Rural Health
Resources by Topic: Telehealth
MedPAC Report to the Congress: Medicare Payment Policy, 2018
Annual review of Medicare payment policies, with recommendations to Congress. Includes discussion on Medicare payment policies directly affecting rural providers and beneficiaries. Addresses Medicare Part D, Medicare Advantage, telehealth, payment incentive programs, and payment adequacy for healthcare facilities and services.
Additional links: Chapter 14 Online-Only Appendixes: The Medicare Prescription Drug Program (Part D): Status Report (March 2018 Report, Revised June 25, 2018), Chapter 16 Online-Only Appendixes: Mandated Report: Telehealth Services and the Medicare Program (March 2018 report), Errata Sheet: Table 9-7, Page 255 (March 2018 Report, Revised May 30, 2018)
Date: 03/2018
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Annual review of Medicare payment policies, with recommendations to Congress. Includes discussion on Medicare payment policies directly affecting rural providers and beneficiaries. Addresses Medicare Part D, Medicare Advantage, telehealth, payment incentive programs, and payment adequacy for healthcare facilities and services.
Additional links: Chapter 14 Online-Only Appendixes: The Medicare Prescription Drug Program (Part D): Status Report (March 2018 Report, Revised June 25, 2018), Chapter 16 Online-Only Appendixes: Mandated Report: Telehealth Services and the Medicare Program (March 2018 report), Errata Sheet: Table 9-7, Page 255 (March 2018 Report, Revised May 30, 2018)
Date: 03/2018
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Report to Congress on Medicaid and CHIP, March 2018
Reports on three aspects of Medicaid: managed care, telehealth, and Disproportionate Share Hospital (DSH) payments. Chapter 2 discusses how the use of telehealth services can help patients access healthcare services in rural and frontier areas. Chapter 3 includes the third annual report on DSH payments, which provide support to safety-net hospitals to help offset uncompensated care costs for Medicaid and uninsured patients. Table 3-2 identifies DSH spending for urban and rural hospitals and for Critical Access Hospitals.
Date: 03/2018
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Reports on three aspects of Medicaid: managed care, telehealth, and Disproportionate Share Hospital (DSH) payments. Chapter 2 discusses how the use of telehealth services can help patients access healthcare services in rural and frontier areas. Chapter 3 includes the third annual report on DSH payments, which provide support to safety-net hospitals to help offset uncompensated care costs for Medicaid and uninsured patients. Table 3-2 identifies DSH spending for urban and rural hospitals and for Critical Access Hospitals.
Date: 03/2018
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Behavioral Health Integration into Primary Care
Profile of a rural health system, Western Wisconsin Health (WWH), and its work to deliver behavioral health services. Provides an overview of how behavioral health providers and services were integrated with primary care, with a cultural change to focus on whole-person care. Includes information on Medicare and Medicaid reimbursement for the behavioral health services provided at WWH's Rural Health Clinic. Discusses how WWH behavioral health providers offer telehealth services to other rural areas of Wisconsin.
Date: 03/2018
Type: Document
Sponsoring organization: Rural Health Value
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Profile of a rural health system, Western Wisconsin Health (WWH), and its work to deliver behavioral health services. Provides an overview of how behavioral health providers and services were integrated with primary care, with a cultural change to focus on whole-person care. Includes information on Medicare and Medicaid reimbursement for the behavioral health services provided at WWH's Rural Health Clinic. Discusses how WWH behavioral health providers offer telehealth services to other rural areas of Wisconsin.
Date: 03/2018
Type: Document
Sponsoring organization: Rural Health Value
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Barriers and Best Practices for Using Telehealth Services in Nebraska
Explores the use of telehealth to receive mental health services in rural areas of Nebraska. Includes county-level maps of metropolitan and micropolitan areas, county-level maps of primary and satellite locations of psychiatrists, as well rural versus urban behavioral workforce supply per 100,000 citizens.
Author(s): Shinobu Watanabe-Galloway, Ellana Haakenstad, Joe Evans, Howard Liu
Date: 02/2018
Type: Document
Sponsoring organization: Behavioral Health Workforce Research Center
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Explores the use of telehealth to receive mental health services in rural areas of Nebraska. Includes county-level maps of metropolitan and micropolitan areas, county-level maps of primary and satellite locations of psychiatrists, as well rural versus urban behavioral workforce supply per 100,000 citizens.
Author(s): Shinobu Watanabe-Galloway, Ellana Haakenstad, Joe Evans, Howard Liu
Date: 02/2018
Type: Document
Sponsoring organization: Behavioral Health Workforce Research Center
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Developing a "Toolkit" to Measure Implementation of Concurrent Palliative Care in Rural Community Cancer Centers
Reports on the implementation of an early palliative care telehealth model identified as ENABLE (Educate, Nurture, Advise, Before Life Ends) for patients with recently diagnosed cancer and their caregivers in 4 rural cancer centers. Describes the measures used to determine early palliative care implementation and their development and testing, and the challenges and lessons learned in the implementation process.
Author(s): Lisa Zubkoff, J. Nicholas Dionne-Odom, Maria Pisu, et al.
Citation: Palliative & Supportive Care, 16(1), 60-72
Date: 02/2018
Type: Document
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Reports on the implementation of an early palliative care telehealth model identified as ENABLE (Educate, Nurture, Advise, Before Life Ends) for patients with recently diagnosed cancer and their caregivers in 4 rural cancer centers. Describes the measures used to determine early palliative care implementation and their development and testing, and the challenges and lessons learned in the implementation process.
Author(s): Lisa Zubkoff, J. Nicholas Dionne-Odom, Maria Pisu, et al.
Citation: Palliative & Supportive Care, 16(1), 60-72
Date: 02/2018
Type: Document
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Hospitals and Health Systems Ensuring Access in Their Communities: A Compendium of Case Examples
Identifies 9 primary strategies used by hospitals to increase access to healthcare services in rural and urban areas and offers examples of each. Covers virtual care options such as telehealth, emergency and urgent care models such as freestanding emergency departments (EDs), rural hospital networks, partnerships with Indian Health Service providers, and strategies to address social determinants of health.
Date: 02/2018
Type: Document
Sponsoring organization: American Hospital Association
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Identifies 9 primary strategies used by hospitals to increase access to healthcare services in rural and urban areas and offers examples of each. Covers virtual care options such as telehealth, emergency and urgent care models such as freestanding emergency departments (EDs), rural hospital networks, partnerships with Indian Health Service providers, and strategies to address social determinants of health.
Date: 02/2018
Type: Document
Sponsoring organization: American Hospital Association
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Evaluation of an Academic-Community Partnership to Implement MTM Services in Rural Communities to Improve Pharmaceutical Care for Patients with Diabetes and/or Hypertension
Evaluates a pilot project in Arizona where community health center and independent retail pharmacies offered medication therapy management (MTM) services on site and by phone to rural, underserved Arizonans with diabetes or high blood pressure.
Author(s): Melissa Johnson, Rebecca Jastrzab, Jared Tate, et al.
Citation: Journal of Managed Care & Specialty Pharmacy, 24(2), 132-141
Date: 02/2018
Type: Document
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Evaluates a pilot project in Arizona where community health center and independent retail pharmacies offered medication therapy management (MTM) services on site and by phone to rural, underserved Arizonans with diabetes or high blood pressure.
Author(s): Melissa Johnson, Rebecca Jastrzab, Jared Tate, et al.
Citation: Journal of Managed Care & Specialty Pharmacy, 24(2), 132-141
Date: 02/2018
Type: Document
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Virtual Urgent Care - Bryan Health, Lincoln, NE
Case study of Bryan Health ezVisit, an online diagnosis and treatment option being used by a nonprofit health system in Lincoln, Nebraska to provide healthcare services for minor conditions to surrounding rural communities.
Date: 02/2018
Type: Document
Sponsoring organization: American Hospital Association
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Case study of Bryan Health ezVisit, an online diagnosis and treatment option being used by a nonprofit health system in Lincoln, Nebraska to provide healthcare services for minor conditions to surrounding rural communities.
Date: 02/2018
Type: Document
Sponsoring organization: American Hospital Association
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New Mexico Mobile Screening Program for Miners Brings Care to the Patients
Highlights a New Mexico program that uses screenings, specialty care via telehealth, and collaboration to meet the healthcare needs of miners with occupational lung disease. Services are provided via a mobile screening clinic housed in a semi that goes to 12 locations in the state.
Author(s): Allee Mead
Citation: Rural Monitor
Date: 02/2018
Type: Document
Sponsoring organization: Rural Health Information Hub
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Highlights a New Mexico program that uses screenings, specialty care via telehealth, and collaboration to meet the healthcare needs of miners with occupational lung disease. Services are provided via a mobile screening clinic housed in a semi that goes to 12 locations in the state.
Author(s): Allee Mead
Citation: Rural Monitor
Date: 02/2018
Type: Document
Sponsoring organization: Rural Health Information Hub
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Case Studies of Telehealth Programs in New York
Synthesizes information from 7 case studies of healthcare providers who regularly use telehealth applications in service delivery, including those who serve patients in rural communities. Identifies common themes and findings related to the impact of these services on provider organizations and patient populations. Featured programs include those emphasizing oral health, home care, and psychiatric care.
Author(s): Robert Martiniano, Carol Rodat, Bridget Baker, et al.
Date: 01/2018
Type: Document
Sponsoring organization: Center for Health Workforce Studies
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Synthesizes information from 7 case studies of healthcare providers who regularly use telehealth applications in service delivery, including those who serve patients in rural communities. Identifies common themes and findings related to the impact of these services on provider organizations and patient populations. Featured programs include those emphasizing oral health, home care, and psychiatric care.
Author(s): Robert Martiniano, Carol Rodat, Bridget Baker, et al.
Date: 01/2018
Type: Document
Sponsoring organization: Center for Health Workforce Studies
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