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Rural Health
Resources by Topic: Service delivery models

Modeling the Frontier Extended Stay Clinic Conditions of Participation and Reimbursement Methodologies
Discusses the financial feasibility of the Frontier Extended Stay Clinic (FESC), a proposed provider type to expand services in remote and isolated primary care clinics. Compares Medicare reimbursement for FESC status with Federally Qualified Health Center (FQHC), Rural Health Clinic (RHC), and Critical Access Hospital (CAH) reimbursement. Includes detailed examples of financial impact for seven clinics in rural Alaska, Nevada, Washington, and Wyoming.
Date: 2004
Type: Document
Sponsoring organization: Federal Office of Rural Health Policy
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National Advisory Committee on Rural Health & Human Services Meeting Minutes, Charleston, West Virginia, September 7-9, 2003
Minutes for a September 2003 meeting of the National Advisory Committee on Rural Health and Human Services in Charleston, West Virginia. Topics addressed include health professions education, mental health integration, oral health, and senior services.
Date: 09/2003
Type: Document
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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National Advisory Committee on Rural Health & Human Services Meeting Minutes, Washington, DC, March 2-4, 2003
Minutes of a National Advisory Committee on Rural Health and Human Services meeting. Topics addressed include quality of care, integrating behavioral health and primary care, oral health, and aging issues.
Date: 03/2003
Type: Document
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Rural Health Research In Progress in the Rural Health Research Centers Program, 7th Edition
Describes the research and policy analysis projects underway in March 2003 through the Rural Health Research Centers Program of the Federal Office of Rural Health Policy (FORHP), Health Resources and Services Administration, U.S. Department of Health and Human Services.
Date: 03/2003
Type: Document
Sponsoring organization: Federal Office of Rural Health Policy
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Innovative Primary Care Case Management Programs Operating in Rural Communities: Case Studies of Three States
Discusses state programs that provide enhanced benefits to Medicaid beneficiaries such as enhanced primary care case management (PCCM). Includes examples from three states: Florida, North Carolina, and Oklahoma.
Additional links: Findings Brief, March 2003: Design of Enhanced Primary Care Case Management Programs Operating in Rural Communities: Lessons Learned from Three States
Author(s): Pam Silberman, Stephanie Poley, Rebecca Slifkin
Date: 01/2003
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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Essential Research Issues in Rural Health: The State Rural Health Directors' Perspective
Focuses on the key issues confronting state rural health directors. The major research issues identified were workforce, mental health, EMS, telemedicine, and a lack of local data.
Author(s): Michael J. O'Grady, Curt D. Mueller, Gail R. Wilensky
Date: 03/2002
Type: Document
Sponsoring organization: NORC Walsh Center for Rural Health Analysis
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Developing Rural Health Networks Under the EACH/RPCH Program: Interim Report of the Evaluation of the Essential Access Community Hospital/Rural Primary Care Hospital Program
Describes the initial development of the Essential Access Community Hospital (EACH) program from October 1991 through December 1992. The program recognized a limited-service facility, the Rural Primary Care Hospital, and linked each RPCH into a network tied to a larger supporting Essential Access Community Hospital.
Author(s): Suzanne Felt, George Wright
Date: 09/1993
Type: Document
Sponsoring organization: Mathematica Policy Research
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Medical Assistance Facilities: A Demonstration Program to Provide Access to Health Care in Frontier Communities
Describes the Health Care Financing Administration's Medical Assistance Facility (MAF) demonstration program, which aimed to preserve healthcare access in frontier areas of Montana by converting full-service hospitals into low-intensity, short-stay healthcare service centers. Examines the impact of the program on access to inpatient care.
Date: 07/1993
Type: Document
Sponsoring organization: Office of Inspector General (HHS)
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CMS Cross Cutting Initiative: Rural Health
A fact sheet that provides examples of how the Centers for Medicare & Medicaid Services (CMS) is working to eliminate disparities in rural healthcare access related to workforce shortages, facility closures, and infrastructure issues. Discusses innovative healthcare payment models from 2023 that address barriers to value-based care in rural healthcare delivery.
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Telehealth.HHS.gov: Community Stories
Offers a collection of profiles on communities and providers that have used telehealth virtual visits to improve access to healthcare.
Type: Website
Sponsoring organization: U.S. Department of Health and Human Services
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