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Rural Health
Resources by Topic: Service delivery models

What Happens When COVID-19 Emergency Declarations End? Implications for Coverage, Costs, and Access
Identifies federal health-related COVID-19 public health emergency (PHE) declarations, the flexibilities each provides, and implications for ending them. Topics covered include COVID-19 testing, treatment, and vaccination; telehealth; Medicaid coverage and federal match rates; Medicaid, Medicare, and private insurance flexibilities; and more.
Date: 01/2023
Type: Document
Sponsoring organization: Kaiser Family Foundation
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State Telehealth Policy: Summary and Findings from the Fall 2022 Webinar Series
Offers a summary of presentations included in the Center for Connected Health Policy's (CCHP) Fall 2022 webinar series. Topics focus on telehealth policy after the public health emergency (PHE) environment and include licensure laws and legal considerations when providers practice across state lines, the use of telehealth by Medicare beneficiaries, and the expansion and effectiveness of telemedicine in primary care settings.
Date: 01/2023
Type: Document
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
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National Consortium of Telehealth Resource Centers: Annual Report 2022
Provides an annual update on the activities of the National Consortium of Telehealth Resource Centers (NCTRC), covering specific initiatives and developments for the 2 national and 12 regional Telehealth Resource Centers.
Date: 01/2023
Type: Document
Sponsoring organization: National Consortium of Telehealth Resource Centers
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The State of Healthcare in North Carolina: 2022 Impact Report
Examines contributions to the people and economy of North Carolina by the 130 members of the North Carolina Heathcare Association. Describes key issues facing North Carolina health systems, including access and innovation, workforce development and retention, health equity, and behavioral health. Mentions rural throughout.
Date: 01/2023
Type: Document
Sponsoring organization: North Carolina Healthcare Association
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Rural Hospitals Must Keep up with Innovation to Remain Viable
Describes changes to the healthcare market environment, including technology, telehealth, services offered by retailers and large corporations, and declining patient volume. Outlines priorities for Critical Access Hospitals to remain viable, including the transition to population-based payment. Details a transition framework to guide hospitals as they move to a population-based payment system and navigate a changing environment.
Date: 01/2023
Type: Document
Sponsoring organization: Stroudwater Associates
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Engaging Rural Communities to Incorporate Social Determinants in Developing Strategies to Improve Access to Health Care in the Missouri Bootheel Counties
Presents a study on how social determinants of health affect healthcare access in several rural counties in Missouri. Discusses the perceived barriers to care in the rural "Bootheel" counties, such as economic issues, lack of health insurance coverage, and lack of coordinated care, among others.
Author(s): Ashish Shrestha, Katherine Stamatakis, Janice Ballard
Citation: Rural and Remote Health, 23, 7678
Date: 01/2023
Type: Document
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Filling the Gaps in the Behavioral Health Workforce
Discusses the shortage of licensed behavioral health workers in rural and underserved communities. Explores the roles of behavioral health support specialists (BHSS) and community-initiated care (CIC) to support licensed behavioral health professionals. Offers policy recommendations to strengthen the roles of the non-clinical workforce.
Date: 01/2023
Type: Document
Sponsoring organization: Bipartisan Policy Center
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Mental Health in Rural New York: Findings and Implications of a Listening Tour with Residents and Professionals
Findings from the Rural Mental Health Listening Tour of New York State, conducted between March 2020 and September 2021 to elicit input and experiences of community members living and working in rural areas. Presents strengths and assets of rural communities, and highlights model programs and success stories. Includes recommendations in categories including access to transportation and broadband, access to mental health programs, availability of services, improving and sustaining workforce capacity, and offers state- and county-specific recommendations.
Author(s): Brett Harris, Katie Gallant, Abby Mariani
Date: 01/2023
Type: Document
Sponsoring organization: NORC Walsh Center for Rural Health Analysis
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Examining Rural Telehealth During the Public Health Emergency
Examines the use of telehealth visits for rural and urban fee-for-service Medicare enrollees between January 2018 and June 2021. Compares telehealth utilization before the COVID-19 pandemic (2018-2019) with telehealth utilization from January 2020 to June 2021. Describes the demographic, geographical, and technological characteristics of telehealth services that were associated with increased telehealth use. Explores the extent to which the increased implementation and utilization of telehealth during the PHE impacted the cost of patient care and provider utilization.
Date: 01/2023
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, CMS Alliance to Modernize Healthcare
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Use of Telehealth During the COVID-19 Era
Presents a review of more than 300 studies on the use of telehealth published between March 11, 2020, and May 2, 2022. Explores the characteristics of the patients, providers, and health systems using telehealth during the COVID-19 era. Examines the benefits and harms of telehealth, what is considered a successful telehealth intervention, and strategies used to implement telehealth interventions.
Additional links: Executive Summary
Date: 01/2023
Type: Document
Sponsoring organizations: Agency for Healthcare Research and Quality, Johns Hopkins University Evidence-based Practice Center
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