Rural Health
Resources by Topic: Service delivery models
Study Protocol: Maintaining Preventive Care During Public Health Emergencies Through Effective Coordination
Presents a qualitative study protocol that examines screening rates at VA medical centers during COVID-19 to determine strategies that provide continued care during public health emergencies. Discusses selection of sites, which will be based on rurality, COVID-19 patient caseload, and performance related to cancer and mental health screenings. Highlights the importance of care coordination teams in regard to specialty care.
Author(s): Sylvia J. Hysong, Traber Davis Giardina, Jennifer Freytag, et al.
Citation: Implementation Science Communications, 4, 150
Date: 11/2023
Type: Document
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Presents a qualitative study protocol that examines screening rates at VA medical centers during COVID-19 to determine strategies that provide continued care during public health emergencies. Discusses selection of sites, which will be based on rurality, COVID-19 patient caseload, and performance related to cancer and mental health screenings. Highlights the importance of care coordination teams in regard to specialty care.
Author(s): Sylvia J. Hysong, Traber Davis Giardina, Jennifer Freytag, et al.
Citation: Implementation Science Communications, 4, 150
Date: 11/2023
Type: Document
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Understanding Rural-Urban Differences in Veterans' Internet Access Use, and Patient Preferences for Telemedicine
Report breaks down differences in internet access, use, and opinions about telehealth for rural and urban veterans. Bases findings on interviews with eligible veterans and highlights veterans' experiences with telehealth.
Date: 11/2023
Type: Document
Sponsoring organization: Veterans Health Administration's Office of Rural Health
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Report breaks down differences in internet access, use, and opinions about telehealth for rural and urban veterans. Bases findings on interviews with eligible veterans and highlights veterans' experiences with telehealth.
Date: 11/2023
Type: Document
Sponsoring organization: Veterans Health Administration's Office of Rural Health
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Community Care Hubs: A Promising Model for Health and Social Care Coordination
Examines the coordination of health and social needs by focusing on the community care hub model. Provides information on the types of organizations functioning as hubs as well as how the hubs operate, serve, and network within their communities. Includes case studies of hubs working within rural and underserved areas.
Author(s): Joshua Breslau, Petra W. Rasmussen, Nabeel Qureshi, Evan D. Peet
Date: 11/2023
Type: Document
Sponsoring organizations: Administration for Community Living, HHS Office of the Assistant Secretary for Planning and Evaluation
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Examines the coordination of health and social needs by focusing on the community care hub model. Provides information on the types of organizations functioning as hubs as well as how the hubs operate, serve, and network within their communities. Includes case studies of hubs working within rural and underserved areas.
Author(s): Joshua Breslau, Petra W. Rasmussen, Nabeel Qureshi, Evan D. Peet
Date: 11/2023
Type: Document
Sponsoring organizations: Administration for Community Living, HHS Office of the Assistant Secretary for Planning and Evaluation
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Final Rule for CY 2024 Physician Fee Schedule: Fact Sheet
Fact sheet covering Centers for Medicare & Medicaid Services (CMS) telehealth policy changes for 2024 as outlined in the final calendar year (CY) 2024 Physician Fee Schedule. Covers eligible services that can be delivered by telehealth, remote monitoring services, physician supervision, diabetes self-management training (DSMT), and more.
Date: 11/2023
Type: Document
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
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Fact sheet covering Centers for Medicare & Medicaid Services (CMS) telehealth policy changes for 2024 as outlined in the final calendar year (CY) 2024 Physician Fee Schedule. Covers eligible services that can be delivered by telehealth, remote monitoring services, physician supervision, diabetes self-management training (DSMT), and more.
Date: 11/2023
Type: Document
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
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Improving Behavioral Health Care in the Military Health System: Challenges, Promising Strategies, and Research Directions
Examines behavioral healthcare access for military service members. Discusses strategies for improving behavioral healthcare in the military health system, such as virtual care and quality control measures, with considerations for underserved populations.
Author(s): Kimberly A. Hepner, Carol P. Roth, Nabeel Qureshi, Jessica L. Sousa
Date: 11/2023
Type: Document
Sponsoring organization: RAND Corporation
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Examines behavioral healthcare access for military service members. Discusses strategies for improving behavioral healthcare in the military health system, such as virtual care and quality control measures, with considerations for underserved populations.
Author(s): Kimberly A. Hepner, Carol P. Roth, Nabeel Qureshi, Jessica L. Sousa
Date: 11/2023
Type: Document
Sponsoring organization: RAND Corporation
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Advancing Health Equity in Rural, Tribal, and Geographically Isolated Communities: FY2023 Year in Review
Summarizes Centers for Medicare & Medicaid Services (CMS) activities in fiscal year 2023 to advance health equity for people living in rural, tribal, and geographically isolated communities. Covers six priority focus areas: applying a community-informed geographic lens; increasing the collection and use of standardized data; strengthening and supporting healthcare professionals; optimizing medical and communication technology; expanding access to comprehensive healthcare coverage, benefits, and services and supports; and driving innovation and value-based care.
Date: 11/2023
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Summarizes Centers for Medicare & Medicaid Services (CMS) activities in fiscal year 2023 to advance health equity for people living in rural, tribal, and geographically isolated communities. Covers six priority focus areas: applying a community-informed geographic lens; increasing the collection and use of standardized data; strengthening and supporting healthcare professionals; optimizing medical and communication technology; expanding access to comprehensive healthcare coverage, benefits, and services and supports; and driving innovation and value-based care.
Date: 11/2023
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Ensuring Medicare Beneficiary Access: A Path to Telehealth Permanency
Recording of a November 14, 2023, U.S. Senate Committee on Finance Subcommittee on Health Care hearing on the role of telehealth in improving access to care and the potential to make COVID-19 Medicare flexibilities permanent. Features testimony from Nicki Perisho, Principal Investigator and Program Director for the Northwest Regional Telehealth Resource Center, and Eric Wallace, Medical Director for the University of Alabama at Birmingham (UAB) Health System Telehealth Program.
Additional links: Eric Wallace, UAB Health System Telehealth Program - Testimony, Nicki Perisho, Northwest Regional Telehealth Resource Center - Testimony
Date: 11/2023
Type: Video/Multimedia
Sponsoring organization: Senate Committee on Finance, Subcommittee on Health Care
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Recording of a November 14, 2023, U.S. Senate Committee on Finance Subcommittee on Health Care hearing on the role of telehealth in improving access to care and the potential to make COVID-19 Medicare flexibilities permanent. Features testimony from Nicki Perisho, Principal Investigator and Program Director for the Northwest Regional Telehealth Resource Center, and Eric Wallace, Medical Director for the University of Alabama at Birmingham (UAB) Health System Telehealth Program.
Additional links: Eric Wallace, UAB Health System Telehealth Program - Testimony, Nicki Perisho, Northwest Regional Telehealth Resource Center - Testimony
Date: 11/2023
Type: Video/Multimedia
Sponsoring organization: Senate Committee on Finance, Subcommittee on Health Care
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Improving Access to Primary Care for Underserved Populations: A Review of Findings from Five Case Studies and Recommendations
Summarizes and synthesizes the findings from a series of five case studies that explored the impact of policy initiatives that aim to improve access to primary care. Covers increasing the availability of primary care providers, improving underserved communities' access to outpatient clinics, removing structural barriers to care, making primary care affordable, and improving comfort and communication between providers and patients. Presents recommendations for federal and state policymakers, primary care practices, medical schools, and other relevant stakeholders. Includes rural examples and considerations throughout.
Additional links: Executive Summary
Author(s): Maanasa Kona, Jalisa Clark, Emma Walsh-Alker
Date: 11/2023
Type: Document
Sponsoring organizations: Center on Health Insurance Reforms, Milbank Memorial Fund, National Institute for Health Care Reform
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Summarizes and synthesizes the findings from a series of five case studies that explored the impact of policy initiatives that aim to improve access to primary care. Covers increasing the availability of primary care providers, improving underserved communities' access to outpatient clinics, removing structural barriers to care, making primary care affordable, and improving comfort and communication between providers and patients. Presents recommendations for federal and state policymakers, primary care practices, medical schools, and other relevant stakeholders. Includes rural examples and considerations throughout.
Additional links: Executive Summary
Author(s): Maanasa Kona, Jalisa Clark, Emma Walsh-Alker
Date: 11/2023
Type: Document
Sponsoring organizations: Center on Health Insurance Reforms, Milbank Memorial Fund, National Institute for Health Care Reform
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Examining Alignment of Community Health Teams' Preferences for Health, Equity, and Spending with State All-payer Waiver Priorities: A Discrete Choice Experiment
Provides an overview of the Vermont All-Payer Model (VAPM) and regional community health teams (CHTs). Analyzes the results of a survey of all 13 Vermont CHTs to describe how VAPM and CHTs interact and how VAPM impacts the priorities and design of community-based CHTs. Examines how community-based CHTs make trade-offs made between health, health equity, and healthcare spending.
Author(s): Eline M. van den Broek-Altenburg, Jamie S. Benson, Adam J. Atherly
Citation: Health Services Research, 59(Suppl.1), e14257
Date: 11/2023
Type: Document
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Provides an overview of the Vermont All-Payer Model (VAPM) and regional community health teams (CHTs). Analyzes the results of a survey of all 13 Vermont CHTs to describe how VAPM and CHTs interact and how VAPM impacts the priorities and design of community-based CHTs. Examines how community-based CHTs make trade-offs made between health, health equity, and healthcare spending.
Author(s): Eline M. van den Broek-Altenburg, Jamie S. Benson, Adam J. Atherly
Citation: Health Services Research, 59(Suppl.1), e14257
Date: 11/2023
Type: Document
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Amid Unwinding of Pandemic-Era Policies, Medicaid Programs Continue to Focus on Delivery Systems, Benefits, and Reimbursement Rates: Results from an Annual Medicaid Budget Survey for State Fiscal Years 2023 and 2024
Examines changes taking place in Medicaid programs in the 50 states and the District of Columbia. Features sections on delivery systems, provider rates and taxes, benefits, pharmacy and prescription drugs, and telehealth. Highlights challenges posed by the unwinding of COVID-19 Public Health Emergency (PHE), as well as other challenges and priorities.
Author(s): Elizabeth Hinton, Elizabeth Williams, Jada Raphael, et al.
Date: 11/2023
Type: Document
Sponsoring organization: KFF
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Examines changes taking place in Medicaid programs in the 50 states and the District of Columbia. Features sections on delivery systems, provider rates and taxes, benefits, pharmacy and prescription drugs, and telehealth. Highlights challenges posed by the unwinding of COVID-19 Public Health Emergency (PHE), as well as other challenges and priorities.
Author(s): Elizabeth Hinton, Elizabeth Williams, Jada Raphael, et al.
Date: 11/2023
Type: Document
Sponsoring organization: KFF
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