Rural Health
Resources by Topic: Integrated service delivery
Expanding Access to Integrated Medicare-Medicaid Programs in Rural Communities
Discusses the rural population who are dually eligible for Medicare and Medicaid and their unique physical health, mental health, and health-related social needs (HRSNs). Includes information on dual eligibility issues related to access, integrated care, and managed care infrastructure. Provides a literature review and stakeholder interview feedback focused on potential strategies to improve healthcare integration.
Author(s): Molly Knowles, Nida Joseph, Nancy Archibald, Ellen Breslin
Date: 08/2025
Sponsoring organization: Center for Health Care Strategies
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Discusses the rural population who are dually eligible for Medicare and Medicaid and their unique physical health, mental health, and health-related social needs (HRSNs). Includes information on dual eligibility issues related to access, integrated care, and managed care infrastructure. Provides a literature review and stakeholder interview feedback focused on potential strategies to improve healthcare integration.
Author(s): Molly Knowles, Nida Joseph, Nancy Archibald, Ellen Breslin
Date: 08/2025
Sponsoring organization: Center for Health Care Strategies
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Partners in Progress: Pursuing Medical-Dental Integration in Ohio
Report explores dental health integration into primary care in Ohio and a way to expand oral healthcare access in the state. Discusses access issues in rural area, shortage areas, among Medicaid recipients, and details how integration can help close the gap.
Date: 07/2025
Sponsoring organization: CareQuest Institute for Oral Health
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Report explores dental health integration into primary care in Ohio and a way to expand oral healthcare access in the state. Discusses access issues in rural area, shortage areas, among Medicaid recipients, and details how integration can help close the gap.
Date: 07/2025
Sponsoring organization: CareQuest Institute for Oral Health
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Compendium of Rural Oral Health Best Practices - 2025
Highlights examples of the best practices in rural oral healthcare across the country. Presents a number of models regarding workforce development and training, integration of care, telehealth, clinical care, and policy.
Date: 06/2025
Sponsoring organizations: CareQuest Institute for Oral Health, National Rural Health Association
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Highlights examples of the best practices in rural oral healthcare across the country. Presents a number of models regarding workforce development and training, integration of care, telehealth, clinical care, and policy.
Date: 06/2025
Sponsoring organizations: CareQuest Institute for Oral Health, National Rural Health Association
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Montana AHEC Scholars - HRSA: Area Health Education Center (AHEC)
Highlights the Montana AHEC Scholars Program, which provides interdisciplinary training in behavioral health integration, telehealth, and social determinants of health, among other topics, to improve the quality and access to care in rural communities.
Date: 05/2025
Sponsoring organizations: Montana Area Health Education Center, Montana Office of Rural Health
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Highlights the Montana AHEC Scholars Program, which provides interdisciplinary training in behavioral health integration, telehealth, and social determinants of health, among other topics, to improve the quality and access to care in rural communities.
Date: 05/2025
Sponsoring organizations: Montana Area Health Education Center, Montana Office of Rural Health
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Assessment of Mental and Physical Health Outcomes over Time in an Integrated Care Setting
Examines the impact of an integrated care setting in rural Louisiana for patients with mental health challenges. Utilizes data from 239 integrated care patients and analyzes various physical health indicators and mental health outcomes.
Author(s): Dependra Bhatta, Monteic A. Sizer, Binod Acharya, Dipendra Banjara
Citation: BMC Primary Care, 26, 181
Date: 05/2025
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Examines the impact of an integrated care setting in rural Louisiana for patients with mental health challenges. Utilizes data from 239 integrated care patients and analyzes various physical health indicators and mental health outcomes.
Author(s): Dependra Bhatta, Monteic A. Sizer, Binod Acharya, Dipendra Banjara
Citation: BMC Primary Care, 26, 181
Date: 05/2025
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A Summary of State Innovation Models (SIM) Evaluation Results Across 17 States (2013-2020)
Summarizes evaluation results of the State Innovation Models (SIM), which examined the ability of 17 state governments to implement and test innovative value-based payment (VBP) healthcare models across multiple payers between 2013 and 2020. Presents findings regarding the implementation and impact of 29 delivery and payment models, including patient-centered medical homes, accountable care organizations, behavioral health integration, and more. Covers state contracting and consensus building, practice transformation, pediatric care, behavioral healthcare, beneficiary and provider perspectives, and more. Includes a section on payment model designs tailored to unique state needs, including rural populations, as well as rural references throughout.
Additional links: A Summary of State Innovation Models (SIM): Focus on State-Led Transformation - Findings at a Glance, Executive Summary, Findings at a Glance
Date: 01/2025
Sponsoring organization: Centers for Medicare and Medicaid Services
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Summarizes evaluation results of the State Innovation Models (SIM), which examined the ability of 17 state governments to implement and test innovative value-based payment (VBP) healthcare models across multiple payers between 2013 and 2020. Presents findings regarding the implementation and impact of 29 delivery and payment models, including patient-centered medical homes, accountable care organizations, behavioral health integration, and more. Covers state contracting and consensus building, practice transformation, pediatric care, behavioral healthcare, beneficiary and provider perspectives, and more. Includes a section on payment model designs tailored to unique state needs, including rural populations, as well as rural references throughout.
Additional links: A Summary of State Innovation Models (SIM): Focus on State-Led Transformation - Findings at a Glance, Executive Summary, Findings at a Glance
Date: 01/2025
Sponsoring organization: Centers for Medicare and Medicaid Services
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Youth Mental Health and Substance Use Task Force: Redesigning the Health Care Delivery System to Better Meet the Needs of Youth
Presents policy recommendations from 50 experts and thought leaders regarding how to maximize the potential of the U.S. healthcare system to better serve youth with behavioral health needs. Covers the behavioral health workforce, transparency and compliance with existing screening and treatment requirements, promoting integrated primary care and behavioral health services in pediatric settings, the needs of youth with the highest acuity behavioral health needs, and strengthening crisis and stabilization systems. Includes rural references and considerations throughout.
Date: 01/2025
Sponsoring organization: Bipartisan Policy Center
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Presents policy recommendations from 50 experts and thought leaders regarding how to maximize the potential of the U.S. healthcare system to better serve youth with behavioral health needs. Covers the behavioral health workforce, transparency and compliance with existing screening and treatment requirements, promoting integrated primary care and behavioral health services in pediatric settings, the needs of youth with the highest acuity behavioral health needs, and strengthening crisis and stabilization systems. Includes rural references and considerations throughout.
Date: 01/2025
Sponsoring organization: Bipartisan Policy Center
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Challenges and Strategies to Improve Access to Oral Health Care in Rural America
Provides an overview of barriers to oral health in rural areas, and discusses strategies to increase access to oral health care and improve rural public health outcomes. Covers topics including dental insurance, service delivery models, oral health workforce, the role of oral health professionals in addressing opioid and tobacco use, and water fluoridation.
Author(s): Liang Hong, Shillpa Naavaal, Sohini Dhar, Siddardha Chandrupatla
Date: 2025
Sponsoring organization: American Association of Public Health Dentistry (AAPHD)
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Provides an overview of barriers to oral health in rural areas, and discusses strategies to increase access to oral health care and improve rural public health outcomes. Covers topics including dental insurance, service delivery models, oral health workforce, the role of oral health professionals in addressing opioid and tobacco use, and water fluoridation.
Author(s): Liang Hong, Shillpa Naavaal, Sohini Dhar, Siddardha Chandrupatla
Date: 2025
Sponsoring organization: American Association of Public Health Dentistry (AAPHD)
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Health Information Technology Adoption and Utilization in Behavioral Health Settings
Explores the adoption and use of health information technology (HIT) among behavioral health providers. Presents findings from a literature review and focus group interviews regarding digital strategies that support integrated care models between physical health and behavioral health. Discusses how a lagging adoption and interoperability of HIT may affect community-based behavioral health providers working with underserved populations. Identifies policy considerations to increase interoperable HIT use among behavioral health providers. Includes rural references throughout.
Author(s): Michelle Dougherty, Rebecca McGavin, Meagan Pilar, Marc Horvath, Stephen Brown
Date: 12/2024
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, RTI International
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Explores the adoption and use of health information technology (HIT) among behavioral health providers. Presents findings from a literature review and focus group interviews regarding digital strategies that support integrated care models between physical health and behavioral health. Discusses how a lagging adoption and interoperability of HIT may affect community-based behavioral health providers working with underserved populations. Identifies policy considerations to increase interoperable HIT use among behavioral health providers. Includes rural references throughout.
Author(s): Michelle Dougherty, Rebecca McGavin, Meagan Pilar, Marc Horvath, Stephen Brown
Date: 12/2024
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, RTI International
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Montana Healthcare Foundation Annual Report, 2023
Provides an overview of the Montana Healthcare Foundation's work in 2023. Features sections on grantmaking, American Indian health, behavioral health, Medicaid and health policy, public health, school-based health centers, housing, and grant application assistance.
Date: 10/2024
Sponsoring organization: Montana Healthcare Foundation
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Provides an overview of the Montana Healthcare Foundation's work in 2023. Features sections on grantmaking, American Indian health, behavioral health, Medicaid and health policy, public health, school-based health centers, housing, and grant application assistance.
Date: 10/2024
Sponsoring organization: Montana Healthcare Foundation
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