Rural Health
Resources by Topic: Telehealth
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
Type: Document
Sponsoring organization: Association of State and Territorial Health Officials
view details
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
Type: Document
Sponsoring organization: Association of State and Territorial Health Officials
view details
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
Type: Document
Sponsoring organizations: American Institutes for Research, Medicare Payment Advisory Commission
view details
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
Type: Document
Sponsoring organizations: American Institutes for Research, Medicare Payment Advisory Commission
view details
MedPAC Report to the Congress: Medicare and the Health Care Delivery System, June 2023
Evaluates Medicare payment issues and provides recommendations to the U.S. Congress. Chapter 7 presents a report on the use, payment, and quality of telehealth services that Medicare pays for separately under the physician fee schedule (PFS). Also includes chapters on the cost of drugs covered under Medicare Part B, postsale rebates for prescription drugs in Medicare Part D, standardized benefits in Medicare Advantage plans, future directions for Medicare Advantage payment policy, disparities in outcomes for beneficiaries with different social risks, Medicare behavioral health services, the alignment of fee-for-service payment rates across ambulatory settings, and the evaluation of a post-acute care prospective payment system prototype.
Date: 06/2023
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
view details
Evaluates Medicare payment issues and provides recommendations to the U.S. Congress. Chapter 7 presents a report on the use, payment, and quality of telehealth services that Medicare pays for separately under the physician fee schedule (PFS). Also includes chapters on the cost of drugs covered under Medicare Part B, postsale rebates for prescription drugs in Medicare Part D, standardized benefits in Medicare Advantage plans, future directions for Medicare Advantage payment policy, disparities in outcomes for beneficiaries with different social risks, Medicare behavioral health services, the alignment of fee-for-service payment rates across ambulatory settings, and the evaluation of a post-acute care prospective payment system prototype.
Date: 06/2023
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
view details
Expansion of Telehealth Availability for Mental Health Care After State-Level Policy Changes From 2019 to 2022
Explores mental health access associated with state-level telehealth policy changes due to COVID-19. Highlights disparities in mental health via telehealth access before and after COVID-related policy changes and details access rates in counties based on race and rurality, among other measures.
Author(s): Ryan K. McBain, Megan S. Schuler, Nabeel Qureshi, et al.
Citation: JAMA Network Open, 6(6), e2318045
Date: 06/2023
Type: Document
view details
Explores mental health access associated with state-level telehealth policy changes due to COVID-19. Highlights disparities in mental health via telehealth access before and after COVID-related policy changes and details access rates in counties based on race and rurality, among other measures.
Author(s): Ryan K. McBain, Megan S. Schuler, Nabeel Qureshi, et al.
Citation: JAMA Network Open, 6(6), e2318045
Date: 06/2023
Type: Document
view details
State Medicaid Telehealth Coverage Policy Decisions Since the COVID-19 Public Health Emergency
Describes changes to state Medicaid telehealth policy flexibilities and/or new policies enacted during the COVID-19 PHE as of April–May 2022. Focuses on flexibilities that were rolled back, as well as those made permanent in whole or in part. Examines the decision-making processes behind Medicaid telehealth policy changes. Summarizes findings from guided discussions with state Medicaid representatives across four domains: 1) state attitudes and perspectives on telehealth and telehealth policies; 2) state telehealth policy decision-making processes; 3) states' future plans for telehealth; and 4) challenges and lessons learned. Outlines potential opportunities for the future of telehealth. Includes rural references throughout.
Additional links: Executive Summary
Author(s): Peggy G. Chen, Sara E. Heins, Stephanie Dellva
Date: 05/2023
Type: Document
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, RAND Corporation
view details
Describes changes to state Medicaid telehealth policy flexibilities and/or new policies enacted during the COVID-19 PHE as of April–May 2022. Focuses on flexibilities that were rolled back, as well as those made permanent in whole or in part. Examines the decision-making processes behind Medicaid telehealth policy changes. Summarizes findings from guided discussions with state Medicaid representatives across four domains: 1) state attitudes and perspectives on telehealth and telehealth policies; 2) state telehealth policy decision-making processes; 3) states' future plans for telehealth; and 4) challenges and lessons learned. Outlines potential opportunities for the future of telehealth. Includes rural references throughout.
Additional links: Executive Summary
Author(s): Peggy G. Chen, Sara E. Heins, Stephanie Dellva
Date: 05/2023
Type: Document
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, RAND Corporation
view details
2023 National Survey on MIH-CP Programs
Results of a February 2023 survey of approximately 400 emergency medical services (EMS) agencies nationwide that have launched mobile integrated healthcare and community paramedicine (MIH-CP) programs. Features statistics on nontraditional services offered, and programs by demographic region served, with breakdowns by 3 levels of population density.
Date: 05/2023
Type: Document
Sponsoring organization: National Association of Emergency Medical Technicians
view details
Results of a February 2023 survey of approximately 400 emergency medical services (EMS) agencies nationwide that have launched mobile integrated healthcare and community paramedicine (MIH-CP) programs. Features statistics on nontraditional services offered, and programs by demographic region served, with breakdowns by 3 levels of population density.
Date: 05/2023
Type: Document
Sponsoring organization: National Association of Emergency Medical Technicians
view details
Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs): CMS Flexibilities to Fight COVID-19
Outlines specific regulatory waivers and Medicare flexibilities for Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) issued in response to the COVID-19 pandemic. Includes information on payments for telehealth services, COVID-19 vaccines, therapeutics, and more. Identifies whether each waiver or flexibility was terminated, ended at the conclusion of the public health emergency, was extended, or became permanent.
Date: 05/2023
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
view details
Outlines specific regulatory waivers and Medicare flexibilities for Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) issued in response to the COVID-19 pandemic. Includes information on payments for telehealth services, COVID-19 vaccines, therapeutics, and more. Identifies whether each waiver or flexibility was terminated, ended at the conclusion of the public health emergency, was extended, or became permanent.
Date: 05/2023
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
view details
Community Health Centers Seek to Prepare Medicaid Beneficiaries, and Themselves, for the Risks Ahead
Explores how Federally Qualified Health Centers (FQHCs), including an FQHC serving rural North Carolina, are helping Medicaid beneficiaries stay enrolled or find alternate coverage during the post-COVID-19 redetermination process. Describes how operations of these FQHCs have been changed by funding from the Coronavirus Aid, Relief, and Economic Security (CARES) Act and pandemic-related regulatory flexibilities.
Date: 05/2023
Type: Document
Sponsoring organization: Commonwealth Fund
view details
Explores how Federally Qualified Health Centers (FQHCs), including an FQHC serving rural North Carolina, are helping Medicaid beneficiaries stay enrolled or find alternate coverage during the post-COVID-19 redetermination process. Describes how operations of these FQHCs have been changed by funding from the Coronavirus Aid, Relief, and Economic Security (CARES) Act and pandemic-related regulatory flexibilities.
Date: 05/2023
Type: Document
Sponsoring organization: Commonwealth Fund
view details
Study of Telehealth Expansion and Payment Parity: Preliminary Report to the Minnesota Legislature 2023
Provides an overview of telehealth usage in Minnesota, with a focus on the impacts of the COVID-19 pandemic on telehealth; issues of access, quality, satisfaction, and equity; payment parity; audio-only telehealth; and more. Includes 2021 Minnesota Health Access (MNHA) Survey data about telehealth satisfaction for various populations, including rural, as well as telehealth implications for rural areas.
Date: 05/2023
Type: Document
Sponsoring organization: Minnesota Department of Health
view details
Provides an overview of telehealth usage in Minnesota, with a focus on the impacts of the COVID-19 pandemic on telehealth; issues of access, quality, satisfaction, and equity; payment parity; audio-only telehealth; and more. Includes 2021 Minnesota Health Access (MNHA) Survey data about telehealth satisfaction for various populations, including rural, as well as telehealth implications for rural areas.
Date: 05/2023
Type: Document
Sponsoring organization: Minnesota Department of Health
view details
Medical Assistants' Telehealth Roles and Skills in Primary Care During the COVID-19 Pandemic
Study examining the role of medical assistants (MAs) in providing primary care via telehealth during the COVID-19 pandemic. 10 key informants from national and state primary care organizations were interviewed. Results include discussion about the variation in roles being dependent on organization size and rurality.
Author(s): Samantha W. Pollack, Susan M. Skillman, Tracy M. Mroz, Bianca K. Frogner
Date: 05/2023
Type: Document
Sponsoring organization: UW Center for Health Workforce Studies
view details
Study examining the role of medical assistants (MAs) in providing primary care via telehealth during the COVID-19 pandemic. 10 key informants from national and state primary care organizations were interviewed. Results include discussion about the variation in roles being dependent on organization size and rurality.
Author(s): Samantha W. Pollack, Susan M. Skillman, Tracy M. Mroz, Bianca K. Frogner
Date: 05/2023
Type: Document
Sponsoring organization: UW Center for Health Workforce Studies
view details