Rural Health
Resources by Topic: Service delivery models
Cost-Effectiveness of a Community-Based Cardiovascular Disease Prevention Intervention in Medically Underserved Rural Areas
Details the results of a cost analysis and cost-effectiveness analyses (CEAs) between the Strong Hearts, Healthy Communities (SHHC) program and a control program looking at changes in cardiovascular disease risk factors among overweight or obese women aged 40 and older living in medically underserved rural areas in Montana and New York.
Author(s): Hua Wang, Donald Kenkel, Meredith L. Graham, et al.
Citation: BMC Health Services Research, 19, 315
Date: 2019
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Details the results of a cost analysis and cost-effectiveness analyses (CEAs) between the Strong Hearts, Healthy Communities (SHHC) program and a control program looking at changes in cardiovascular disease risk factors among overweight or obese women aged 40 and older living in medically underserved rural areas in Montana and New York.
Author(s): Hua Wang, Donald Kenkel, Meredith L. Graham, et al.
Citation: BMC Health Services Research, 19, 315
Date: 2019
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State Innovation Models (SIM) Round 2: Model Test Annual Report Three
Third annual report on the Round 2 State Innovation Models (SIM) program across eleven participating states - Colorado, Connecticut, Delaware, Idaho, Iowa, Michigan, New York, Ohio, Rhode Island, Tennessee, and Washington. Addresses the adoption of delivery models and payment reforms related to value-based payment (VBP) and alternative payment models (APMs). Offers an update and lessons learned on strategies to support healthcare delivery transformation related to behavioral health integration, data for improving health care quality and performance, health information technology, care coordination, and workforce development. Describes states' population health activities. Includes discussion of rural issues throughout the report.
Additional links: Findings at a Glance
Date: 2019
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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Third annual report on the Round 2 State Innovation Models (SIM) program across eleven participating states - Colorado, Connecticut, Delaware, Idaho, Iowa, Michigan, New York, Ohio, Rhode Island, Tennessee, and Washington. Addresses the adoption of delivery models and payment reforms related to value-based payment (VBP) and alternative payment models (APMs). Offers an update and lessons learned on strategies to support healthcare delivery transformation related to behavioral health integration, data for improving health care quality and performance, health information technology, care coordination, and workforce development. Describes states' population health activities. Includes discussion of rural issues throughout the report.
Additional links: Findings at a Glance
Date: 2019
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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Experiences of Medicaid Programs and Health Centers in Implementing Telehealth
Examines the experiences of 19 rural and urban Federally Qualified Health Centers (FQHCs) and 7 state Medicaid programs with supporting and delivering telehealth. Addresses state Medicaid policies, telehealth models and types, barriers and facilitators for telehealth, and future plans. Identifies considerations for payers, policymakers, and FQHCs interested in telehealth implementation.
Author(s): Lori Uscher-Pines, Kathryn Bouskill, Jessica Sousa, Mimi Shen, Shira H. Fischer
Date: 2019
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, RAND Corporation
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Examines the experiences of 19 rural and urban Federally Qualified Health Centers (FQHCs) and 7 state Medicaid programs with supporting and delivering telehealth. Addresses state Medicaid policies, telehealth models and types, barriers and facilitators for telehealth, and future plans. Identifies considerations for payers, policymakers, and FQHCs interested in telehealth implementation.
Author(s): Lori Uscher-Pines, Kathryn Bouskill, Jessica Sousa, Mimi Shen, Shira H. Fischer
Date: 2019
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, RAND Corporation
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2018 Report to Congress: Annual Update on the Adoption of a Nationwide System for the Electronic Use and Exchange of Health Information
Annual report to Congress describing progress related to the adoption of health information technology (HIT). Describes barriers to progress and recommendations related to interoperability, technical capacity, data transparency, and support for provider adoption.
Date: 12/2018
Sponsoring organization: Assistant Secretary for Technology Policy/Office of the National Coordinator for Health Information Technology
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Annual report to Congress describing progress related to the adoption of health information technology (HIT). Describes barriers to progress and recommendations related to interoperability, technical capacity, data transparency, and support for provider adoption.
Date: 12/2018
Sponsoring organization: Assistant Secretary for Technology Policy/Office of the National Coordinator for Health Information Technology
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LTSS Research: Improving Care for Adults with Disabilities in Indian Country - Highlights from the Field
Report details a number of programs providing disability care in Indian Country. Discusses services provided, such as peer support, medical transportation, mental health counseling, and attendant care, among other services related to long-term services and support for disabled American Indian and Alaska Native populations.
Date: 12/2018
Sponsoring organization: Centers for Medicare and Medicaid Services
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Report details a number of programs providing disability care in Indian Country. Discusses services provided, such as peer support, medical transportation, mental health counseling, and attendant care, among other services related to long-term services and support for disabled American Indian and Alaska Native populations.
Date: 12/2018
Sponsoring organization: Centers for Medicare and Medicaid Services
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Narrowing the Rural Oral Healthcare Gap: The 2017 Rural Interprofessional Oral Health Practice Symposium
Discusses a 2017 symposium on interprofessional oral health practice in rural communities. Details the current state of interprofessional practice, as well as goals for the future. Discusses the results of a number of survey questions given to the symposium participants.
Author(s): Sean G. Boynes, Ce Ce Heyward, Christine Kenney, et al.
Citation: BMC Oral Health, 18(Supplement 1), 212
Date: 12/2018
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Discusses a 2017 symposium on interprofessional oral health practice in rural communities. Details the current state of interprofessional practice, as well as goals for the future. Discusses the results of a number of survey questions given to the symposium participants.
Author(s): Sean G. Boynes, Ce Ce Heyward, Christine Kenney, et al.
Citation: BMC Oral Health, 18(Supplement 1), 212
Date: 12/2018
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Impact of Participation in Technology-Enabled Collaborative Learning and Capacity Building (ECHO) Models on Provider Retention: Final Report
Examines whether participation in technology-enabled collaborative learning and capacity building (ECHO) models improves retention of providers at the provider-level and the site-level, and whether results differ for Health Professional Shortage Area (HPSA) vs. non-HPSA sites.
Author(s): Sebastian Negrusa, Paul Hogan, Matt Zhou
Date: 12/2018
Sponsoring organization: The Lewin Group
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Examines whether participation in technology-enabled collaborative learning and capacity building (ECHO) models improves retention of providers at the provider-level and the site-level, and whether results differ for Health Professional Shortage Area (HPSA) vs. non-HPSA sites.
Author(s): Sebastian Negrusa, Paul Hogan, Matt Zhou
Date: 12/2018
Sponsoring organization: The Lewin Group
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State Innovation Models (SIM) Initiative Evaluation: Model Test Year Five Annual Report
Fifth annual report on Round 1 of the CMS State Innovation Models (SIM) Initiative, which tests the ability of the governments in six states - Arkansas, Maine, Massachusetts, Minnesota, Oregon, and Vermont - to move providers to value-based payment models (VPMs). Presents the final summary findings for SIM Round 1. Includes information specific to rural areas.
Additional links: Appendices, Findings at a Glance
Date: 12/2018
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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Fifth annual report on Round 1 of the CMS State Innovation Models (SIM) Initiative, which tests the ability of the governments in six states - Arkansas, Maine, Massachusetts, Minnesota, Oregon, and Vermont - to move providers to value-based payment models (VPMs). Presents the final summary findings for SIM Round 1. Includes information specific to rural areas.
Additional links: Appendices, Findings at a Glance
Date: 12/2018
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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Reforming America's Healthcare System Through Choice and Competition
Describes how state and federal laws, regulations, guidance, and policies affect choice and competition in healthcare markets, and offers recommendations for improvement. Includes rural-relevant issues such as scope of practice, workforce mobility, and telehealth.
Date: 12/2018
Sponsoring organization: U.S. Department of Health and Human Services
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Describes how state and federal laws, regulations, guidance, and policies affect choice and competition in healthcare markets, and offers recommendations for improvement. Includes rural-relevant issues such as scope of practice, workforce mobility, and telehealth.
Date: 12/2018
Sponsoring organization: U.S. Department of Health and Human Services
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The Special Registration for Telemedicine: In Brief
Describes changes to the Controlled Substance Act (CSA) authorizing special registration for telemedicine to increase access to healthcare providers that can prescribe controlled substances using telemedicine, with the goal of helping address the opioid crisis and shortage of mental health providers. Outlines the seven categories for the practice of telemedicine under the authority of the CSA. The Drug Enforcement Administration plans to publish the related proposed rule to finalize the registration process and procedures.
Date: 12/2018
Sponsoring organization: Congressional Research Service
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Describes changes to the Controlled Substance Act (CSA) authorizing special registration for telemedicine to increase access to healthcare providers that can prescribe controlled substances using telemedicine, with the goal of helping address the opioid crisis and shortage of mental health providers. Outlines the seven categories for the practice of telemedicine under the authority of the CSA. The Drug Enforcement Administration plans to publish the related proposed rule to finalize the registration process and procedures.
Date: 12/2018
Sponsoring organization: Congressional Research Service
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