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Rural Health
Resources by Topic: Service delivery models

Leveraging Telehealth to Support Aging Americans
Reviews the potential benefits of telehealth for Americans 65 and older. Covers remote patient monitoring, federal and state regulations, and best practices from health insurers and healthcare providers. Includes case studies from rural areas.
Date: 10/2018
Type: Document
Sponsoring organizations: AHIP, Coalition to Transform Advanced Care
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Community-based Palliative Care: Scaling Access for Rural Populations
Explains the role palliative care plays in meeting the needs of patients with serious illness and chronic medical conditions. Discusses challenges to accessing palliative care in rural areas and highlights work in Alaska, California, and Kansas to help address this need.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 10/2018
Type: Document
Sponsoring organization: Rural Health Information Hub
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Northern Maine Medical Center – Fort Kent, Maine: Purchase of Retail Pharmacy Enhances Services to the Community
Profiles a hospital in rural Maine that purchased a community pharmacy to offer prevention and wellness services, reduce readmissions, and improve medication adherence.
Date: 10/2018
Type: Document
Sponsoring organization: American Hospital Association
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Addressing Social Determinants of Health Needs of Dually Enrolled Beneficiaries in Medicare Advantage Plans: Findings from Interviews and Case Studies
Examines structures and approaches used by Medicare Advantage (MA) plans for dually enrolled and other high-cost beneficiaries. Includes case studies showcasing care models and how organizations are addressing social determinants of health for these beneficiaries. Discusses some challenges for rural areas and small community partnerships.
Author(s): Melony E. Sorbero, Ashley M. Kranz, Kathryn E. Bouskill, et al.
Date: 10/2018
Type: Document
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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MedPAC Comment on CMS's Proposed Rule on Medicare Shared Savings Program ACOs
Comments on an August 17, 2018, Federal Register proposed rule changing the Medicare Shared Savings Program (MSSP). Focuses on the proposed changes for Accountable Care Organizations (ACOs), including a move to two-sided risk models, using regional spending benchmarks, and more. Addresses potential impacts for small ACOs, which include rural ACOs.
Date: 10/2018
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Care Redesign Survey: Lessons Learned from and for Rural Health
Explores similarities and disparities between healthcare in rural and urban or suburban areas, and discusses barriers to delivering excellent care in rural areas. Based on survey responses from 730 members of the NEJM Catalyst Insights Council.
Author(s): Amy Compton-Phillips, Namita Seth Mohta
Citation: NEJM Catalyst
Date: 10/2018
Type: Document
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CMS Bundled Payments for Care Improvement Initiative Models 2-4: Year 5 Evaluation & Monitoring Annual Report
Shares findings from an evaluation of Models 2, 3, and 4 of the Bundled Payments for Care Improvement (BPCI) initiative, linking provider payments for an episode of care with the goal of decreasing cost of care while improving quality. Includes information specific to rural BPCI-participating hospitals.
Author(s): The Lewin Group, Abt Associates, GDIT, Telligen
Date: 10/2018
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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More Employers Are Paying for Telemedicine, but Enrollee Take-Up Has Been Relatively Low
Analyzes 2018 Employer Health Benefit Survey (EHBS) data regarding telemedicine trends in employer health plan coverage. Includes discussion on telemedicine improving access to healthcare in rural areas. Covers statistics of telemedicine utilization between rural and urban large employer health plan enrollees.
Author(s): Matthew Rae, Cynthia Cox
Date: 10/2018
Type: Document
Sponsoring organization: KFF
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Community Health Needs Assessments: Resources for Community Paramedicine & Mobile Integrated Healthcare
Provides information for emergency medical service (EMS) agencies exploring community paramedicine and mobile integrated healthcare (CP-MIH). Includes resources to match CP-MIH services with targeted community health needs and covers rural CP-MIH program examples.
Date: 10/2018
Type: Document
Sponsoring organization: National Association of State EMS Officials
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Pioneering Telehealth in Mississippi: Lessons for Facilities Leaders
Describes the implementation and accessibility of a virtual state healthcare program offering specialized care and public health services to rural communities through telehealth technology.
Author(s): Alex Raubicheck
Citation: HealthSpaces Blog
Date: 09/2018
Type: Document
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