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Rural Health
Resources by Topic: Service delivery models

Intergovernmental Advisory Committee to the Federal Communications Commission Advisory Recommendation No: 2019-2 in the Matter of State, Local Tribal, and Territorial Regulatory and Other Barriers and Incentives to Telemedicine
Examines the technical infrastructure necessary for effective telemedicine healthcare delivery in state, territorial, tribal, and local (rural and urban) areas. Discusses the regulatory barriers including legislation, licensing, reimbursement, malpractice insurance, and privacy that obstruct its development and utilization, and offers recommendations addressing these barriers. Appendix A presents case studies of broadband and telehealth development in several states and territories.
Date: 11/2019
Type: Document
Sponsoring organization: Government Accountability Office
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Continuing on the Road to Value
Slides presented at the 2019 Illinois Critical Access Hospital Network (ICAHN) Annual Conference discussing management methods and policy initiatives for transitioning hospitals to value-based care.
Author(s): Keith Mueller
Date: 11/2019
Type: Presentation Slides
Sponsoring organization: Rural Policy Research Institute
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The Development of Telehealth Laws in the U.S. from 2008 to 2015: A Legal Landscape
Policy brief examining the scope and evolving nature of telehealth statutes and regulations in the 50 states and the District of Columbia. Explores the extent to which state laws regulate primary care delivery through use of telehealth. Features U.S. maps showing changes from 2008 to 2015 in terms of various types of telehealth-related laws, including those governing insurance coverage, and statistics with breakdowns by the top 25 and bottom 25 rural states.
Author(s): Cason D. Schmit, Alva O. Ferdinand, Timothy Callaghan, et al.
Date: 11/2019
Type: Document
Sponsoring organization: Southwest Rural Health Research Center
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Finalized CY 2020 Physician Fee Schedule
Fact sheet describing calendar year 2020 changes to Medicare's telehealth reimbursement policy as a part of the Physician Fee Schedule (PFS) final rule. Includes sections on opioid use disorder treatment services, care management services, chronic care remote physiologic monitoring services, and online digital evaluation service (E-visit).
Date: 11/2019
Type: Document
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
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ARcare Uses Telehealth for Diabetes Education
Describes ways in which telehealth is used for education programs geared toward prediabetic and diabetic rural patients of ARcare, an Arkansas Federally Qualified Health Center comprising 44 family practice clinics.
Date: 11/2019
Type: Document
Sponsoring organization: Bureau of Primary Health Care
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Creating a Consortium to Combat the Opioid Epidemic in Ohio
Highlights a program formed to address the opioid crisis in five counties in Ohio. Discusses the use of the Federal Office of Rural Health Policy's Rural Communities Opioid Response Program (RCORP) to form a hub-and-spoke consortium of state, county, and community partners.
Author(s): Allee Mead
Citation: Rural Monitor
Date: 11/2019
Type: Document
Sponsoring organization: Rural Health Information Hub
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Financial Incentives to Improve Community Health
Slides presented at the 2019 National Organization of State Offices of Rural Health (NOSORH) Annual Meeting discussing several federal initiatives as a result of the Affordable Care Act (ACA), including the Medicare Shared Savings Program and Accountable Care Organizations (ACOs), resulting in controlled costs, improved quality of care, and offering financial incentives. Identifies how State Offices of Rural Health can support health organizations to participate successfully in these initiatives.
Author(s): Keith Mueller
Date: 10/2019
Type: Presentation Slides
Sponsoring organization: National Organization of State Offices of Rural Health
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Telemedicine Spotlight: Blue Mountain Hospital, Blanding, UT
Highlights how Blue Mountain Hospital (BMH), a Critical Access Hospital (CAH) in Blanding, Utah, implemented a telemedicine program to provide services to patients needing a higher level of care in their community rather than being transferred to an urban center hospital several hours away.
Date: 10/2019
Type: Document
Sponsoring organization: Stroudwater Associates
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Translational Science: Research with Results that Touch Rural Populations
Provides an overview of translational science and the role of the National Center for Advancing Translational Sciences (NCATS). Discusses how NCATS is working to ensure rural communities benefit from translated science. Features a New York telehealth program addressing Parkinson Disease that is helping rural patients.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 10/2019
Type: Document
Sponsoring organization: Rural Health Information Hub
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State Telehealth Laws & Reimbursement Policies
Summary of telehealth-related policies, laws, and regulations for the 50 states and the District of Columbia. Focuses on Medicaid fee-for-service policies and includes the most recent policy language in each state as of September 2019.
Additional links: Infographic, Interactive Map - Current State Laws & Reimbursement Policies, Interactive Map - Legislation and Regulation Tracking
Date: 10/2019
Type: Document
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
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