Rural Health
Resources by Topic: Service delivery models
Engaging Families and Providers When Aligning Early Childhood and Medicaid Systems: State Lessons
Describes how the alignment of health and social supports and services offered by Medicaid and early childhood agencies can create systems that better meet the needs of families with young children. Outlines four strategies states can use to engage families and providers when working on systems alignment effectively. Highlights an Alaska initiative that worked with a local community organization to recruit rural providers and families to identify opportunities for service improvement.
Author(s): Lauren Scannelli Jacobs, Armelle Casau
Date: 12/2023
Sponsoring organization: Center for Health Care Strategies
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Describes how the alignment of health and social supports and services offered by Medicaid and early childhood agencies can create systems that better meet the needs of families with young children. Outlines four strategies states can use to engage families and providers when working on systems alignment effectively. Highlights an Alaska initiative that worked with a local community organization to recruit rural providers and families to identify opportunities for service improvement.
Author(s): Lauren Scannelli Jacobs, Armelle Casau
Date: 12/2023
Sponsoring organization: Center for Health Care Strategies
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The MN RIDE Pilot: Feasibility of a Synchronous, Remotely Delivered, Aerobic Exercise Training Program for Rural-Dwelling Adults with Subjective Cognitive Decline
Evaluates the feasibility of implementing an aerobic exercise (AEx) telerehabilitation program in rural Minnesota for middle-aged and older adults with subjective cognitive decline (SCD). Assesses participant attendance, intensity adherence, adverse events, and satisfaction with the program. Discusses the potential of utilizing telerehabilitation programs for rural patients with Alzheimer's disease and related dementias (ADRD).
Author(s): Dereck L Salisbury, Wayne Warry, Joshua Fergen, et al.
Citation: Rural and Remote Health, 23(4), 8351
Date: 12/2023
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Evaluates the feasibility of implementing an aerobic exercise (AEx) telerehabilitation program in rural Minnesota for middle-aged and older adults with subjective cognitive decline (SCD). Assesses participant attendance, intensity adherence, adverse events, and satisfaction with the program. Discusses the potential of utilizing telerehabilitation programs for rural patients with Alzheimer's disease and related dementias (ADRD).
Author(s): Dereck L Salisbury, Wayne Warry, Joshua Fergen, et al.
Citation: Rural and Remote Health, 23(4), 8351
Date: 12/2023
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Retention in Telehealth Treatment for Opioid Use Disorder Among Rural Populations: A Retrospective Cohort Study
Highlights a study on the efficacy of telehealth-based treatment of opioid use disorder (OUD) for rural populations. Draws patient data from 2020-2022 across 14 states and breaks down data by patient characteristics, such as insurance status, education, and rurality, among other measures. Explores retention in care and adherence over a 6 month treatment period.
Author(s): Marlene C. Lira, Cynthia Jimes, M. Justin Coffey
Citation: Telemedicine and e-Health, 29(12), 1890-1896
Date: 12/2023
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Highlights a study on the efficacy of telehealth-based treatment of opioid use disorder (OUD) for rural populations. Draws patient data from 2020-2022 across 14 states and breaks down data by patient characteristics, such as insurance status, education, and rurality, among other measures. Explores retention in care and adherence over a 6 month treatment period.
Author(s): Marlene C. Lira, Cynthia Jimes, M. Justin Coffey
Citation: Telemedicine and e-Health, 29(12), 1890-1896
Date: 12/2023
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Independent Evaluation of Comprehensive Primary Care Plus (CPC+): Final Annual Report
Reports on the Comprehensive Primary Care Plus (CPC+) model, a CMS primary care payment and delivery reform effort that ran from 2017-2021. Outlines key findings from the model, including CPC+ supports to practices, care delivery changes made by practices, impacts on outcomes for Medicare fee-for-service beneficiaries, and implications for primary care models. Describes the experiences of payers, practices, health IT vendors, and patients. Includes rural references throughout.
Additional links: Appendices to the Final Report, Volume 1, Appendices to the Final Report, Volume 2, Findings at a Glance
Date: 12/2023
Sponsoring organizations: Centers for Medicare and Medicaid Services, Mathematica
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Reports on the Comprehensive Primary Care Plus (CPC+) model, a CMS primary care payment and delivery reform effort that ran from 2017-2021. Outlines key findings from the model, including CPC+ supports to practices, care delivery changes made by practices, impacts on outcomes for Medicare fee-for-service beneficiaries, and implications for primary care models. Describes the experiences of payers, practices, health IT vendors, and patients. Includes rural references throughout.
Additional links: Appendices to the Final Report, Volume 1, Appendices to the Final Report, Volume 2, Findings at a Glance
Date: 12/2023
Sponsoring organizations: Centers for Medicare and Medicaid Services, Mathematica
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VA Health Care: Actions Needed to Improve Information Reported on Mobile Medical Units
Describes how the Department of Veterans Affairs (VA) utilizes mobile medical units to provide primary and specialty medical care to veterans in communities with veteran populations too small to support local facilities and in areas with limited access to specialty care, including rural areas. Examines VA's annual reports to Congress between 2018 and 2023 about mobile medical units' operations and performance. Offers recommendations to the VA to improve the reliability of the data and contextual information reported to Congress on mobile medical units.
Additional links: Full Report
Date: 12/2023
Sponsoring organization: Government Accountability Office
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Describes how the Department of Veterans Affairs (VA) utilizes mobile medical units to provide primary and specialty medical care to veterans in communities with veteran populations too small to support local facilities and in areas with limited access to specialty care, including rural areas. Examines VA's annual reports to Congress between 2018 and 2023 about mobile medical units' operations and performance. Offers recommendations to the VA to improve the reliability of the data and contextual information reported to Congress on mobile medical units.
Additional links: Full Report
Date: 12/2023
Sponsoring organization: Government Accountability Office
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CMS Final Rules Overview - Impact for RHCs Beginning January 1, 2024
Recording of a December 11, 2023, webinar providing an overview of telehealth payment rates for Rural Health Clinics (RHCs) and other regulatory updates and potential changes for 2024. Covers new billable providers for RHCs, changes to care management services and billing, telehealth regulations, intensive outpatient program (IOP) services, and more. Part of the Rural Health Clinic Technical Assistance Series.
Additional links: Presentation Slides
Date: 12/2023
Sponsoring organization: National Association of Rural Health Clinics
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Recording of a December 11, 2023, webinar providing an overview of telehealth payment rates for Rural Health Clinics (RHCs) and other regulatory updates and potential changes for 2024. Covers new billable providers for RHCs, changes to care management services and billing, telehealth regulations, intensive outpatient program (IOP) services, and more. Part of the Rural Health Clinic Technical Assistance Series.
Additional links: Presentation Slides
Date: 12/2023
Sponsoring organization: National Association of Rural Health Clinics
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State Actions to Build the Behavioral Health Crisis Continuum
Toolkit features a continuum of behavioral health crisis services and supports and discusses the strategies for program planning and development for state officials and agencies. Highlights models and resources for core components such as regional call centers, mobile crisis teams, and stabilization facilities, among others. Also includes crisis care principles, such as peer supports, law enforcement partnerships, and rural and frontier delivery challenges.
Author(s): Rebekah Falkner, Laura Galbreath, Sandra Wilkniss
Date: 12/2023
Sponsoring organization: National Academy for State Health Policy
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Toolkit features a continuum of behavioral health crisis services and supports and discusses the strategies for program planning and development for state officials and agencies. Highlights models and resources for core components such as regional call centers, mobile crisis teams, and stabilization facilities, among others. Also includes crisis care principles, such as peer supports, law enforcement partnerships, and rural and frontier delivery challenges.
Author(s): Rebekah Falkner, Laura Galbreath, Sandra Wilkniss
Date: 12/2023
Sponsoring organization: National Academy for State Health Policy
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Community Health Partners in Unexpected Places
Examines how health systems partner with community services such as libraries, barber shops, dollar stores, and others to improve access and reduce health disparities in minority and rural populations. Discusses strategies to increase the use of community health partners, such as co-designing with input from the community, procuring funding, building awareness of available programs, and utilizing novel means to conduct day-to-day operations.
Author(s): Michael K. Hole, Sunjay Letchuman, Allister Chang, Leonard L. Berry
Citation: Mayo Clinic Proceedings, 98(12), 1883-1841
Date: 12/2023
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Examines how health systems partner with community services such as libraries, barber shops, dollar stores, and others to improve access and reduce health disparities in minority and rural populations. Discusses strategies to increase the use of community health partners, such as co-designing with input from the community, procuring funding, building awareness of available programs, and utilizing novel means to conduct day-to-day operations.
Author(s): Michael K. Hole, Sunjay Letchuman, Allister Chang, Leonard L. Berry
Citation: Mayo Clinic Proceedings, 98(12), 1883-1841
Date: 12/2023
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Geographic Variations in Driving Time to U.S. Mental Health Care, Digital Access to Technology, & Household Crowdedness
Evaluated distance to mental health services, household crowdedness, and access to technology and broadband alongside rurality to determine barriers to mental healthcare for both rural and urban residents in 31,924 ZIP Code Tabulation Areas (ZCTAs). Discusses implications for telehealth and policy measures addressing the digital divide.
Author(s): Sophia N. D. Negaro, Rachel M. Hantman, Janice C. Probst, et al.
Citation: Health Affairs Scholar, 1(6)
Date: 12/2023
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Evaluated distance to mental health services, household crowdedness, and access to technology and broadband alongside rurality to determine barriers to mental healthcare for both rural and urban residents in 31,924 ZIP Code Tabulation Areas (ZCTAs). Discusses implications for telehealth and policy measures addressing the digital divide.
Author(s): Sophia N. D. Negaro, Rachel M. Hantman, Janice C. Probst, et al.
Citation: Health Affairs Scholar, 1(6)
Date: 12/2023
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Participation in a Medicare Advanced Primary Care Model and the Delivery of High-Value Services
Examines if participation in the Comprehensive Primary Care Plus Initiative (CPC+) impacted the high-value services delivered by primary care providers. Utilizes multiple national data sets to estimate the association of CPC+ and services such as annual wellness visits (AWVs), advance care planning (ACP), flu shots, tobacco prevention counseling, and depression screening. Provides data on intervention groups and comparison groups by patient demographics as well as provider demographics, specialty, and location, including urban, large rural, small rural, and isolated rural.
Author(s): Fang He, Angela Gasdaska, Lindsay White, Yan Tang, Chris Beadles
Citation: Health Services Research, 58(6), 1266-1291
Date: 12/2023
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Examines if participation in the Comprehensive Primary Care Plus Initiative (CPC+) impacted the high-value services delivered by primary care providers. Utilizes multiple national data sets to estimate the association of CPC+ and services such as annual wellness visits (AWVs), advance care planning (ACP), flu shots, tobacco prevention counseling, and depression screening. Provides data on intervention groups and comparison groups by patient demographics as well as provider demographics, specialty, and location, including urban, large rural, small rural, and isolated rural.
Author(s): Fang He, Angela Gasdaska, Lindsay White, Yan Tang, Chris Beadles
Citation: Health Services Research, 58(6), 1266-1291
Date: 12/2023
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