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Rural Health Information Hub

Rural Health
Resources by Topic: Telehealth

North Carolina Office of Rural Health Key Performance Measures Reported by Program
Offers statistics for performance measures or output for fiscal year 2023. Features breakdowns including total patient encounters and telemedicine encounters; statistics on controlled diabetes, hypertension, and early pre-natal care; and screening for tobacco use, depression, and obesity.
Date: 06/2023
Sponsoring organization: North Carolina Department of Health and Human Services
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Telehealth Adoption in Kentucky Prior to the COVID-19 Pandemic
Reports statistics and data on the adoption of telehealth, including remote patient monitoring, in Kentucky before the COVID-19 pandemic. Compares rural and urban areas with U.S. averages, and highlights adoption rates in Critical Access and short-term acute care hospitals. Discusses the implications of pre-pandemic telehealth adoption for COVID-19 response in Kentucky.
Author(s): Claudia A. Rhoades
Date: 06/2023
Sponsoring organization: Blueprint Kentucky
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Telehealth in Michigan: Insights and Data for Effective Policymaking
Examines telehealth usage in Michigan for the purpose of policymaking. Evaluates the impact of expanding telehealth in rural Michigan, usage by Federally Qualified Health Centers and Rural Health Clinics, broadband, and more. Suggests policy recommendations including for issues in rural telehealth.
Author(s): Chad Ellimoottil, Ziwei Zhu, Xinwei Hi, Monica Van Til
Date: 06/2023
Sponsoring organizations: Ethel & James Flinn Foundation, Michigan Health Endowment Fund
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Disparities in Mental Health Care and Outcomes: A Healthy Metric Report for Wisconsin 2023
Provides an overview of mental health disparities in Wisconsin according to race/ethnicity, insurance type, age, and rural versus urban location. Utilizes 2021 Wisconsin Collaborative for Healthcare Quality (WCHQ) member organization data to report on mental health screenings, diagnoses, telehealth, and opportunities to improve mental healthcare in Wisconsin.
Date: 06/2023
Sponsoring organizations: Advancing a Healthier Wisconsin Endowment, Wisconsin Partnership Program
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Expanded Report to Congress: Non-Emergency Medical Transportation in Medicaid, 2018–2021
Examines the Medicaid analysis of non-emergency medical transportation (NEMT) using Transformed Medicaid Statistical Information System (T-MSIS) data from 2018-2021. Explores the number and percentage of Medicaid beneficiaries using NEMT, the average number of NEMT "ride days" per NEMT user per month enrolled in Medicaid, the types of medical services accessed when using NEMT, monthly trends in the use of NEMT versus telehealth services before and during the COVID-19 public health emergency (PHE), and the volume of NEMT services used by type of NEMT delivery model. Offers recommendations for states and local stakeholders regarding Medicaid coverage of NEMT. Presents data by state and by beneficiary characteristics, including Medicaid eligibility category, health conditions, and urban-rural location.
Date: 06/2023
Sponsoring organizations: Centers for Medicare and Medicaid Services, U.S. Department of Health and Human Services
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Tennessee Rural Health Care Task Force: Improving Rural Health Care Across Tennessee
Report from the Tennessee Rural Health Care Task Force. Offers recommendations to the state in the areas of access to care, workforce development, and social drivers of health. Discusses rural health research and advocacy, health insurance, telemedicine, workforce training, grants and loans, and more.
Additional links: Summary
Author(s): Morgan McDonald, David Dill
Date: 06/2023
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Critical Access Hospitals: Views on How Medicare Payment and Other Factors Affect Behavioral Health Services
Provides an overview of how Medicare payment policies for care provided by Critical Access Hospitals (CAHs). Explores how CAHs provide behavioral health services in their communities. Summarizes findings from interviews with officials from 10 CAHs, stakeholder organizations, the Centers for Medicare & Medicaid Services (CMS), and the Health Resources and Services Administration (HRSA) regarding how Medicare payment policies and other factors affect CAHs' ability to provide behavioral health services.
Additional links: Full Report
Date: 06/2023
Sponsoring organization: Government Accountability Office
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Assessing the Effectiveness of Policies to Improve Access to Primary Care for Underserved Populations: Case Study Analysis: Kanawha County, West Virginia
Case study of policy initiatives to increase access to primary care, focusing on Kanawha County, West Virginia. Discusses workforce shortages, healthcare access, structural barriers to primary care, healthcare affordability, and more.
Author(s): Maanasa Kona, Jalisa Clark, Emma Walsh-Alker, Megan Houston
Date: 06/2023
Sponsoring organization: Milbank Memorial Fund
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Addressing the Impact of Rural Hospital Closures on Maternal and Infant Health
Blog post discussing the impact of rural hospital closures on rural maternal and infant health outcomes. Identifies risk-appropriate strategies to ensure the provision of maternal and infant healthcare at facilities that best meet each individual's level of health risk. Covers birthing centers, hub-and-spoke models, and telehealth models to preserve access to care.
Author(s): Lexa Giragosian
Date: 06/2023
Sponsoring organization: Association of State and Territorial Health Officials
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Using Population-Based Outcome Measures to Assess the Impact of Telehealth Expansion on Medicare Beneficiaries' Access to Care and Quality of Care
Explores the feasibility of using population-based measures to estimate the association between telehealth use, quality of care, and access to care when both telehealth and in-person visits are available to fee-for-service (FFS) Medicare beneficiaries. Compares data from the second half of 2019 to the second half of 2021 by the level of telehealth utilization in Hospital Service Areas (HSAs). Includes rural references throughout.
Author(s): Morteza Saharkhiz, Tanvi Rao, Sara Parker Lue, et al.
Date: 06/2023
Sponsoring organizations: American Institutes for Research, Medicare Payment Advisory Commission
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