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Rural Health
Resources by Topic: Service delivery models

Disparities in Virtual Cardiology Visits Among Veterans Health Administration Patients During the COVID-19 Pandemic
Presents the results of a study to determine how the COVID-19 pandemic, during the first year, influenced the digital divide for patients using virtual and video-based care in Veterans Health Administration (VA) cardiology clinics across the U.S. Study examined sociodemographic and clinical characteristics, drive time to care, geographic location – rural and urban – and encounter type to determine changes in access to care by video, phone, and face-to-face.
Author(s): Rebecca L Tisdale, Jacqueline Ferguson, James Van Campen, et al.
Citation: JAMIA Open, 5(4)
Date: 12/2022
Type: Document
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Comparison of In-Person vs. Telebehavioral Health Outcomes from Rural Populations Across America
Examines the efficacy of 2 federal behavioral health grant programs in reducing depression and anxiety in patients, comparing telehealth and in-person modalities in rural areas. Analyzes data from 1,514 patients participating in grant programs between 2017 and 2021 and their associated behavioral health modality. Includes demographic breakdowns by age, sex, race/ethnicity, and insurance status.
Author(s): Carly McCord, Fred Ullrich, Kimberly A. S. Merchant, et al.
Citation: BMC Psychiatry, 22, 778
Date: 12/2022
Type: Document
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Addressing Behavioral Health Workforce Needs in Kansas
Examines the behavioral health workforce in Kansas by age and rural versus urban geographic distribution. Includes data on population to provider ratios for psychiatrists and licensed special clinical social workers (LSCSWs). Discusses strategies to reduce behavioral workforce shortages such as the utilization of telehealth.
Author(s): Cynthia Snyder, Angela Wu, Hina B. Shah, Wen-Chieh Lin
Date: 12/2022
Type: Website
Sponsoring organization: Kansas Health Institute
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Florence County Alcohol & Other Drug Abuse and Mental Health Coalition - Increasing Community Capacity and Resources through Partnership
Details a community effort to address substance use and mental health issues in rural Florence County, WI. Highlights the coalition's efforts to address the behavioral health of the county's youth and families through school-based efforts and discusses how collective action can address behavioral health issues in rural communities.
Date: 12/2022
Type: Document
Sponsoring organizations: Bright Research Group, County Health Rankings & Roadmaps
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Rural Health Network Development Planning Program: 2022 Grantee Directory
Detailed descriptions of 23 Rural Health Network Development Planning Program grant projects funded in fiscal year 2022. Lists grantees by organization type and focus area, including topics such as network organization and infrastructure development, health system efficiencies, integrated service delivery, and behavioral health. Includes grantee profiles describing their programs and network structures, geographic areas served, network partners, and contacts for each network.
Date: 12/2022
Type: Document
Sponsoring organization: Federal Office of Rural Health Policy
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CMS Innovation Center: 2022 Report to Congress
Reports to Congress on payment and service delivery models and initiatives tested or announced by the Center for Medicare and Medicaid Innovation between October 2020 and September 2022. Includes summaries and updates on multiple rural-relevant models and initiatives, including Community Health Access and Rural Transformation (CHART) Model, the Pennsylvania Rural Health Model (PARHM), the Vermont All-Payer Accountable Care Organization Model, and more.
Date: 12/2022
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Health Care Access in the Heartland: How to Improve Services in Rural America
Outlines strategies policymakers and community leaders in rural America can use to improve health care access and services. Combines data analysis of county demographics and health data with focus groups in Arkansas, Kansas, Kentucky, Missouri, Oklahoma and Tennessee and expert interviews, to better understand health care access in rural communities.
Author(s): Darren Chapman, Angie Cooper, Elizabeth Dombowsky, et al.
Date: 12/2022
Type: Document
Sponsoring organization: Heartland Forward
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RHC Regulatory Updates & Good Faith Estimate (GFE) Policy
Recording of a December 7, 2022, webinar providing an overview of telehealth payment rates for Rural Health Clinics (RHCs) and other regulatory updates and potential changes for 2023. Discusses price transparency in healthcare and good faith estimate requirements for RHCs. Includes links to good faith estimate resources. Part of the Rural Health Clinic Technical Assistance Series.
Additional links: Presentation Slides, Transcript
Date: 12/2022
Type: Document
Sponsoring organization: National Association of Rural Health Clinics
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Preserve Telehealth Access Act of 2021: Telehealth Recommendations
Offers policy recommendations related to Maryland's Preserve Telehealth Access Act of 2021, including recommendations related to provider options to deliver care via telehealth, audio-visual and audio-only delivery, remote patient monitoring, hospice care services, inpatient care, patient privacy, and reimbursement levels.
Author(s): Randolph S. Sergent, Ben Steffen
Date: 12/2022
Type: Document
Sponsoring organization: Maryland Health Care Commission
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Financial Impact of Telehealth: Rural Chief Financial Officer Perspectives
Explores how rural chief financial officers (CFOs) and hospital administrators perceive the financial impacts of telehealth in their facilities. Analyzes 30 interview responses from CFOs and administrators between October 2021 and January 2022 about the perceived benefits and challenges of telehealth programs. Discusses opportunities to improve telehealth infrastructure to make the modality more cost effective for hospitals.
Author(s): Lori Uscher-Pines, Jessica L. Sousa, Kori S. Zachrison, Lee Schwamm, Ateev Mehrotra
Citation: The American Journal of Managed Care, 28(12)
Date: 12/2022
Type: Document
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