Rural Health
Resources by Topic: Service delivery models
MedPAC Report to the Congress: Medicare and the Health Care Delivery System, June 2016
Includes chapters on pricing and payment systems, Medicare drug spending, Part B drug and oncology payment policy issues, improving Part D, improving efficiency and preserving access to emergency care in rural areas, telehealth services and Medicare, and issues affecting dual-eligible beneficiaries. Rural providers and rural patient populations are discussed throughout the report.
Date: 06/2016
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Includes chapters on pricing and payment systems, Medicare drug spending, Part B drug and oncology payment policy issues, improving Part D, improving efficiency and preserving access to emergency care in rural areas, telehealth services and Medicare, and issues affecting dual-eligible beneficiaries. Rural providers and rural patient populations are discussed throughout the report.
Date: 06/2016
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Medicare Accountable Care Organizations: Beneficiary Assignment Update
Clarifies the changes issued in June 2015 regarding Accountable Care Organization's (ACO) beneficiary assignment under the Centers for Medicare and Medicaid Services (CMS) ACO regulations. Addresses how the changes make it easier for Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) to participate in ACOs.
Author(s): Thomas Vaughn, A. Clinton MacKinney, Keith J. Mueller, Fred Ullrich, Xi Zhu
Date: 06/2016
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Clarifies the changes issued in June 2015 regarding Accountable Care Organization's (ACO) beneficiary assignment under the Centers for Medicare and Medicaid Services (CMS) ACO regulations. Addresses how the changes make it easier for Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) to participate in ACOs.
Author(s): Thomas Vaughn, A. Clinton MacKinney, Keith J. Mueller, Fred Ullrich, Xi Zhu
Date: 06/2016
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Medicaid Payment and Delivery System Reform: Challenges and Opportunities for Rural Health Systems
An analysis of the impact of the Affordable Care Act (ACA) on rural Medicaid programs across the U.S. Examines their acceptance of alternate payment models and their applications of delivery system reform. Provides policy recommendations supporting integrated and comprehensive primary care delivery and rural participation in value-based payment and delivery system reforms.
Additional links: Policy Brief
Author(s): Keith J. Mueller, Charlie Alfero, Andrew F. Coburn, et al.
Date: 06/2016
Type: Document
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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An analysis of the impact of the Affordable Care Act (ACA) on rural Medicaid programs across the U.S. Examines their acceptance of alternate payment models and their applications of delivery system reform. Provides policy recommendations supporting integrated and comprehensive primary care delivery and rural participation in value-based payment and delivery system reforms.
Additional links: Policy Brief
Author(s): Keith J. Mueller, Charlie Alfero, Andrew F. Coburn, et al.
Date: 06/2016
Type: Document
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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Utilization of Telemedicine Among Rural Medicare Beneficiaries
Demonstrates the trends in the use of telemedicine utilization by rural Medicare beneficiaries between 2004 and 2013. Data is derived from Current Procedural Terminology (CPT) codes or telemedicine-specific codes, using Medicare's definition for rural. Includes a table comparing patient characteristics for Medicare beneficiaries with and without a telemedicine visit in 2013.
Author(s): Ateev Mehrotra, Anupam B. Jena, Alisa B. Busch, et al.
Citation: JAMA: Journal of the American Medical Association, 315(18), 2015–2016
Date: 05/2016
Type: Document
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Demonstrates the trends in the use of telemedicine utilization by rural Medicare beneficiaries between 2004 and 2013. Data is derived from Current Procedural Terminology (CPT) codes or telemedicine-specific codes, using Medicare's definition for rural. Includes a table comparing patient characteristics for Medicare beneficiaries with and without a telemedicine visit in 2013.
Author(s): Ateev Mehrotra, Anupam B. Jena, Alisa B. Busch, et al.
Citation: JAMA: Journal of the American Medical Association, 315(18), 2015–2016
Date: 05/2016
Type: Document
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15 Million Kids in Health Care Deserts: Can Telehealth Make a Difference?
Highlights healthcare access problems for children of vulnerable populations living in rural and poverty stricken areas. Discusses how telehealth can be implemented to overcome these barriers. Describes several case studies focused on improving access to healthcare services for children, including a rural school-based telehealth program.
Author(s): Dale Alverson, Julie Hall-Barrow, Denise M. Dion, et al.
Date: 04/2016
Type: Document
Sponsoring organization: Children's Health Fund
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Highlights healthcare access problems for children of vulnerable populations living in rural and poverty stricken areas. Discusses how telehealth can be implemented to overcome these barriers. Describes several case studies focused on improving access to healthcare services for children, including a rural school-based telehealth program.
Author(s): Dale Alverson, Julie Hall-Barrow, Denise M. Dion, et al.
Date: 04/2016
Type: Document
Sponsoring organization: Children's Health Fund
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Integrated Behavioral Health In Montana: A Baseline Assessment of Benefits, Challenges, and Opportunities
Presents results from a baseline assessment of Montana's behavioral health system of care. Evaluates the possibility of addressing system deficiencies by implementing an integrated behavioral health model. Describes rural-specific benefits and challenges associated with system integration.
Additional links: Issue Brief
Author(s): Katie Loveland
Date: 04/2016
Type: Document
Sponsoring organization: Montana Healthcare Foundation
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Presents results from a baseline assessment of Montana's behavioral health system of care. Evaluates the possibility of addressing system deficiencies by implementing an integrated behavioral health model. Describes rural-specific benefits and challenges associated with system integration.
Additional links: Issue Brief
Author(s): Katie Loveland
Date: 04/2016
Type: Document
Sponsoring organization: Montana Healthcare Foundation
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National Advisory Committee on Rural Health and Human Services Meeting Minutes, Beaufort, South Carolina, April 18-20, 2016
Provides a summary of the 79th meeting of the National Advisory Committee on Rural Health and Human Services (NACRHHS), which was held in Beaufort, South Carolina. The meeting focused on two main topics: alternative models to preserving access to emergency care in rural areas in the face of hospital closures and the abuse of prescription painkillers and opioids.
Date: 04/2016
Type: Document
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Provides a summary of the 79th meeting of the National Advisory Committee on Rural Health and Human Services (NACRHHS), which was held in Beaufort, South Carolina. The meeting focused on two main topics: alternative models to preserving access to emergency care in rural areas in the face of hospital closures and the abuse of prescription painkillers and opioids.
Date: 04/2016
Type: Document
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Improving the Care of Dual Eligible Patients in Rural Federally Qualified Health Centers: The Impact of Care Coordinators and Clinical Pharmacists
Discusses a care coordination project that included 3 Federally Qualified Health Centers (FQHCs) and 502 patients in rural West Virginia and a tertiary care referral hospital in southern West Virginia to determine if expanded use of care coordinators and clinical pharmacists could improve the care experience and healthcare outcome of dual eligible patients.
Author(s): Daniel Doyle, Mary Emmett, Amber Crist, Craig Robinson, Michael Grome
Citation: Journal of Primary Care and Community Health, 7(2) 118-121
Date: 04/2016
Type: Document
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Discusses a care coordination project that included 3 Federally Qualified Health Centers (FQHCs) and 502 patients in rural West Virginia and a tertiary care referral hospital in southern West Virginia to determine if expanded use of care coordinators and clinical pharmacists could improve the care experience and healthcare outcome of dual eligible patients.
Author(s): Daniel Doyle, Mary Emmett, Amber Crist, Craig Robinson, Michael Grome
Citation: Journal of Primary Care and Community Health, 7(2) 118-121
Date: 04/2016
Type: Document
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The Economic Impact of Rural Broadband
Provides an estimate of the direct and indirect economic activities of the rural broadband industry on the Gross Domestic Product (GDP), and their effect on other rural industries, including healthcare.
Date: 04/2016
Type: Document
Sponsoring organization: Hudson Institute
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Provides an estimate of the direct and indirect economic activities of the rural broadband industry on the Gross Domestic Product (GDP), and their effect on other rural industries, including healthcare.
Date: 04/2016
Type: Document
Sponsoring organization: Hudson Institute
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Evaluation of the Shared Decision Making (SDM) & Medication Management (MM) Health Care Innovation Awardees: Second Annual Report
Evaluations of 9 Health Care Innovation Awards Round One projects focused on implementing shared decision making or medication management programs. Provides findings across projects as well as profiles of each project. Includes medication management projects focused on rural areas.
Date: 03/2016
Type: Document
Sponsoring organizations: Acumen, Centers for Medicare and Medicaid Services
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Evaluations of 9 Health Care Innovation Awards Round One projects focused on implementing shared decision making or medication management programs. Provides findings across projects as well as profiles of each project. Includes medication management projects focused on rural areas.
Date: 03/2016
Type: Document
Sponsoring organizations: Acumen, Centers for Medicare and Medicaid Services
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