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Rural Health Information Hub

Rural Health
Resources by Topic: Service delivery models

Impact of the COVID-19 Pandemic on Cancer Patients in Western Pennsylvania: Rural–Urban Disparities
Examines the impact of COVID-19 and related concerns on cancer patients in rural and urban areas of Pennsylvania. Analyzes a sample of 1,980 patient surveys from August-December 2020 and March 2021 by patient perception of pandemic-related distress, cancer care, COVID-19 impact on personal health, and more. Includes rural versus urban data on COVID-19 concerns related to cancer care as well as demographic breakdowns.
Author(s): Kathryn Demanelis, Margaret Rosenzweig, Linda B. Robertson, et al.
Citation: Cancer Causes Control, 34(7), 595-609
Date: 05/2023
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Barriers to Rural Health Care From the Provider Perspective
Results of a study using data from interviews with 20 healthcare providers in rural areas of western Pennsylvania. Explores barriers to care, including cost and insurance, geographic dispersion, and provider shortage and burnout. Offers strategies for improvement, including use of telehealth, mobile clinics, and increased use of advanced practice providers.
Author(s): Avinash Maganty, Mary E. Byrnes, Megan Hamm, et al.
Citation: Rural and Remote Health, 23(2), 7769
Date: 05/2023
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State Medicaid and Private Telemedicine Coverage Requirements and Telemedicine Use, 2013–2019
Examines the association between state Medicaid and private telemedicine coverage requirements and live video-based telemedicine use by analyzing nationally representative survey data from the 2013–2019 Association of American Medical Colleges Consumer Survey of Health Care Access. Evaluates the impact of these requirements by rurality. Explores whether telemedicine coverage requirements were associated with healthcare access.
Author(s): Brandy J. Lipton, Michael F. Pesko
Citation: Health Services Research, 2023
Date: 05/2023
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Elevating Equity in Economic Development: Inclusive Recovery Toolkit and Inclusive Recovery Guide
Presents a framework for communities to elevate equity and inclusivity in economic development and recovery projects. Explores post-COVID-19 economic recovery strategies that support inclusive growth and equitable outcomes. Highlights example projects throughout the country. Features considerations for rural communities, including rural transportation and childcare projects.
Additional links: Interactive Toolkit
Date: 05/2023
Sponsoring organization: National Association of Development Organizations
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Montana Health Network Provides Care Coordination for Chronic Disease Management
Features a regional care coordination program serving eastern Montana that uses registered nurses to check in with adult patients with chronic conditions and connect them with any needed referrals or community resources.
Author(s): Allee Mead
Citation: Rural Monitor
Date: 05/2023
Sponsoring organization: Rural Health Information Hub
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Frequently Asked Questions: CMS Waivers, Flexibilities, and the End of the COVID-19 Public Health Emergency
Provides information related to COVID-19 flexibilities after the end of the COVID-19 public health emergency (PHE) that expired May 11, 2023. Addresses issues impacting Medicare, Medicaid, the Children's Health Insurance Program (CHIP), and private insurance including concerns related to COVID-19 vaccines and treatment, telehealth, and more. Includes information about which changes have ended, as well as end dates for those that extend after the PHE.
Date: 05/2023
Sponsoring organization: Centers for Medicare and Medicaid Services
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Association of Receipt of Opioid Use Disorder-Related Telehealth Services and Medications for Opioid Use Disorder with Fatal Drug Overdoses among Medicare Beneficiaries Before and During the COVID-19 Pandemic
Reports on a study to determine the benefits of expanding opioid use disorder (OUD) related telehealth services and remote prescribing of medications for opioid use disorder (MOUD) during the COVID-19 pandemic to reduce the number of fatalities due to drug overdose. Examines clinical and sociodemographic characteristics of Medicare fee-for-service beneficiaries with OUD by analyzing data on sex, age, county rural and urban status, death rates, disability, mental health diagnosis, chronic conditions, and other substance use disorders (SUDs).
Author(s): Christopher M. Jones, Carla Shoff, Carlos Blanco, et al.
Citation: JAMA Psychiatry, 80(5), 508–514
Date: 05/2023
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Marshall Browning Spotlight Video
Profiles Marshall Browning Hospital, a participant in the 2019 cohort of the Delta Region Community Health Systems Development Program (DRCHSD). Describes how shifting the Marshall Browning Hospital mission statement led to improvements to care coordination and transitional care services. Transcript available below description.
Date: 05/2023
Sponsoring organization: National Rural Health Resource Center
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Sparta Community Hospital Spotlight
Describes how the Sparta Community Hospital worked to identify the social determinants of health in its community. Discusses the addition of a mobile clinic to increase access to primary care, address barriers, and advance health equity. Transcript available below description.
Date: 05/2023
Sponsoring organization: National Rural Health Resource Center
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Hospice: CMS Flexibilities to Fight COVID-19
Outlines specific regulatory waivers and Medicare flexibilities for hospice providers issued in response to the COVID-19 pandemic. Includes information on payments for COVID-19 vaccines and therapeutics. Identifies whether each waiver or flexibility has been terminated, will end at the conclusion of the public health emergency, or has become permanent.
Date: 05/2023
Sponsoring organization: Centers for Medicare and Medicaid Services
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