Rural Health
Resources by Topic: Service delivery models
Report to the Secretary of Health and Human Services: Improving Multi-Payer Alignment in Value-Based Care
Summarizes findings from the Physician-Focused Payment Model Technical Advisory Committee's (PTAC) review of information on improving multi-payer alignment in value-based care. Describes key issues and characteristics related to improving multi-payer alignment in value-based care from proposals that have previously been submitted to PTAC. Includes rural references and considerations throughout.
Date: 07/2026
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
view details
Summarizes findings from the Physician-Focused Payment Model Technical Advisory Committee's (PTAC) review of information on improving multi-payer alignment in value-based care. Describes key issues and characteristics related to improving multi-payer alignment in value-based care from proposals that have previously been submitted to PTAC. Includes rural references and considerations throughout.
Date: 07/2026
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
view details
Collaboration to Contracting: A Guide to Rural Clinically Integrated Networks
Identifies 5 pillars of successful rural clinically integrated network (CIN) development. Covers legal matters, governance, care delivery, data infrastructure, and financial sustainability. Includes action steps for administrators of CINs.
Date: 07/2026
Sponsoring organization: Rural Health Value
view details
Identifies 5 pillars of successful rural clinically integrated network (CIN) development. Covers legal matters, governance, care delivery, data infrastructure, and financial sustainability. Includes action steps for administrators of CINs.
Date: 07/2026
Sponsoring organization: Rural Health Value
view details
Teledentistry in Health Centers: Promising Practices for Increasing Access to Oral Health Care
Highlights several promising practices using teledentistry to increase oral health access. Explores how five different programs in urban areas, and one in rural South Dakota, are using teledentistry via health centers to address workforce shortages and expand oral health access.
Date: 07/2026
Sponsoring organization: National Network for Oral Health Access
view details
Highlights several promising practices using teledentistry to increase oral health access. Explores how five different programs in urban areas, and one in rural South Dakota, are using teledentistry via health centers to address workforce shortages and expand oral health access.
Date: 07/2026
Sponsoring organization: National Network for Oral Health Access
view details
Bridging the Gaps in School-Based Telehealth: A Scoping Review and Evaluation Framework
Provides a scoping review of telehealth interventions in K-12 schools between 2019 and 2026. Analyzes 22 studies related to school-based telehealth (SBTH) and discusses SBTH evaluation practices as well as utilization, satisfaction, and outcomes. Includes discussion of SBTH outcomes in rural locations.
Author(s): Sara Al-Ajlouny, Zhaoqiang Zhou, Suguna Kotte, et al.
Citation: Telemedicine Reports, 7
Date: 07/2026
view details
Provides a scoping review of telehealth interventions in K-12 schools between 2019 and 2026. Analyzes 22 studies related to school-based telehealth (SBTH) and discusses SBTH evaluation practices as well as utilization, satisfaction, and outcomes. Includes discussion of SBTH outcomes in rural locations.
Author(s): Sara Al-Ajlouny, Zhaoqiang Zhou, Suguna Kotte, et al.
Citation: Telemedicine Reports, 7
Date: 07/2026
view details
Telehealth for Community-Engaged Cardiovascular Care in Rural Populations
Discusses how telehealth can support better cardiovascular care for rural patients. Details rural barriers to cardiovascular healthcare and describes telehealth implementation strategies via community partnerships.
Author(s): Tiffany M. Powell-Wiley, Madyson Williams, Esa M. Davis
Citation: Circulation, 154(4)
Date: 07/2026
view details
Discusses how telehealth can support better cardiovascular care for rural patients. Details rural barriers to cardiovascular healthcare and describes telehealth implementation strategies via community partnerships.
Author(s): Tiffany M. Powell-Wiley, Madyson Williams, Esa M. Davis
Citation: Circulation, 154(4)
Date: 07/2026
view details
Mobile Health Operations: A Foundational Planning Guide for Health Centers
Offers guidance to health center leaders and staff regarding the core planning and operational decisions needed to launch, standardize, optimize, and sustain mobile service delivery. Covers service design, workflows and staffing, partnerships, data/technology, regulatory scope and compliance, and performance measurement.
Date: 07/2026
Sponsoring organization: National Association of Community Health Centers
view details
Offers guidance to health center leaders and staff regarding the core planning and operational decisions needed to launch, standardize, optimize, and sustain mobile service delivery. Covers service design, workflows and staffing, partnerships, data/technology, regulatory scope and compliance, and performance measurement.
Date: 07/2026
Sponsoring organization: National Association of Community Health Centers
view details
How Primary Care Medics Can Bring Needed Health Care to Rural Americans
Describes Penn State College of Medicine's Primary Care Medic Project, a certificate-based pathway under development that will train local individuals to deliver primary and preventive care under the supervision of licensed clinicians. Discusses how primary care medics will fill gaps between community-based outreach and licensed primary care providers. Compares the scope of practice of primary care medics with those of community health workers, paramedics, and registered nurses, among others.
Author(s): Mark B. Stephens, Robin W. Weinick
Date: 07/2026
Sponsoring organization: Commonwealth Fund
view details
Describes Penn State College of Medicine's Primary Care Medic Project, a certificate-based pathway under development that will train local individuals to deliver primary and preventive care under the supervision of licensed clinicians. Discusses how primary care medics will fill gaps between community-based outreach and licensed primary care providers. Compares the scope of practice of primary care medics with those of community health workers, paramedics, and registered nurses, among others.
Author(s): Mark B. Stephens, Robin W. Weinick
Date: 07/2026
Sponsoring organization: Commonwealth Fund
view details
State Innovations in Improving Access to Care for Adults with Complex Needs in Rural Communities
Discusses Medicaid policy and financing strategies that can help improve rural delivery systems and access to care for rural older adults, people with disabilities, and others with complex health and social needs. Describes effective approaches undertaken in California, Missouri, North Dakota, South Dakota, and Virginia across three promising strategies. Identifies four factors critical to successful program design and implementation and key considerations for states.
Author(s): Molly Knowles, Nida Enehizena, Gretchen Bell, Ellen Breslin
Date: 07/2026
Sponsoring organization: Center for Health Care Strategies
view details
Discusses Medicaid policy and financing strategies that can help improve rural delivery systems and access to care for rural older adults, people with disabilities, and others with complex health and social needs. Describes effective approaches undertaken in California, Missouri, North Dakota, South Dakota, and Virginia across three promising strategies. Identifies four factors critical to successful program design and implementation and key considerations for states.
Author(s): Molly Knowles, Nida Enehizena, Gretchen Bell, Ellen Breslin
Date: 07/2026
Sponsoring organization: Center for Health Care Strategies
view details
MedPAC Data Book: Health Care Spending and the Medicare Program, 2026
Provides an overview of Medicare spending and highlights data on Medicare beneficiary demographics, dual-eligible beneficiaries, quality of care provided through the Medicare program, and other payer liability. Examines settings of care, including rural-specific provider sites, as they relate to spending, access to care, and Medicare and operating margins. Compares rural and urban beneficiaries and providers throughout. Chart 6-2 addresses rural hospital closures and Rural Emergency Hospital conversions.
Date: 07/2026
Sponsoring organization: Medicare Payment Advisory Commission
view details
Provides an overview of Medicare spending and highlights data on Medicare beneficiary demographics, dual-eligible beneficiaries, quality of care provided through the Medicare program, and other payer liability. Examines settings of care, including rural-specific provider sites, as they relate to spending, access to care, and Medicare and operating margins. Compares rural and urban beneficiaries and providers throughout. Chart 6-2 addresses rural hospital closures and Rural Emergency Hospital conversions.
Date: 07/2026
Sponsoring organization: Medicare Payment Advisory Commission
view details
Evaluation of the ACO REACH Model: Evaluation Report 3
Presents key findings from an evaluation of the Accountable Care Organization (ACO) REACH Model's first performance year, as well as the two years of the preceding Global and Professional Direct Contracting (GPDC) Model. Examines model participants' implementation experiences and the model's impact on cost, utilization, and quality outcomes. Includes information on the participation of Federally Qualified Health Centers (FQHCs), Rural Health Clinics (RHCs), and Critical Access Hospitals (CAHs) in the model.
Additional links: Appendices, CMS Perspective Report, Executive Summary, Findings at a Glance
Date: 07/2026
Sponsoring organizations: Centers for Medicare & Medicaid Services, NORC at the University of Chicago
view details
Presents key findings from an evaluation of the Accountable Care Organization (ACO) REACH Model's first performance year, as well as the two years of the preceding Global and Professional Direct Contracting (GPDC) Model. Examines model participants' implementation experiences and the model's impact on cost, utilization, and quality outcomes. Includes information on the participation of Federally Qualified Health Centers (FQHCs), Rural Health Clinics (RHCs), and Critical Access Hospitals (CAHs) in the model.
Additional links: Appendices, CMS Perspective Report, Executive Summary, Findings at a Glance
Date: 07/2026
Sponsoring organizations: Centers for Medicare & Medicaid Services, NORC at the University of Chicago
view details