Rural Health
Resources by Topic: Service delivery models
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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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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Home Health Agencies: CMS Flexibilities to Fight COVID-19
Outlines specific regulatory waivers and Medicare flexibilities for home health agencies issued in response to the COVID-19 pandemic. Includes information on 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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Outlines specific regulatory waivers and Medicare flexibilities for home health agencies issued in response to the COVID-19 pandemic. Includes information on 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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Mental Health Visits via Telecommunications for Rural Health Clinics & Federally Qualified Health Centers
Details regulatory changes for Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) regarding mental health visits provided through real-time audio-video and audio-only technologies. Includes information on coding for RHC and FQHC claims, in-person mental health visit requirements, and exceptions to the in-person requirement.
Date: 05/2023
Sponsoring organization: Centers for Medicare and Medicaid Services
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Details regulatory changes for Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) regarding mental health visits provided through real-time audio-video and audio-only technologies. Includes information on coding for RHC and FQHC claims, in-person mental health visit requirements, and exceptions to the in-person requirement.
Date: 05/2023
Sponsoring organization: Centers for Medicare and Medicaid Services
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Increased Wellness and Economic Return of Universal Broadband Infrastructure: A Telehealth Case Study of Ten Southern Rural Counties
Estimates the economic and health impacts of increased rural telehealth availability were broadband infrastructure and services universally available in 10 rural counties across Alabama, Georgia, and Mississippi. Calculates savings resulting from emergency department visits, lost productivity, preventable admissions, readmissions, and transportation costs for a variety of health conditions, and examines costs and strategies for increasing broadband infrastructure availability.
Author(s): Ry Marcattilio, Christopher Mitchell
Date: 04/2023
Sponsoring organizations: Institute for Local Self-Reliance (ILSR) Community Broadband Networks Initiative, Southern Rural Black Women's Initiative (SRBWI)
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Estimates the economic and health impacts of increased rural telehealth availability were broadband infrastructure and services universally available in 10 rural counties across Alabama, Georgia, and Mississippi. Calculates savings resulting from emergency department visits, lost productivity, preventable admissions, readmissions, and transportation costs for a variety of health conditions, and examines costs and strategies for increasing broadband infrastructure availability.
Author(s): Ry Marcattilio, Christopher Mitchell
Date: 04/2023
Sponsoring organizations: Institute for Local Self-Reliance (ILSR) Community Broadband Networks Initiative, Southern Rural Black Women's Initiative (SRBWI)
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Challenges and Recommendations for Improving Access to Evidence-Based COPD Management among Rural Veterans: Rural Primary Care Provider Perspectives
Highlights a study on the perspectives of primary care providers serving rural veterans on the challenges of providing evidence-based COPD management care in rural communities. Details key barriers and makes policy recommendations.
Author(s): Talitha Wilson, R. Adams Dudley, Ken M. Kunisaki, et al.
Citation: Journal of General Internal Medicine, 38, 2843-2845
Date: 04/2023
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Highlights a study on the perspectives of primary care providers serving rural veterans on the challenges of providing evidence-based COPD management care in rural communities. Details key barriers and makes policy recommendations.
Author(s): Talitha Wilson, R. Adams Dudley, Ken M. Kunisaki, et al.
Citation: Journal of General Internal Medicine, 38, 2843-2845
Date: 04/2023
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Implications of COVID-19 on Safety-Net Oral Health Services
Examines COVID-19 pandemic impacts on Federally Qualified Health Centers (FQHCs) and other safety-net dental providers. Describes the challenges safety-net providers face in delivering care to underserved and rural communities, and examines impacts on safety-net providers offering oral health services through mobile programs. Features statistics on FQHCs offering oral health services, with breakdowns by region.
Author(s): Margaret Langelier, Simona Surdu, Theekshana Fernando, Sai Sindhura Gundavarapu, Alex Romero
Date: 04/2023
Sponsoring organization: Oral Health Workforce Research Center
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Examines COVID-19 pandemic impacts on Federally Qualified Health Centers (FQHCs) and other safety-net dental providers. Describes the challenges safety-net providers face in delivering care to underserved and rural communities, and examines impacts on safety-net providers offering oral health services through mobile programs. Features statistics on FQHCs offering oral health services, with breakdowns by region.
Author(s): Margaret Langelier, Simona Surdu, Theekshana Fernando, Sai Sindhura Gundavarapu, Alex Romero
Date: 04/2023
Sponsoring organization: Oral Health Workforce Research Center
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Best Practices for COVID-19 Vaccination and Testing
Summarizes findings of an environmental scan of testing and vaccination policies and programs serving people who are medically or socially at disproportionate risk for COVID-19 and related adverse outcomes. Identifies populations at disproportionate risk, including rural residents, and their barriers to COVID-19 testing, COVID-19 vaccination, and routine vaccination. Describes programs that aim to overcome these barriers and increase access to testing and vaccination services. Discuss the implications of these programs' strategies and approaches for future pandemics and public health crises.
Date: 04/2023
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, Mathematica
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Summarizes findings of an environmental scan of testing and vaccination policies and programs serving people who are medically or socially at disproportionate risk for COVID-19 and related adverse outcomes. Identifies populations at disproportionate risk, including rural residents, and their barriers to COVID-19 testing, COVID-19 vaccination, and routine vaccination. Describes programs that aim to overcome these barriers and increase access to testing and vaccination services. Discuss the implications of these programs' strategies and approaches for future pandemics and public health crises.
Date: 04/2023
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, Mathematica
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Challenges and Solutions for Disaster Behavioral Health in Rural and Remote Communities
Describes the scope and diversity of rural and remote populations across the nation, highlighting sources of strength and struggle, including the effects of stigma, for rural Americans and rural healthcare providers. Explores potential approaches to disaster behavioral health in rural and remote areas, including governmental and policy approaches, community-based approaches, and telemedicine.
Date: 04/2023
Sponsoring organization: SAMHSA Disaster Technical Assistance Center
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Describes the scope and diversity of rural and remote populations across the nation, highlighting sources of strength and struggle, including the effects of stigma, for rural Americans and rural healthcare providers. Explores potential approaches to disaster behavioral health in rural and remote areas, including governmental and policy approaches, community-based approaches, and telemedicine.
Date: 04/2023
Sponsoring organization: SAMHSA Disaster Technical Assistance Center
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Evaluation of the Maternal Opioid Misuse (MOM) Model Second Annual Report (Implementation Year 1)
Provides an overview of the Maternal Opioid Misuse Model, which provides evidence-based integrated care and care coordination for pregnant and postpartum Medicaid beneficiaries with opioid use disorder (OUD). Describes activities MOM Model awardees undertook during the MOM Model's first implementation year, July 1, 2021–June 30, 2022. Discusses barriers pregnant and postpartum people with OUD face in accessing high-quality, continuous care, specifically in rural areas.
Additional links: Findings at a Glance
Date: 04/2023
Sponsoring organizations: Centers for Medicare and Medicaid Services, Insight Policy Research
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Provides an overview of the Maternal Opioid Misuse Model, which provides evidence-based integrated care and care coordination for pregnant and postpartum Medicaid beneficiaries with opioid use disorder (OUD). Describes activities MOM Model awardees undertook during the MOM Model's first implementation year, July 1, 2021–June 30, 2022. Discusses barriers pregnant and postpartum people with OUD face in accessing high-quality, continuous care, specifically in rural areas.
Additional links: Findings at a Glance
Date: 04/2023
Sponsoring organizations: Centers for Medicare and Medicaid Services, Insight Policy Research
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Comparative Effectiveness of 2 Interventions to Increase Breast, Cervical, and Colorectal Cancer Screening Among Women in the Rural US: A Randomized Clinical Trial
Evaluated the effectiveness of remote interventions compared to the standard care protocols for cancer screenings in 963 Indiana and Ohio women between 50 and 74 years old. Discusses cost-effectiveness compared to increased screening odds and the impact on health outcomes, particularly mortality.
Author(s): Victoria L. Champion, Electra D. Paskett, Timothy E. Stump, Erika B. Biederman, Eric Vachon, et al.
Citation: JAMA Network Open, 6(4)
Date: 04/2023
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Evaluated the effectiveness of remote interventions compared to the standard care protocols for cancer screenings in 963 Indiana and Ohio women between 50 and 74 years old. Discusses cost-effectiveness compared to increased screening odds and the impact on health outcomes, particularly mortality.
Author(s): Victoria L. Champion, Electra D. Paskett, Timothy E. Stump, Erika B. Biederman, Eric Vachon, et al.
Citation: JAMA Network Open, 6(4)
Date: 04/2023
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