Rural Health
Resources by Topic: Service delivery models
Veterans Affairs Clinical Resource Hub Improve Access to Mental Health Services for Rural Veterans
Evaluates 627,436 telemental health service encounters over 5 years with rural veterans to determine the impact of 18 Clinical Resource Hubs on access to mental healthcare. Discusses how utilization of telemental health services increased over the 5 years, trends in modality types, and mental health diagnoses, in addition to other demographic characteristics.
Author(s): Erin Jaske, Chelle L. Wheat, Bradford Felker, et al.
Citation: Telemedicine and e-Health, 32(10), 995-1002
Date: 10/2026
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Evaluates 627,436 telemental health service encounters over 5 years with rural veterans to determine the impact of 18 Clinical Resource Hubs on access to mental healthcare. Discusses how utilization of telemental health services increased over the 5 years, trends in modality types, and mental health diagnoses, in addition to other demographic characteristics.
Author(s): Erin Jaske, Chelle L. Wheat, Bradford Felker, et al.
Citation: Telemedicine and e-Health, 32(10), 995-1002
Date: 10/2026
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From Innovation to Implementation: Replicable Community-Based Care Models for Aging in Place
Offers 6 domains influencing feasibility, sustainability, and adaptability for community-based long-term care models, drawn from more than 60 programs. Includes analysis of 3 of those programs including 1 rural North Dakota program. More rural programs are highlighted in Table 3.
Author(s): Brendan Flinn, Cleanthe (Cleo) Kordomenos, Giselle Torralba, Alondra Janicek, Tyler Cromer
Date: 09/2026
Sponsoring organization: AARP Public Policy Institute
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Offers 6 domains influencing feasibility, sustainability, and adaptability for community-based long-term care models, drawn from more than 60 programs. Includes analysis of 3 of those programs including 1 rural North Dakota program. More rural programs are highlighted in Table 3.
Author(s): Brendan Flinn, Cleanthe (Cleo) Kordomenos, Giselle Torralba, Alondra Janicek, Tyler Cromer
Date: 09/2026
Sponsoring organization: AARP Public Policy Institute
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Opportunities for a Healthier Rural America: Perspectives from the Rural Health Research Centers
Several Rural Health Research Center directors share insights on the challenges rural communities face and opportunities to improve access and outcomes.
Author(s): Jessica Rosencrans
Date: 09/2026
Sponsoring organization: Rural Health Information Hub
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Several Rural Health Research Center directors share insights on the challenges rural communities face and opportunities to improve access and outcomes.
Author(s): Jessica Rosencrans
Date: 09/2026
Sponsoring organization: Rural Health Information Hub
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What Telehealth Gets Right and What's Missing: A National Multistakeholder Study of Access and Sustainability
Explores the perspectives of telehealth patients and providers, as well as policymakers and administrators, regarding the impacts of telehealth on increasing healthcare access. Summarizes three sets of themes that emerged from semistructured interviews of 62 participants. Offers recommendations for improving the accessibility and sustainability of telehealth across each theme.
Author(s): Saif Khairat, John Geracitano, Andrea Huang, et al.
Citation: The Permanente Journal
Date: 09/2026
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Explores the perspectives of telehealth patients and providers, as well as policymakers and administrators, regarding the impacts of telehealth on increasing healthcare access. Summarizes three sets of themes that emerged from semistructured interviews of 62 participants. Offers recommendations for improving the accessibility and sustainability of telehealth across each theme.
Author(s): Saif Khairat, John Geracitano, Andrea Huang, et al.
Citation: The Permanente Journal
Date: 09/2026
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Tele-Hospitalist Services to Support the Opening of a New Rural Hospital
Describes a tele-hospitalist model designed to support the Medical University of South Carolina Health System (MUSC Health) Black River, a 25-bed rural hospital in South Carolina that opened in 2023. Examines the operational and clinical performance of MUSC Health Black River during its first six quarters of operation, including patient volume, payer mix, average daily census (ADC), 30-day readmissions, and more.
Author(s): Yotam Papo, Jillian Harvey, Dunc Williams Jr., et al.
Citation: Journal of Hospital Medicine, 21(9), 1075-1080
Date: 09/2026
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Describes a tele-hospitalist model designed to support the Medical University of South Carolina Health System (MUSC Health) Black River, a 25-bed rural hospital in South Carolina that opened in 2023. Examines the operational and clinical performance of MUSC Health Black River during its first six quarters of operation, including patient volume, payer mix, average daily census (ADC), 30-day readmissions, and more.
Author(s): Yotam Papo, Jillian Harvey, Dunc Williams Jr., et al.
Citation: Journal of Hospital Medicine, 21(9), 1075-1080
Date: 09/2026
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Rural/Urban Disparities in Utilization of Diabetes Self-Management Training (DSMT) to the Fee-for-Service Medicare Population, 2017-2024
Analyzes disparities in Diabetes Self-Management Training use among Medicare beneficiaries, using data from 2017-2024. Expands on a 2020 study to assess whether disparities have persisted, widened, or narrowed over time, and to examine broader trends in service availability, provider participation, and beneficiary use. Features statistics with breakdowns by urban and rural areas.
Author(s): Wanying Zhu, Aleksandr Taraskin, Jeffery Talbert
Date: 08/2026
Sponsoring organization: Rural and Underserved Health Research Center
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Analyzes disparities in Diabetes Self-Management Training use among Medicare beneficiaries, using data from 2017-2024. Expands on a 2020 study to assess whether disparities have persisted, widened, or narrowed over time, and to examine broader trends in service availability, provider participation, and beneficiary use. Features statistics with breakdowns by urban and rural areas.
Author(s): Wanying Zhu, Aleksandr Taraskin, Jeffery Talbert
Date: 08/2026
Sponsoring organization: Rural and Underserved Health Research Center
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State RHTP & Telehealth Database
Excel spreadsheet detailing the telehealth-related initiatives included in each state's Rural Health Transformation Program project narrative. Allows users to filter by telehealth modality, healthcare issue addressed, proposed use of AI, and more.
Date: 08/2026
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
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Excel spreadsheet detailing the telehealth-related initiatives included in each state's Rural Health Transformation Program project narrative. Allows users to filter by telehealth modality, healthcare issue addressed, proposed use of AI, and more.
Date: 08/2026
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
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Choosing a Falls Prevention Program That Works for Your Community
Describes how to match a falls prevention program to community needs. Highlights evidence-based programs approved by the Administration for Community Living (ACL). Discusses rural considerations regarding training demands and delivery methods.
Date: 08/2026
Sponsoring organization: National Council on Aging
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Describes how to match a falls prevention program to community needs. Highlights evidence-based programs approved by the Administration for Community Living (ACL). Discusses rural considerations regarding training demands and delivery methods.
Date: 08/2026
Sponsoring organization: National Council on Aging
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Mandatory Value-Based Payment Programs and Hospital Administrative Costs
Explores the association between hospital participation in mandatory value-based payment programs and hospital administrative costs. Analyzes Medicare cost report data from 2006 to 2020 to examine hospital administrative costs before and during implementation of four mandatory programs: the Hospital Value-Based Purchasing (HVBP) program, the Hospital Readmissions Reduction Program (HRRP), the Hospital-Acquired Condition Reduction Program (HACRP), and the Comprehensive Care for Joint Replacement (CJR) model. Compares data from participating hospitals to data from nonparticipating hospitals, including general acute care hospitals in Maryland that were paid under Maryland's all-payer model, Critical Access Hospitals, and long-term care hospitals.
Author(s): Zehui Zhou, Jason D. Buxbaum, Andrew M. Ryan
Citation: JAMA Health Forum, 7(8), e262503
Date: 08/2026
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Explores the association between hospital participation in mandatory value-based payment programs and hospital administrative costs. Analyzes Medicare cost report data from 2006 to 2020 to examine hospital administrative costs before and during implementation of four mandatory programs: the Hospital Value-Based Purchasing (HVBP) program, the Hospital Readmissions Reduction Program (HRRP), the Hospital-Acquired Condition Reduction Program (HACRP), and the Comprehensive Care for Joint Replacement (CJR) model. Compares data from participating hospitals to data from nonparticipating hospitals, including general acute care hospitals in Maryland that were paid under Maryland's all-payer model, Critical Access Hospitals, and long-term care hospitals.
Author(s): Zehui Zhou, Jason D. Buxbaum, Andrew M. Ryan
Citation: JAMA Health Forum, 7(8), e262503
Date: 08/2026
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MedPAC Comment on CMS's Proposed Rule on the Payment System for End-Stage Renal Disease for CY 2027
Comments on a June 26, 2026, Federal Register proposed rule related to Medicare payment policies for end-stage renal disease (ESRD). Includes comments addressing updates to the ESRD bundled market basket and the low-volume payment adjustment (LVPA), approaches to increase home dialysis use, and more.
Date: 08/2026
Sponsoring organization: Medicare Payment Advisory Commission
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Comments on a June 26, 2026, Federal Register proposed rule related to Medicare payment policies for end-stage renal disease (ESRD). Includes comments addressing updates to the ESRD bundled market basket and the low-volume payment adjustment (LVPA), approaches to increase home dialysis use, and more.
Date: 08/2026
Sponsoring organization: Medicare Payment Advisory Commission
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