Rural Health
Resources by Topic: Federally Qualified Health Centers
Training the Primary Care Workforce to Deliver Team-Based Care in Underserved Areas: The Teaching Health Center Program
Provides an overview of the Teaching Health Center Graduate Medical Education (THCGME) program. Describes the THCGME program's outcomes in training primary care medical and dental providers, the practice settings of THCGME family medicine graduates, and services provided by program graduates. Profiles four THCGME programs, including three programs that serve tribal or rural areas. Discusses challenges facing Teaching Health Centers, proposed solutions, and key takeaways and recommendations for policymakers.
Author(s): Emily Hawes, Jacob Rains, Candice Chen, Erin Fraher
Date: 06/2023
Sponsoring organization: Milbank Memorial Fund
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Provides an overview of the Teaching Health Center Graduate Medical Education (THCGME) program. Describes the THCGME program's outcomes in training primary care medical and dental providers, the practice settings of THCGME family medicine graduates, and services provided by program graduates. Profiles four THCGME programs, including three programs that serve tribal or rural areas. Discusses challenges facing Teaching Health Centers, proposed solutions, and key takeaways and recommendations for policymakers.
Author(s): Emily Hawes, Jacob Rains, Candice Chen, Erin Fraher
Date: 06/2023
Sponsoring organization: Milbank Memorial Fund
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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
Sponsoring organization: Centers for Medicare & Medicaid Services
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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
Sponsoring organization: Centers for Medicare & Medicaid Services
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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
Sponsoring organization: Commonwealth Fund
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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
Sponsoring organization: Commonwealth Fund
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Achieving Behavioral Health Care Integration in Rural America
Provides an overview of behavioral health and primary care integration and how integration may be different in rural areas than in urban and suburban areas. Examines the barriers to integration in rural areas and opportunities for policies that can improve access to care. Offers policy recommendations to better coordinate and integrate primary care and behavioral health services for high-risk groups and expand the ability of primary care providers to handle the lower-acuity behavioral health needs of patients through enhanced payments, training, and improved access to behavioral health providers for consultation and referral. Builds on the March 2021 report, Tackling America's Mental Health and Addiction Crisis Through Primary Care Integration.
Author(s): Kendall Strong, Michele Gilbert, Julia Harris, et al.
Date: 05/2023
Sponsoring organization: Bipartisan Policy Center
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Provides an overview of behavioral health and primary care integration and how integration may be different in rural areas than in urban and suburban areas. Examines the barriers to integration in rural areas and opportunities for policies that can improve access to care. Offers policy recommendations to better coordinate and integrate primary care and behavioral health services for high-risk groups and expand the ability of primary care providers to handle the lower-acuity behavioral health needs of patients through enhanced payments, training, and improved access to behavioral health providers for consultation and referral. Builds on the March 2021 report, Tackling America's Mental Health and Addiction Crisis Through Primary Care Integration.
Author(s): Kendall Strong, Michele Gilbert, Julia Harris, et al.
Date: 05/2023
Sponsoring organization: Bipartisan Policy Center
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Improving Health Care Access in Rural Communities: Obstacles and Opportunities
Presents the U.S. Senate Committee on Finance, Subcommittee on Health Care hearing on improving access to high-quality, affordable healthcare in rural communities. Discusses workforce issues, education pipeline, transportation, broadband, school-based health centers, payment models and value-based care, and rural-friendly policies. Features testimonies from representatives of Frances Mahon Deaconess Hospital, Choptank Community Health System, Essentia Health, and the Sheps Center For Health Services Research.
Additional links: Testimony by David Herman, Testimony by Erin Aune, Testimony by Mark Holmes, Testimony by Sara Rich
Date: 05/2023
Sponsoring organization: Senate Committee on Finance, Subcommittee on Health Care
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Presents the U.S. Senate Committee on Finance, Subcommittee on Health Care hearing on improving access to high-quality, affordable healthcare in rural communities. Discusses workforce issues, education pipeline, transportation, broadband, school-based health centers, payment models and value-based care, and rural-friendly policies. Features testimonies from representatives of Frances Mahon Deaconess Hospital, Choptank Community Health System, Essentia Health, and the Sheps Center For Health Services Research.
Additional links: Testimony by David Herman, Testimony by Erin Aune, Testimony by Mark Holmes, Testimony by Sara Rich
Date: 05/2023
Sponsoring organization: Senate Committee on Finance, Subcommittee on Health Care
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Patient Satisfaction with Rural Health Centers
Examines patient satisfaction with health centers in Illinois by patient demographics, including metro versus nonmetro home location. Utilizes 7,002 records from Health Center Patient Survey (HCPS) data gathered from October 2014 through April 2015 to analyze health status, perception of healthcare quality, and satisfaction of health center patients.
Author(s): Adee Athiyaman
Date: 05/2023
Sponsoring organization: Illinois Institute for Rural Affairs
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Examines patient satisfaction with health centers in Illinois by patient demographics, including metro versus nonmetro home location. Utilizes 7,002 records from Health Center Patient Survey (HCPS) data gathered from October 2014 through April 2015 to analyze health status, perception of healthcare quality, and satisfaction of health center patients.
Author(s): Adee Athiyaman
Date: 05/2023
Sponsoring organization: Illinois Institute for Rural Affairs
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Mental Health Visits via Telecommunications for Rural Health Clinics & Federally Qualified Health Centers
Details regulatory changes for Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) regarding mental health visits provided through real-time audio-video and audio-only technologies. Includes information on coding for RHC and FQHC claims, in-person mental health visit requirements, and exceptions to the in-person requirement.
Date: 05/2023
Sponsoring organization: Centers for Medicare & Medicaid Services
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Details regulatory changes for Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) regarding mental health visits provided through real-time audio-video and audio-only technologies. Includes information on coding for RHC and FQHC claims, in-person mental health visit requirements, and exceptions to the in-person requirement.
Date: 05/2023
Sponsoring organization: Centers for Medicare & Medicaid Services
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Implications of COVID-19 on Safety-Net Oral Health Services
Examines COVID-19 pandemic impacts on Federally Qualified Health Centers (FQHCs) and other safety-net dental providers. Describes the challenges safety-net providers face in delivering care to underserved and rural communities, and examines impacts on safety-net providers offering oral health services through mobile programs. Features statistics on FQHCs offering oral health services, with breakdowns by region.
Author(s): Margaret Langelier, Simona Surdu, Theekshana Fernando, Sai Sindhura Gundavarapu, Alex Romero
Date: 04/2023
Sponsoring organization: Oral Health Workforce Research Center
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Examines COVID-19 pandemic impacts on Federally Qualified Health Centers (FQHCs) and other safety-net dental providers. Describes the challenges safety-net providers face in delivering care to underserved and rural communities, and examines impacts on safety-net providers offering oral health services through mobile programs. Features statistics on FQHCs offering oral health services, with breakdowns by region.
Author(s): Margaret Langelier, Simona Surdu, Theekshana Fernando, Sai Sindhura Gundavarapu, Alex Romero
Date: 04/2023
Sponsoring organization: Oral Health Workforce Research Center
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California Federally Qualified Health Center Alternative Payment Model Implementation Guide
Provides an overview on how the California Federally Qualified Health Center Alternative Payment Model (FQHC APM) may impact FQHCs and how facilities can prepare for the transition. Discusses the financial impact of the FQHC APM and assists facilities and staff in setting priorities, determining staffing needs, understanding necessary data collection, building staff competencies, and more.
Author(s): Greg Howe, Karla Silverman, Rob Houston
Date: 03/2023
Sponsoring organizations: California Health Care Foundation, Center for Health Care Strategies
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Provides an overview on how the California Federally Qualified Health Center Alternative Payment Model (FQHC APM) may impact FQHCs and how facilities can prepare for the transition. Discusses the financial impact of the FQHC APM and assists facilities and staff in setting priorities, determining staffing needs, understanding necessary data collection, building staff competencies, and more.
Author(s): Greg Howe, Karla Silverman, Rob Houston
Date: 03/2023
Sponsoring organizations: California Health Care Foundation, Center for Health Care Strategies
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Using GIS to Identify Priority Sites for Colorectal Cancer Screening Programs in Texas Health Centers
Provides county-level information on colorectal cancer (CRC) screening rates in Texas, including percentage of the population who have been screened and number of Federally Qualified Health Center (FQHC) patients without up-to-date screening or Cancer Prevention and Research Institute of Texas (CPRIT) engagement. Lists FQHCs by county that are priority for CRC screening improvement.
Author(s): F. Benjamin Zhan, Yanyan Liu, Mei Yang, et al.
Citation: Preventing Chronic Disease, 20
Date: 03/2023
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Provides county-level information on colorectal cancer (CRC) screening rates in Texas, including percentage of the population who have been screened and number of Federally Qualified Health Center (FQHC) patients without up-to-date screening or Cancer Prevention and Research Institute of Texas (CPRIT) engagement. Lists FQHCs by county that are priority for CRC screening improvement.
Author(s): F. Benjamin Zhan, Yanyan Liu, Mei Yang, et al.
Citation: Preventing Chronic Disease, 20
Date: 03/2023
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