Rural Health
Resources by Topic: Service delivery models
Medicare Advantage Reimbursement Remains Top Challenge for RHCs
Summarizes results of a 2025 national survey of over 1,200 Rural Health Clinics. Presents data on the average payer mix, Medicare Advantage (MA) reimbursement relative to traditional Medicare reimbursement, MA contract structures, use and attitude toward telehealth services, and more.
Additional links: NARHC 2025 Policy Survey Results
Date: 03/2025
Sponsoring organization: National Association of Rural Health Clinics
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Summarizes results of a 2025 national survey of over 1,200 Rural Health Clinics. Presents data on the average payer mix, Medicare Advantage (MA) reimbursement relative to traditional Medicare reimbursement, MA contract structures, use and attitude toward telehealth services, and more.
Additional links: NARHC 2025 Policy Survey Results
Date: 03/2025
Sponsoring organization: National Association of Rural Health Clinics
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Social Workers Bridge Critical Care Gaps and Improve Health Outcomes for Rural Veterans
Discusses the role of social workers in primary care teams for rural veterans. Explores the impacts of incorporating social workers into primary care on hospitalizations, emergency department visits, and closing gaps in rural service delivery.
Author(s): James Rudolph
Date: 03/2025
Sponsoring organization: VA Health Systems Research, Office of Research & Development
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Discusses the role of social workers in primary care teams for rural veterans. Explores the impacts of incorporating social workers into primary care on hospitalizations, emergency department visits, and closing gaps in rural service delivery.
Author(s): James Rudolph
Date: 03/2025
Sponsoring organization: VA Health Systems Research, Office of Research & Development
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Pilot Implementation of a Telehealth Safety Planning Group Intervention for Suicidal Rural Veterans Enhanced by Lived Experience Veteran Peer Participation
Describes a pilot virtual suicide intervention program utilizing lived-experience rural peers offered to rural Arkansas veterans. Discusses successful implementation of peer recovery leaders and program impacts on firearm storage practices. Offers lessons learned and recommendations to those considering a similar program.
Author(s): Marianne Goodman, Madison Strouse, Caroline Boucher, et al.
Citation: Frontiers in Psychiatry, 16
Date: 03/2025
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Describes a pilot virtual suicide intervention program utilizing lived-experience rural peers offered to rural Arkansas veterans. Discusses successful implementation of peer recovery leaders and program impacts on firearm storage practices. Offers lessons learned and recommendations to those considering a similar program.
Author(s): Marianne Goodman, Madison Strouse, Caroline Boucher, et al.
Citation: Frontiers in Psychiatry, 16
Date: 03/2025
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Building Trust Through Integrated Outreach and Mobile Clinics for People Experiencing Homelessness: Tips for Providers
Discusses the process of utilizing a mobile health clinic approach to provide services to people experiencing homelessness in rural Tuolumne county in Northern California. Discusses issues related to mobile clinics, such as understanding client, staff, and care team benefits of a mobile health model as well as strategies for outreach.
Author(s): Katie League
Date: 03/2025
Sponsoring organization: Center for Health Care Strategies
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Discusses the process of utilizing a mobile health clinic approach to provide services to people experiencing homelessness in rural Tuolumne county in Northern California. Discusses issues related to mobile clinics, such as understanding client, staff, and care team benefits of a mobile health model as well as strategies for outreach.
Author(s): Katie League
Date: 03/2025
Sponsoring organization: Center for Health Care Strategies
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Rural Hospital Experiences in the Colorado Hospital Transformation Program
Provides an overview of the Colorado Hospital Transformation Program (CO HTP), a 5-year program that ties Medicaid supplemental payments to hospitals' ability to meet performance targets through September 2026. Describes the experiences of three Critical Access Hospitals (CAHs) and explores how CO HTP impacts rural hospitals. Covers planning and community engagement, quality of care, and healthcare costs.
Date: 03/2025
Sponsoring organization: Rural Health Value
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Provides an overview of the Colorado Hospital Transformation Program (CO HTP), a 5-year program that ties Medicaid supplemental payments to hospitals' ability to meet performance targets through September 2026. Describes the experiences of three Critical Access Hospitals (CAHs) and explores how CO HTP impacts rural hospitals. Covers planning and community engagement, quality of care, and healthcare costs.
Date: 03/2025
Sponsoring organization: Rural Health Value
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Goal Alignment and Unintended Consequences of Accountable Care: How the Structure of Oregon's Medicaid Coordinated Care Model Shapes Health Plan-Clinic Partnerships
Analyzes how the coordinated care organization model in Oregon impacts payers and primary care clinics through building relationships, metrics reporting, electronic health record technical assistance, training, and implementing alternative payment methods. Includes discussion of the impact on rural clinics and rural health outcomes.
Author(s): Erin S. Kenzie, Jean Campbell, Mellodie Seater, et al.
Citation: Journal of Clinical and Translational Science, 9(1)
Date: 02/2025
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Analyzes how the coordinated care organization model in Oregon impacts payers and primary care clinics through building relationships, metrics reporting, electronic health record technical assistance, training, and implementing alternative payment methods. Includes discussion of the impact on rural clinics and rural health outcomes.
Author(s): Erin S. Kenzie, Jean Campbell, Mellodie Seater, et al.
Citation: Journal of Clinical and Translational Science, 9(1)
Date: 02/2025
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Cross-State Travel for Cancer Care and Implications for Telehealth Reciprocity
Examines the extent to which Medicare beneficiaries with breast, colon, lung, or pancreatic cancer travel out of state to receive cancer services between January 1, 2017, and December 31, 2020. Compares cross-state travel by cancer site, service type, and patient rurality. Describes the potential implications of these findings for telehealth policies and reciprocity.
Author(s): Erika L. Moen, Qianfei Wang, Lingbo Liu, et al.
Citation: JAMA Network Open, 8(2), e2461021
Date: 02/2025
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Examines the extent to which Medicare beneficiaries with breast, colon, lung, or pancreatic cancer travel out of state to receive cancer services between January 1, 2017, and December 31, 2020. Compares cross-state travel by cancer site, service type, and patient rurality. Describes the potential implications of these findings for telehealth policies and reciprocity.
Author(s): Erika L. Moen, Qianfei Wang, Lingbo Liu, et al.
Citation: JAMA Network Open, 8(2), e2461021
Date: 02/2025
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Maternity Care in California: An Environmental Scan
Examines factors affecting declining hospital-based maternity care services in California and identifies approaches to increase access and quality of care. Includes discussion of rural hospital closures and rural quality of care challenges, and highlights rural program models in California and Alaska.
Date: 02/2025
Sponsoring organization: California Hospital Association
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Examines factors affecting declining hospital-based maternity care services in California and identifies approaches to increase access and quality of care. Includes discussion of rural hospital closures and rural quality of care challenges, and highlights rural program models in California and Alaska.
Date: 02/2025
Sponsoring organization: California Hospital Association
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An Analysis of Telehealth in a Post-Pandemic Rural, Midwestern Community: Increased Comfort and a Preference for Primary Care
Discusses the implementation of telehealth in rural, underserved communities during the COVID-19 pandemic and if telehealth remains a sustainable option to provide healthcare. Utilizes 2023 data from 253 survey participants regarding internet access, telehealth usage, and telehealth perceptions.
Author(s): Chase Salmon, Kameron Bell, Eric Reyes, Ellen Ireland, Robin Danek
Citation: BMC Health Services Research, 25, 270
Date: 02/2025
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Discusses the implementation of telehealth in rural, underserved communities during the COVID-19 pandemic and if telehealth remains a sustainable option to provide healthcare. Utilizes 2023 data from 253 survey participants regarding internet access, telehealth usage, and telehealth perceptions.
Author(s): Chase Salmon, Kameron Bell, Eric Reyes, Ellen Ireland, Robin Danek
Citation: BMC Health Services Research, 25, 270
Date: 02/2025
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Disparities in Substance Use Disorder Telehealth Services
Results of a study examining telehealth's association with changes in disparities in substance use disorder telehealth utilization across payers and rurality, from 2019-2023. Features statistics including breakdowns by urban and rural areas.
Author(s): Lauryn Saxe Walker, Manying Cui, Jonathan Cantor, et al.
Citation: JAMA Network Open, 8(2), e2459606
Date: 02/2025
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Results of a study examining telehealth's association with changes in disparities in substance use disorder telehealth utilization across payers and rurality, from 2019-2023. Features statistics including breakdowns by urban and rural areas.
Author(s): Lauryn Saxe Walker, Manying Cui, Jonathan Cantor, et al.
Citation: JAMA Network Open, 8(2), e2459606
Date: 02/2025
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