Rural Health
Resources by Topic: Service delivery models

Strengthening the Oral Health System in Rural Minnesota
Provides an overview of oral health systems in rural Minnesota. Includes information on the current dental workforce, models of care, emerging dental professions, and the cost of dental services. Discusses recommendations to support oral health systems by improving access, increasing the dental workforce, and creating new methods of delivering rural oral healthcare.
Date: 08/2018
Type: Document
Sponsoring organization: Minnesota Department of Health - Office of Rural Health and Primary Care
view details

Grantee Sourcebook: Rural Health Network Development Grant Program, 2014-2017
Detailed descriptions of 54 Rural Health Network Development grant projects funded during the 2014-2017 period. Includes an overview of the networks and their impact, a list of grantees by state and focus area, and grantee profiles providing contact information and in-depth project descriptions.
Date: 08/2018
Type: Document
Sponsoring organizations: Federal Office of Rural Health Policy, National Rural Health Resource Center
view details

Innovation Center State-Based Initiatives: A Systematic Review of Lessons Learned
A synthesis of findings from 47 evaluation reports covering 12 Center for Medicare & Medicaid Innovation models with a state component. Includes information on the impact of models for rural areas and identifies barriers and challenges faced in rural areas.
Date: 08/2018
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, L&M Policy Research
view details

Advanced Primary Care: A Key Contributor to Successful ACOs
Reviews the literature on accountable care organizations (ACOs) regarding characteristics of successful ACOs and outcomes for cost, quality, and utilization, including literature on rural ACOs. Analyzes Medicare and National Committee for Quality Assurance (NCQA) data on ACO cost and quality outcomes to assess the role of advanced primary care models such as patient-centered medical homes on ACO success.
Author(s): Yalda Jabbarpour, Megan Coffman, Andy Habib, et al.
Date: 08/2018
Type: Document
Sponsoring organizations: Primary Care Collaborative, Robert Graham Center
view details

Spread of Medicare Accountable Care Organizations in Rural America
Analyzes data describing Medicare Accountable Care Organization (ACO) growth in non-metro U.S. counties from 2016 to 2017. Includes data on Medicare ACOs by metro and non-metro status and data on those Medicare ACOs participating in the ACO Investment Model (AIM) initiative by metro and non-metro status.
Author(s): Nora Kopping, Fred Ullrich, Keith Mueller
Date: 08/2018
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
view details

Roadmap for Action: Advancing the Adoption of Telehealth in Child Care Centers and Schools to Promote Children's Health and Well-Being
Discusses strategies and benefits to adopting a telehealth program in a child care center or school. Describes successful rural specific program examples. Outlines a guide for program adoption that covers identifying and building relationships with stakeholders, needs assessment, finding equipment, privacy, payment, sustainability, and implementation challenges.
Date: 08/2018
Type: Document
Sponsoring organization: The Children's Partnership
view details

Evaluation of the Accountable Care Organization Investment Model: AIM Impacts in the First Performance Year
Evaluation examining the first year performance of the 47 Accountable Care Organizations (ACOs) participating in the ACO Investment Model (AIM), which tests the use of prepaid shared savings to encourage new ACOs to form in rural and underserved areas (Test 1) and to encourage current Medicare Shared Savings Program ACOs to transition to arrangements with greater financial risk (Test 2). Describes provider characteristics, beneficiary characteristics, and impacts of the 41 Test 1 AIM ACOs. Includes data on rurality for both Test 1 and Test 2 AIM ACOs.
Additional links: Appendices, Findings At-A-Glance
Date: 08/2018
Type: Document
Sponsoring organizations: Abt Associates, Centers for Medicare and Medicaid Services
view details

First Annual Report: Next Generation Accountable Care Organization (NGACO) Model Evaluation
Reports initial descriptive and analytic findings for the 18 Next Generation ACOs (NGACOs) that launched in 2016. Includes information on NGACO organizational characteristics, market characteristics, model implementation, and performance. Offers some data and discussion related to the inclusion of rural areas. Also provides information on institutional providers by type of facility, including Critical Access Hospitals, Rural Health Clinics, and Federally Qualified Health Centers.
Additional links: Findings at a Glance, Volume II: Technical Appendices, January 2018
Date: 08/2018
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, NORC at the University of Chicago
view details

Rural Hospitals and Medicaid Payment Policy
Describes how rural hospitals serve Medicaid beneficiaries and the process through which Medicaid programs pay rural hospitals. Features statistics from 2015 with breakdowns by urban hospitals, Critical Access Hospitals (CAHs), and other rural hospitals.
Date: 08/2018
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
view details

Telemental Health Research Catalogue
Presents telemental health literature measuring the use of telehealth in achieving one or more of the Triple Aim goals to: improve the patient healthcare experience, improve population health, and reduce the per capita cost of healthcare.
Date: 08/2018
Type: Literature Search
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
view details