-Hubbard, Bárbara Baquero
Citation: Journal of Public Health Management and Practice, 30, S3167-S174
Date: 09/2024
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Medicare Billing for Telehealth Encounters: An Introductory Guide on Fee-for-Service
Presents an overview of how to bill fee-for-service Medicare and Medicaid for telehealth encounters. Includes information on originating and distant sites, virtual healthcare, and coding telehealth services. Lists types of practice sites, including Federally Qualified Health Centers (FQHCs) and Rural Health Clinics (RHCs), and implications for billing telehealth services. Provides contact information for Regional Telehealth Research Centers (RTRC).
Date: 09/2024
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
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Presents an overview of how to bill fee-for-service Medicare and Medicaid for telehealth encounters. Includes information on originating and distant sites, virtual healthcare, and coding telehealth services. Lists types of practice sites, including Federally Qualified Health Centers (FQHCs) and Rural Health Clinics (RHCs), and implications for billing telehealth services. Provides contact information for Regional Telehealth Research Centers (RTRC).
Date: 09/2024
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
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