Rural Health
Resources by Topic: Service delivery models
Trends in Outpatient Telemedicine Utilization Among Rural Medicare Beneficiaries, 2010 to 2019
Examines the growth of telehealth utilization among rural Medicare beneficiaries between 2010-2019. Compares telehealth use across beneficiaries with a severe mental illness diagnosis, other mental health diagnoses, and with no mental health diagnoses. Describes trends for mental health versus non-mental health visits and across clinician specialties. Presents data on rural Medicare beneficiary characteristics with and without a telemedicine visit in 2019, including age, race and ethnicity, sex, U.S. Census division, and more.
Author(s): Michael L. Barnett, Haiden A. Huskamp, Alisa B. Bush, et al.
Citation: JAMA Health Forum, 2(10), e213282
Date: 10/2021
Type: Document
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Examines the growth of telehealth utilization among rural Medicare beneficiaries between 2010-2019. Compares telehealth use across beneficiaries with a severe mental illness diagnosis, other mental health diagnoses, and with no mental health diagnoses. Describes trends for mental health versus non-mental health visits and across clinician specialties. Presents data on rural Medicare beneficiary characteristics with and without a telemedicine visit in 2019, including age, race and ethnicity, sex, U.S. Census division, and more.
Author(s): Michael L. Barnett, Haiden A. Huskamp, Alisa B. Bush, et al.
Citation: JAMA Health Forum, 2(10), e213282
Date: 10/2021
Type: Document
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Reimagining Public Health Infrastructure and the Health Workforce for the 21st Century: Twentieth Annual Report to the Secretary of the U.S. Department of Health and Human Services and the U.S. Congress
Offers policy recommendations regarding activities related to healthcare workforce education and training. Recommendations cover training the healthcare workforce in telehealth, public trust around health initiatives, core competencies and performance measures linked to the Quintuple Aim, and age-friendly ecosystems. Includes rural references throughout.
Date: 10/2021
Type: Document
Sponsoring organization: Advisory Committee on Interdisciplinary Community-Based Linkages
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Offers policy recommendations regarding activities related to healthcare workforce education and training. Recommendations cover training the healthcare workforce in telehealth, public trust around health initiatives, core competencies and performance measures linked to the Quintuple Aim, and age-friendly ecosystems. Includes rural references throughout.
Date: 10/2021
Type: Document
Sponsoring organization: Advisory Committee on Interdisciplinary Community-Based Linkages
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National Advisory Committee on Rural Health and Human Services Meeting Summary, Washington, D.C., October 25-27, 2021
Summarizes the 89th meeting of the National Advisory Committee on Rural Health and Human Services (NACRHHS), which was held virtually. Presents an overview of national and Arizona perspectives on the meeting's two areas of focus: behavioral health and primary care integration in rural America and the Rural Emergency Hospital designation.
Date: 10/2021
Type: Document
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Summarizes the 89th meeting of the National Advisory Committee on Rural Health and Human Services (NACRHHS), which was held virtually. Presents an overview of national and Arizona perspectives on the meeting's two areas of focus: behavioral health and primary care integration in rural America and the Rural Emergency Hospital designation.
Date: 10/2021
Type: Document
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Household Experiences in Rural America During the Delta Variant Outbreak
Examines the impacts of the COVID-19 pandemic on rural U.S. households. Covers financial, education, childcare, health and healthcare, and employment and work-related impacts related to the pandemic.
Date: 10/2021
Type: Document
Sponsoring organizations: Harvard T.H. Chan School of Public Health, National Public Radio, Robert Wood Johnson Foundation
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Examines the impacts of the COVID-19 pandemic on rural U.S. households. Covers financial, education, childcare, health and healthcare, and employment and work-related impacts related to the pandemic.
Date: 10/2021
Type: Document
Sponsoring organizations: Harvard T.H. Chan School of Public Health, National Public Radio, Robert Wood Johnson Foundation
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Health Care in Rural America: Focus on Internet and Telehealth Use
Presents results of a survey of rural adults age 40 and older conducted between November-December 2020, addressing access to specialty health services, infrastructure gaps in rural areas, and utilization of telehealth services. Provides data on internet use relative to overall health, internet access at home and with smartphones, cost issues, and highlights concerns and barriers to telehealth utilization.
Additional links: Annotated Questionnaire
Date: 10/2021
Type: Document
Sponsoring organization: AARP
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Presents results of a survey of rural adults age 40 and older conducted between November-December 2020, addressing access to specialty health services, infrastructure gaps in rural areas, and utilization of telehealth services. Provides data on internet use relative to overall health, internet access at home and with smartphones, cost issues, and highlights concerns and barriers to telehealth utilization.
Additional links: Annotated Questionnaire
Date: 10/2021
Type: Document
Sponsoring organization: AARP
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How North Dakota Uses 1915(i) to Provide Supportive Services to People with Behavioral Health Conditions in Rural Areas
Describes how the North Dakota Department of Human Services utilizes the Medicaid 1915(i) state plan authority to fill gaps in community-based services for beneficiaries with behavioral health conditions. Highlights how the program addresses challenges to delivering services in rural areas.
Author(s): Emily Brostek, Neva Kaye
Date: 10/2021
Type: Document
Sponsoring organization: National Academy for State Health Policy
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Describes how the North Dakota Department of Human Services utilizes the Medicaid 1915(i) state plan authority to fill gaps in community-based services for beneficiaries with behavioral health conditions. Highlights how the program addresses challenges to delivering services in rural areas.
Author(s): Emily Brostek, Neva Kaye
Date: 10/2021
Type: Document
Sponsoring organization: National Academy for State Health Policy
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The Veterans Community Care Program: Background and Early Effects
Provides an overview of the Veterans Community Care Program (VCCP), and discusses the impact of the program on veterans' access to care and the Veterans Health Administration's (VHA) spending on community care. Explores other effects of VCCP, including care coordination, healthcare quality, and utilization of VHA facilities.
Date: 10/2021
Type: Document
Sponsoring organization: Congressional Budget Office
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Provides an overview of the Veterans Community Care Program (VCCP), and discusses the impact of the program on veterans' access to care and the Veterans Health Administration's (VHA) spending on community care. Explores other effects of VCCP, including care coordination, healthcare quality, and utilization of VHA facilities.
Date: 10/2021
Type: Document
Sponsoring organization: Congressional Budget Office
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U.S. Department of Health and Human Services Overdose Prevention Strategy
Examines trends in overdose deaths between 1999 and 2019. Describes the development and four priority areas of the new Overdose Prevention Strategy, as well as objectives for each priority area. Highlights examples of programs that address substance use disorder prevention and treatment in rural areas.
Date: 10/2021
Type: Document
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Examines trends in overdose deaths between 1999 and 2019. Describes the development and four priority areas of the new Overdose Prevention Strategy, as well as objectives for each priority area. Highlights examples of programs that address substance use disorder prevention and treatment in rural areas.
Date: 10/2021
Type: Document
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Health Workforce Strategic Plan
Provides a framework for health workforce improvements and addresses long-standing barriers to strengthening the health workforce. Focuses on recruiting and training health professionals from underserved communities to build a diverse, representative health workforce; ensuring equitable distribution of the workforce across geographic areas and health professions; strengthening the ability of the workforce to deliver high-quality care, including through strengthening cultural and linguistic competency of professionals; and using evidence and data to make better decisions about health workforce education and training investments. Mentions rural throughout.
Additional links: Comments from Federal National Advisory Committees
Date: 10/2021
Type: Document
Sponsoring organization: U.S. Department of Health and Human Services
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Provides a framework for health workforce improvements and addresses long-standing barriers to strengthening the health workforce. Focuses on recruiting and training health professionals from underserved communities to build a diverse, representative health workforce; ensuring equitable distribution of the workforce across geographic areas and health professions; strengthening the ability of the workforce to deliver high-quality care, including through strengthening cultural and linguistic competency of professionals; and using evidence and data to make better decisions about health workforce education and training investments. Mentions rural throughout.
Additional links: Comments from Federal National Advisory Committees
Date: 10/2021
Type: Document
Sponsoring organization: U.S. Department of Health and Human Services
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Fourth Evaluation Report: Next Generation Accountable Care Organization Model Evaluation
Reports on implementation experiences and outcomes for 41 Next Generation Accountable Care Organizations (NGACOs) that participated in the model in the 2019 performance year. Evaluates findings of the model to date by NGACO cohort. Also presents information on model-wide, cohort-level, and NGACO-level impacts on Medicare spending, utilization, and quality of care. Includes information on the extent to which NGACOs served rural areas.
Additional links: Findings at a Glance, Technical Appendices
Date: 10/2021
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, NORC at the University of Chicago
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Reports on implementation experiences and outcomes for 41 Next Generation Accountable Care Organizations (NGACOs) that participated in the model in the 2019 performance year. Evaluates findings of the model to date by NGACO cohort. Also presents information on model-wide, cohort-level, and NGACO-level impacts on Medicare spending, utilization, and quality of care. Includes information on the extent to which NGACOs served rural areas.
Additional links: Findings at a Glance, Technical Appendices
Date: 10/2021
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, NORC at the University of Chicago
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