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Rural Health
Resources by Topic: Service delivery models

Rural Challenges, Strategies, and Recommendations to Advance Value-Based Payment and Care During and Beyond the COVID-19 Crisis
Describes the key challenges rural primary care and behavioral health providers have faced in delivering care since COVID-19, in addition to the policy changes implemented in response to those challenges. Offers state-level policy recommendations for improving rural primary care and behavioral health services.
Author(s): Angel Bourgoin, Jim Maxwell, Yvette Cho, Rachel Tobey
Date: 11/2020
Type: Document
Sponsoring organization: Delta Center for a Thriving Safety Net
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The Future of State Telehealth Policy
Provides an overview of state and federal telehealth flexibilities implemented during the COVID-19 pandemic. Discusses long-term considerations for governors regarding the impact of these flexibilities on healthcare delivery and payment and the appropriateness of these policies in the future.
Date: 11/2020
Type: Document
Sponsoring organization: National Governors Association
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Maintaining Flexible Telehealth Policies After COVID-19
Provides an overview of the views of stakeholder organizations on topics for federal policymakers to consider regarding Medicare telehealth flexibilities after the COVID-19 public health emergency. Covers payment policy, telehealth services, and provider and patient location, among other topics.
Author(s): Sue Felt-Lisk
Date: 11/2020
Type: Document
Sponsoring organization: Mathematica Policy Research
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Ensuring Health Across Rural Minnesota in 2030
Offers recommendations to policymakers and stakeholders on how to expand access to high-quality and inexpensive healthcare for rural communities in Minnesota. Covers trends in factors that may affect rural health, such as increased diversity, older populations, higher healthcare costs, lack of broadband, closures of healthcare facilities, and more. Discusses how the COVID-19 pandemic has exacerbated issues in rural communities.
Date: 11/2020
Type: Document
Sponsoring organization: National Rural Health Resource Center
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Health Care Delivery System Reform: Six Policy Imperatives
Presents six recommendations for healthcare delivery system reform in order to improve quality, advance equity, and increase the affordability of healthcare in the United States. Includes specific policy recommendations for small and rural providers throughout.
Date: 11/2020
Type: Document
Sponsoring organization: Commonwealth Fund
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Community Health Center Telehealth Utilization in Rural and Urban States During the COVID-19 Pandemic
Analyzes community health centers' utilization of telehealth services by state for the week prior to October 16, 2020. Compares the percentage of health center visits conducted virtually to the proportion of the population of each state that lives in rural areas.
Date: 11/2020
Type: Document
Sponsoring organizations: Geiger Gibson Program in Community Health, RCHN Community Health Foundation
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Doulas Enhance the Birthing Experience: Brookings Health System, Brookings, SD
Case study profiling Brookings Health System, a rural health system in South Dakota, and its implementation of a free doula program. Discusses the impact of the doula program, patient and staff, satisfaction, lessons learned, and future goals for the program.
Date: 11/2020
Type: Document
Sponsoring organization: American Hospital Association
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Accountable Health Communities Model - Two Rural Participants' Experiences
Describes how two health systems, Ballard Health and Rocky Mountain Health Plan, implemented the Accountable Health Communities Model to address health-related social needs of rural Medicare, Medicaid, and dual-eligible beneficiaries. Discusses challenges each system faced while implementing the model.
Date: 11/2020
Type: Document
Sponsoring organization: Rural Health Value
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Rethinking Rural Health: FY 2020 Year in Review
Provides an overview of Centers for Medicaid and Medicare Services (CMS) programs and activities that have affected rural health and healthcare in fiscal year 2020. Focuses on nine priority areas: COVID-19, maternal health, Medicare Advantage (MA) and the Federally-facilitated Marketplace (FFM), quality improvement, practitioner engagement, patient empowerment and person-centered care, Medicare and Medicaid payment and policy, models and demonstrations, and telehealth.
Date: 11/2020
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Evaluating Telehealth Adoption and Related Barriers Among Hospitals Located in Rural and Urban Areas
Study examining telehealth adoption in hospitals, comparing rural, micropolitan, and metropolitan areas using 2018 American Hospital Association (AHA) Annual Survey data. Discusses barriers to telehealth implementation related to health information exchange (HIE) capacity and patient engagement through health information technology (HIT) systems.
Author(s): Jie Chen, Aitalohi Amaize, Deanna Barath
Citation: Journal of Rural Health, 37(4), 801-811
Date: 11/2020
Type: Document
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