Rural Health
Resources by Topic: Service delivery models
The Pennsylvania Rural Health Model (PARHM): Fourth Annual Evaluation Report
Evaluates the fourth performance year of the Pennsylvania Rural Health Model (PARHM), an initiative designed to test if global budgets can help rural hospitals improve their financial viability, provide flexibility to meet locally defined community health needs, and reduce overall healthcare spending. Provides an overview of the model and describes the implementation experience of participating hospitals and payers. Presents a descriptive quantitative assessment of financial performance, spending and utilization, access to care, and quality of care outcomes from 2016, the model's baseline, through 2022. Includes three case studies discussing three themes: experiences with global budget reconciliation, behavioral health transformation, and interactions and alignment between PARHM and other value-based care programs.
Additional links: Appendix, Findings at a Glance
Date: 12/2024
Sponsoring organizations: Centers for Medicare and Medicaid Services, NORC at the University of Chicago
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Evaluates the fourth performance year of the Pennsylvania Rural Health Model (PARHM), an initiative designed to test if global budgets can help rural hospitals improve their financial viability, provide flexibility to meet locally defined community health needs, and reduce overall healthcare spending. Provides an overview of the model and describes the implementation experience of participating hospitals and payers. Presents a descriptive quantitative assessment of financial performance, spending and utilization, access to care, and quality of care outcomes from 2016, the model's baseline, through 2022. Includes three case studies discussing three themes: experiences with global budget reconciliation, behavioral health transformation, and interactions and alignment between PARHM and other value-based care programs.
Additional links: Appendix, Findings at a Glance
Date: 12/2024
Sponsoring organizations: Centers for Medicare and Medicaid Services, NORC at the University of Chicago
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Telehealth Access Points (TAPs) Best Practices Guide
Outlines how communities can create Telehealth Access Points (TAPs), public spaces where individuals can access telehealth appointments. Highlights equipment needed, sanitization procedures, scheduling tools, building community partnerships, and more. Includes links to information about different TAP models and additional resources.
Date: 12/2024
Sponsoring organization: National Consortium of Telehealth Resource Centers
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Outlines how communities can create Telehealth Access Points (TAPs), public spaces where individuals can access telehealth appointments. Highlights equipment needed, sanitization procedures, scheduling tools, building community partnerships, and more. Includes links to information about different TAP models and additional resources.
Date: 12/2024
Sponsoring organization: National Consortium of Telehealth Resource Centers
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Extended Reality Telehealth for Rural Spaces
Discusses how extended reality technologies, including virtual reality, augmented reality, and immersive mixed reality, can be used in physical and occupational therapy, mental healthcare, elder care, and veterans healthcare services. Describes potential barriers to implementing extended reality telehealth practices, focusing on rural providers and facilities. Highlights examples of rural broadband and healthcare providers collaborating to implement telehealth services.
Author(s): Joshua Seidemann
Date: 12/2024
Sponsoring organization: NTCA: The Rural Broadband Association
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Discusses how extended reality technologies, including virtual reality, augmented reality, and immersive mixed reality, can be used in physical and occupational therapy, mental healthcare, elder care, and veterans healthcare services. Describes potential barriers to implementing extended reality telehealth practices, focusing on rural providers and facilities. Highlights examples of rural broadband and healthcare providers collaborating to implement telehealth services.
Author(s): Joshua Seidemann
Date: 12/2024
Sponsoring organization: NTCA: The Rural Broadband Association
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Transforming Lives at the Border: How a Rural Library in San Elizario is Changing the Game
Describes how the Pete Herrera Library functions as a hub for healthcare, human services, education, and more in the rural, border community of San Elizario, Texas. Highlights the library's initiatives and strategies for supporting community health and wellness in a predominantly Spanish-speaking, under-resourced community.
Author(s): Rick Ybarra
Date: 12/2024
Sponsoring organization: Hogg Foundation for Mental Health
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Describes how the Pete Herrera Library functions as a hub for healthcare, human services, education, and more in the rural, border community of San Elizario, Texas. Highlights the library's initiatives and strategies for supporting community health and wellness in a predominantly Spanish-speaking, under-resourced community.
Author(s): Rick Ybarra
Date: 12/2024
Sponsoring organization: Hogg Foundation for Mental Health
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Factors Associated with Utilization of Mobile Health Clinic Hepatitis C Virus Services among Medically Underserved Communities in South Carolina
Examines the use of mobile health clinics (MHCs) to deliver hepatitis C (HCV) screening and treatment in rural and underserved South Carolina communities. Provides data on the association of demographic and community factors, including rurality, with MHC utilization, HCV positivity rates, and MHC HCV treatment initiation.
Author(s): Kerry A. Howard, Fatih Gezer, Caitlin A. Moore, et al.
Citation: BMC Global and Public Health, 2, 84
Date: 12/2024
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Examines the use of mobile health clinics (MHCs) to deliver hepatitis C (HCV) screening and treatment in rural and underserved South Carolina communities. Provides data on the association of demographic and community factors, including rurality, with MHC utilization, HCV positivity rates, and MHC HCV treatment initiation.
Author(s): Kerry A. Howard, Fatih Gezer, Caitlin A. Moore, et al.
Citation: BMC Global and Public Health, 2, 84
Date: 12/2024
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Center for Medicare and Medicaid Innovation: 2024 Report to Congress
Reports to Congress on payment and service delivery models and initiatives tested or announced by the Center for Medicare and Medicaid Innovation between October 2022 and September 2024. Includes summaries and updates on multiple rural-relevant models and initiatives, including the Accountable Care Organization Realizing Equity, Access, and Community Health (ACO REACH) Model, the Transforming Maternal Health Model, the Pennsylvania Rural Health Model (PARHM), the Vermont All-Payer Accountable Care Organization Model, and more.
Date: 12/2024
Sponsoring organizations: Centers for Medicare and Medicaid Services, U.S. Department of Health and Human Services
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Reports to Congress on payment and service delivery models and initiatives tested or announced by the Center for Medicare and Medicaid Innovation between October 2022 and September 2024. Includes summaries and updates on multiple rural-relevant models and initiatives, including the Accountable Care Organization Realizing Equity, Access, and Community Health (ACO REACH) Model, the Transforming Maternal Health Model, the Pennsylvania Rural Health Model (PARHM), the Vermont All-Payer Accountable Care Organization Model, and more.
Date: 12/2024
Sponsoring organizations: Centers for Medicare and Medicaid Services, U.S. Department of Health and Human Services
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Health Information Technology Adoption and Utilization in Behavioral Health Settings
Explores the adoption and use of health information technology (HIT) among behavioral health providers. Presents findings from a literature review and focus group interviews regarding digital strategies that support integrated care models between physical health and behavioral health. Discusses how a lagging adoption and interoperability of HIT may affect community-based behavioral health providers working with underserved populations. Identifies policy considerations to increase interoperable HIT use among behavioral health providers. Includes rural references throughout.
Author(s): Michelle Dougherty, Rebecca McGavin, Meagan Pilar, Marc Horvath, Stephen Brown
Date: 12/2024
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, RTI International
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Explores the adoption and use of health information technology (HIT) among behavioral health providers. Presents findings from a literature review and focus group interviews regarding digital strategies that support integrated care models between physical health and behavioral health. Discusses how a lagging adoption and interoperability of HIT may affect community-based behavioral health providers working with underserved populations. Identifies policy considerations to increase interoperable HIT use among behavioral health providers. Includes rural references throughout.
Author(s): Michelle Dougherty, Rebecca McGavin, Meagan Pilar, Marc Horvath, Stephen Brown
Date: 12/2024
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, RTI International
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Racial and Ethnic and Rural Variations in the Use of Hybrid Prenatal Care in the US
Examines how factors of race/ethnicity, location, and telehealth restriction waivers during COVID-19 impact the uptake of hybrid prenatal care. Provides demographic breakdowns related to telehealth use of women during pregnancy and the COVID-19 public health emergency, with additional data on health conditions, U.S. region, and urban or rural residence.
Author(s): Peiyin Hung, Jiani Yu, Sayward E. Harrison, et al.
Citation: JAMA Network Open, 7(12)
Date: 12/2024
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Examines how factors of race/ethnicity, location, and telehealth restriction waivers during COVID-19 impact the uptake of hybrid prenatal care. Provides demographic breakdowns related to telehealth use of women during pregnancy and the COVID-19 public health emergency, with additional data on health conditions, U.S. region, and urban or rural residence.
Author(s): Peiyin Hung, Jiani Yu, Sayward E. Harrison, et al.
Citation: JAMA Network Open, 7(12)
Date: 12/2024
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Urban and Rural Differences in the Efficacy of a Mobile Health Depression Treatment for Young Adults
Examines the efficacy of a randomized clinical trial of a mobile health (mHealth) depression treatment in 103 young adults ages 18-25 across the U.S. Explores whether treatment efficacy differed by rural and urban residence.
Author(s): Jeremy Mennis, J. Douglas Coatsworth, Michael Russell, et al.
Citation: International Journal of Environmental Research and Public Health, 21(12), 1572
Date: 11/2024
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Examines the efficacy of a randomized clinical trial of a mobile health (mHealth) depression treatment in 103 young adults ages 18-25 across the U.S. Explores whether treatment efficacy differed by rural and urban residence.
Author(s): Jeremy Mennis, J. Douglas Coatsworth, Michael Russell, et al.
Citation: International Journal of Environmental Research and Public Health, 21(12), 1572
Date: 11/2024
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Primary Care Collaborative 2024 Evidence Report: An Evaluation of Primary Care in Medicare Accountable Care Organizations
Examines the role of primary care in Accountable Care Organizations (ACOs) in the Medicare Shared Savings Program (MSSP), and includes 3 case studies of MSSP ACOs that are primary care centric. Explores how the performance of ACOs may be affected by serving beneficiaries with high economic and social need. Mentions rural throughout.
Author(s): Ann Greiner, David Muhlestein, Ann Kempski, Melissa K. Fillippi, Alison N. Huffstetler
Date: 11/2024
Sponsoring organizations: Primary Care Collaborative, Robert Graham Center, Simple Healthcare
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Examines the role of primary care in Accountable Care Organizations (ACOs) in the Medicare Shared Savings Program (MSSP), and includes 3 case studies of MSSP ACOs that are primary care centric. Explores how the performance of ACOs may be affected by serving beneficiaries with high economic and social need. Mentions rural throughout.
Author(s): Ann Greiner, David Muhlestein, Ann Kempski, Melissa K. Fillippi, Alison N. Huffstetler
Date: 11/2024
Sponsoring organizations: Primary Care Collaborative, Robert Graham Center, Simple Healthcare
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