Rural Health
Resources by Topic: Integrated service delivery
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 communities. 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 communities. 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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Diagnostic Excellence in U.S. Rural Healthcare: A Call to Action
Issue brief exploring challenges to diagnostic quality in rural healthcare. Provides an overview of the topic of diagnostic errors in rural settings, and provides suggestions related to resource and workforce limitations, access to care, care coordination and other service delivery models, and social determinants of health.
Author(s): Kisha J. Ali, Nick J. Galvez, Sarah Craig, et al.
Date: 09/2024
Sponsoring organization: Agency for Healthcare Research and Quality
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Issue brief exploring challenges to diagnostic quality in rural healthcare. Provides an overview of the topic of diagnostic errors in rural settings, and provides suggestions related to resource and workforce limitations, access to care, care coordination and other service delivery models, and social determinants of health.
Author(s): Kisha J. Ali, Nick J. Galvez, Sarah Craig, et al.
Date: 09/2024
Sponsoring organization: Agency for Healthcare Research and Quality
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Certified Community Behavioral Health Clinics Demonstration Program: Report to Congress, 2024
Provides an overview of the Certified Community Behavioral Health Clinic (CCBHC) demonstration. Describes changes in the quality of care during the first five years of the demonstration for states with available quality measures, as well as quality bonus payments states made to CCBHCs based on quality measure performance. Builds on findings on demonstration implementation, quality improvement, and costs outlined in previous evaluation reports.
Date: 08/2024
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, Mathematica, RAND Corporation
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Provides an overview of the Certified Community Behavioral Health Clinic (CCBHC) demonstration. Describes changes in the quality of care during the first five years of the demonstration for states with available quality measures, as well as quality bonus payments states made to CCBHCs based on quality measure performance. Builds on findings on demonstration implementation, quality improvement, and costs outlined in previous evaluation reports.
Date: 08/2024
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, Mathematica, RAND Corporation
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Addressing Depression and Comorbid Health Conditions Through Solution-Focused Brief Therapy in an Integrated Care Setting: A Randomized Clinical Trial
Analyzes the effectiveness of integrating a Solution-Focused Brief Therapy (SFBT) intervention to improve depressive symptoms and related health conditions for patients in a primary care setting. Analyzes 40 SFBT patients receiving treatment at a rural Federally Qualified Health Center (FQHC) for health measures such as depression, anxiety, well-being, body mass index (BMI), and blood pressure.
Author(s): Zach W. Cooper, Orion Mowbray, Mohammed K. Ali, Leslie C.M. Johnson
Citation: BMC Primary Care, 25, 313
Date: 08/2024
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Analyzes the effectiveness of integrating a Solution-Focused Brief Therapy (SFBT) intervention to improve depressive symptoms and related health conditions for patients in a primary care setting. Analyzes 40 SFBT patients receiving treatment at a rural Federally Qualified Health Center (FQHC) for health measures such as depression, anxiety, well-being, body mass index (BMI), and blood pressure.
Author(s): Zach W. Cooper, Orion Mowbray, Mohammed K. Ali, Leslie C.M. Johnson
Citation: BMC Primary Care, 25, 313
Date: 08/2024
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Integrated Behavioral Health Implementation and Chronic Disease Management Inequities: An Exploratory Study of Statewide Data
Examines associations between the use of integrated behavioral health (IBH) and quality of asthma, diabetes, and vascular disease management at 102 primary care clinics in Minnesota. Analyzes how rurality, racial profile of clinical location, and patient socioeconomic status interact with IBH adoption and quality of chronic disease management.
Author(s): Gretchen J.R. Buchanan, Jerica M. Berge, Timothy F. Piehler
Citation: BMC Primary Care, 25, 302
Date: 08/2024
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Examines associations between the use of integrated behavioral health (IBH) and quality of asthma, diabetes, and vascular disease management at 102 primary care clinics in Minnesota. Analyzes how rurality, racial profile of clinical location, and patient socioeconomic status interact with IBH adoption and quality of chronic disease management.
Author(s): Gretchen J.R. Buchanan, Jerica M. Berge, Timothy F. Piehler
Citation: BMC Primary Care, 25, 302
Date: 08/2024
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Certified Community Behavioral Health Clinics Demonstration Program: Report to Congress, 2023
Provides an overview of the Certified Community Behavioral Health Clinic (CCBHC) demonstration. Describes changes in the quality of care during the first four years of the demonstration for states with available quality measures, as well as quality bonus payments states made to CCBHCs based on quality measure performance. Builds on findings on demonstration implementation, quality improvement, and costs outlined in previous evaluation reports, focusing on data collected since spring 2022.
Date: 07/2024
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, Mathematica, RAND Corporation
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Provides an overview of the Certified Community Behavioral Health Clinic (CCBHC) demonstration. Describes changes in the quality of care during the first four years of the demonstration for states with available quality measures, as well as quality bonus payments states made to CCBHCs based on quality measure performance. Builds on findings on demonstration implementation, quality improvement, and costs outlined in previous evaluation reports, focusing on data collected since spring 2022.
Date: 07/2024
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, Mathematica, RAND Corporation
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