Rural Health
Resources by Topic: Service delivery models
How Telehealth Policy is Structured in the United States
June 23, 2020, webinar recording provides an overview of the telehealth policy landscape on the federal and state levels. Discusses telehealth reimbursement policies. Outlines federal and state telehealth policy changes as a result of the COVID-19 pandemic.
Additional links: Presentation Slides
Date: 06/2020
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
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June 23, 2020, webinar recording provides an overview of the telehealth policy landscape on the federal and state levels. Discusses telehealth reimbursement policies. Outlines federal and state telehealth policy changes as a result of the COVID-19 pandemic.
Additional links: Presentation Slides
Date: 06/2020
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
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CMS Bundled Payments for Care Improvement Advanced Model: Year 1 Evaluation Annual Report
A formative evaluation of the Bundled Payments for Care Improvement Advanced (BPCI Advanced) Model, which tests whether linking payments for a clinical episode of care can reduce Medicare expenditures while maintaining or improving quality of care. Covers the period from October 1, 2018 through March 31, 2019. Describes participants in the model, clinical episodes included, and the reach of the model. Includes information on rural hospital participation in the model.
Additional links: Appendices, Findings at a Glance
Author(s): The Lewin Group, Abt Associates, GDIT, Telligen
Date: 06/2020
Sponsoring organization: Centers for Medicare and Medicaid Services
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A formative evaluation of the Bundled Payments for Care Improvement Advanced (BPCI Advanced) Model, which tests whether linking payments for a clinical episode of care can reduce Medicare expenditures while maintaining or improving quality of care. Covers the period from October 1, 2018 through March 31, 2019. Describes participants in the model, clinical episodes included, and the reach of the model. Includes information on rural hospital participation in the model.
Additional links: Appendices, Findings at a Glance
Author(s): The Lewin Group, Abt Associates, GDIT, Telligen
Date: 06/2020
Sponsoring organization: Centers for Medicare and Medicaid Services
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Effect of Telehealth Extended Care for Maintenance of Weight Loss in Rural US Communities: A Randomized Clinical Trial
Evaluates the effectiveness of obesity management programs conducted from 2013-2018 by telephone or email for participants in 14 rural Florida counties. Includes demographics and statistics on weight loss with breakdowns by method of remote counseling.
Author(s): Michael G. Perri, Meena N. Shankar, Michael J. Daniels, et al.
Citation: JAMA Network Open, 3(6)
Date: 06/2020
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Evaluates the effectiveness of obesity management programs conducted from 2013-2018 by telephone or email for participants in 14 rural Florida counties. Includes demographics and statistics on weight loss with breakdowns by method of remote counseling.
Author(s): Michael G. Perri, Meena N. Shankar, Michael J. Daniels, et al.
Citation: JAMA Network Open, 3(6)
Date: 06/2020
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MedPAC Report to the Congress: Medicare and the Health Care Delivery System, June 2020
Evaluates Medicare payment issues and offers recommendations to the U.S. Congress. Includes chapters on value-based payment in Medicare, Accountable Care Organizations (ACOs), the Medicare Advantage quality bonus program, the impact of changes in the 21st Century Cures Act to risk adjustment for Medicare Advantage enrollees, Medicare Part D, separately payable drugs in the hospital outpatient prospective payment system, and the Medicare end-stage renal disease prospective payment system. Examines the current payment policy for low-volume and rural dialysis facilities and proposes changes.
Additional links: Executive Summary
Date: 06/2020
Sponsoring organization: Medicare Payment Advisory Commission
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Evaluates Medicare payment issues and offers recommendations to the U.S. Congress. Includes chapters on value-based payment in Medicare, Accountable Care Organizations (ACOs), the Medicare Advantage quality bonus program, the impact of changes in the 21st Century Cures Act to risk adjustment for Medicare Advantage enrollees, Medicare Part D, separately payable drugs in the hospital outpatient prospective payment system, and the Medicare end-stage renal disease prospective payment system. Examines the current payment policy for low-volume and rural dialysis facilities and proposes changes.
Additional links: Executive Summary
Date: 06/2020
Sponsoring organization: Medicare Payment Advisory Commission
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Report to Congress on Medicaid and CHIP, June 2020
Semi-annual report to Congress from the Medicaid and CHIP Payment and Access Commission (MACPAC). Discusses care integration for beneficiaries dually eligible for Medicaid and Medicare, recommendations for increasing enrollment in Medicare Shared Savings Programs, the role of Medicaid in relation to TRICARE, how to address increasing mortality and morbidity among pregnant and postpartum women, and the effects of substance use disorder on pregnant and postpartum women and their infants. Includes rural references throughout.
Date: 06/2020
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Semi-annual report to Congress from the Medicaid and CHIP Payment and Access Commission (MACPAC). Discusses care integration for beneficiaries dually eligible for Medicaid and Medicare, recommendations for increasing enrollment in Medicare Shared Savings Programs, the role of Medicaid in relation to TRICARE, how to address increasing mortality and morbidity among pregnant and postpartum women, and the effects of substance use disorder on pregnant and postpartum women and their infants. Includes rural references throughout.
Date: 06/2020
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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COVID-19: Rural Hospital Compendium
Summarizes Missouri Hospital Association's (MHA) efforts to help rural hospitals address the COVID-19 pandemic. Includes information on advocacy and financial support, the rural healthcare workforce, telehealth, personal protective equipment, and more.
Date: 06/2020
Sponsoring organization: Missouri Hospital Association
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Summarizes Missouri Hospital Association's (MHA) efforts to help rural hospitals address the COVID-19 pandemic. Includes information on advocacy and financial support, the rural healthcare workforce, telehealth, personal protective equipment, and more.
Date: 06/2020
Sponsoring organization: Missouri Hospital Association
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Expanding the Capacity of Rural Cancer Care With Teleoncology
Discusses the geographic barriers rural patients may face when seeking cancer treatment. Provides an overview of policy solutions to date. Identifies federal and state policy options that could extend cancer care to rural areas through telehealth services.
Author(s): Jason Semprini
Citation: Online Journal of Rural Research & Policy, 15(2)
Date: 06/2020
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Discusses the geographic barriers rural patients may face when seeking cancer treatment. Provides an overview of policy solutions to date. Identifies federal and state policy options that could extend cancer care to rural areas through telehealth services.
Author(s): Jason Semprini
Citation: Online Journal of Rural Research & Policy, 15(2)
Date: 06/2020
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The Universal Service Fund and COVID-19: The FCC and Industry Response
An overview of three Federal Communications Commission (FCC) Universal Service Fund programs and actions taken through these programs in response to COVID-19. Describes the steps taken through the Rural Health Care Program to promote access to telehealth services during the public health emergency.
Date: 06/2020
Sponsoring organization: Congressional Research Service
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An overview of three Federal Communications Commission (FCC) Universal Service Fund programs and actions taken through these programs in response to COVID-19. Describes the steps taken through the Rural Health Care Program to promote access to telehealth services during the public health emergency.
Date: 06/2020
Sponsoring organization: Congressional Research Service
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Telehealth and Telemedicine in Missouri
Discusses telehealth programs in Missouri, including the early contributions of the Missouri Telehealth Network to the growth of telehealth and the MO HealthNet program. Discusses telehealth's impact on rural healthcare access and state-level approaches to reimbursement, licensing, restrictions, and telemedicine delivery.
Author(s): Mirna Becevic, Lincoln R. Sheets, Emmanuelle Wallach, et al.
Citation: Missouri Medicine, 117(3), 228-234
Date: 05/2020
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Discusses telehealth programs in Missouri, including the early contributions of the Missouri Telehealth Network to the growth of telehealth and the MO HealthNet program. Discusses telehealth's impact on rural healthcare access and state-level approaches to reimbursement, licensing, restrictions, and telemedicine delivery.
Author(s): Mirna Becevic, Lincoln R. Sheets, Emmanuelle Wallach, et al.
Citation: Missouri Medicine, 117(3), 228-234
Date: 05/2020
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Report to Congress: Reducing Barriers to Furnishing Substance Use Disorder (SUD) Services Using Telehealth and Remote Patient Monitoring for Pediatric Populations under Medicaid - Final Report
Details methods to reduce barriers to the use of telehealth for mental health and substance abuse disorder treatment for pediatric patients covered by Medicaid. Highlights barriers, best practices, and costs, among other measures. Features several case studies across the U.S., including in rural communities.
Date: 05/2020
Sponsoring organizations: Centers for Medicare and Medicaid Services, HHS Office of the Assistant Secretary for Planning and Evaluation
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Details methods to reduce barriers to the use of telehealth for mental health and substance abuse disorder treatment for pediatric patients covered by Medicaid. Highlights barriers, best practices, and costs, among other measures. Features several case studies across the U.S., including in rural communities.
Date: 05/2020
Sponsoring organizations: Centers for Medicare and Medicaid Services, HHS Office of the Assistant Secretary for Planning and Evaluation
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