Rural Health
Resources by Topic: Service delivery models
Availability of Mental Telehealth Services in the US
Examines availability, wait times, and service features of mental telehealth services across demographic and geographical characteristics. Analyzes mental health treatment facilities (MHTFs) across the U.S. and provides data on mental health conditions treated, types of services used, and facility and county characteristics of MHTFs, including metro versus nonmetro location.
Author(s): Jonathan Cantor, Megan S. Schuler, Samantha Matthews, et al.
Citation: JAMA Health Forum, 5(2)
Date: 02/2024
Type: Document
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Examines availability, wait times, and service features of mental telehealth services across demographic and geographical characteristics. Analyzes mental health treatment facilities (MHTFs) across the U.S. and provides data on mental health conditions treated, types of services used, and facility and county characteristics of MHTFs, including metro versus nonmetro location.
Author(s): Jonathan Cantor, Megan S. Schuler, Samantha Matthews, et al.
Citation: JAMA Health Forum, 5(2)
Date: 02/2024
Type: Document
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Critical Access Hospital Telehealth Guide
Provides practical guidance on implementing and sustaining telehealth in Critical Access Hospitals, to optimize healthcare delivery, expand access, enhance care coordination, and address health inequity. Focuses on Medicare outpatient telehealth services, but also includes information on Medicaid coverage and remote services that may not strictly be considered telehealth.
Date: 02/2024
Type: Document
Sponsoring organizations: National Rural Health Resource Center, Northwest Regional Telehealth Resource Center
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Provides practical guidance on implementing and sustaining telehealth in Critical Access Hospitals, to optimize healthcare delivery, expand access, enhance care coordination, and address health inequity. Focuses on Medicare outpatient telehealth services, but also includes information on Medicaid coverage and remote services that may not strictly be considered telehealth.
Date: 02/2024
Type: Document
Sponsoring organizations: National Rural Health Resource Center, Northwest Regional Telehealth Resource Center
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Mapping AHRQ's 30-Year Investment in Primary Care Research (1990-2020)
Reports on Agency for Healthcare Research and Quality (AHRQ) primary care research and its impacts on care delivery from 1990 to 2020. Discusses healthcare quality, equity, care models, person-centered care, workforce, technology, and more. Highlights rural-focused programs and research.
Author(s): M. Rockwell, J. Holtrop, A. Eden, et al.
Date: 01/2024
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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Reports on Agency for Healthcare Research and Quality (AHRQ) primary care research and its impacts on care delivery from 1990 to 2020. Discusses healthcare quality, equity, care models, person-centered care, workforce, technology, and more. Highlights rural-focused programs and research.
Author(s): M. Rockwell, J. Holtrop, A. Eden, et al.
Date: 01/2024
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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Medicaid Coverage of Medications to Reverse Opioid Overdose and Treat Alcohol and Opioid Use Disorders
Report discusses access to medications for treating alcohol use disorder (AUD) and opioid use disorder (OUD) via Medicaid. Highlights policies and regulations that effect access and details Medicaid coverage in all 50 states, the District of Columbia, the U.S Virgin Islands, and Puerto Rico. Features a discussion about rural access.
Date: 01/2024
Type: Document
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Report discusses access to medications for treating alcohol use disorder (AUD) and opioid use disorder (OUD) via Medicaid. Highlights policies and regulations that effect access and details Medicaid coverage in all 50 states, the District of Columbia, the U.S Virgin Islands, and Puerto Rico. Features a discussion about rural access.
Date: 01/2024
Type: Document
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Implementation Costs of Technology-Enhanced Transitional Palliative Care for Rural Caregivers
Examines the feasibility and sustainability of a family caregiver-focused transitional palliative care intervention that uses telehealth technologies. Presents results of a budget impact analysis of a randomized control trial, community-dwelling rural caregivers of hospitalized patients with a serious, life-limiting illness and receiving palliative care during hospitalization. Describes potential reimbursement mechanisms available to offset health system costs to providing transitional palliative care to support caregivers, including transitional care management and chronic care management service reimbursement.
Author(s): Brystana G. Kaufman, Diane E. Holland, Catherine E. Vanderboom, Cory Ingram, et al.
Citation: American Journal of Hospice and Palliative Care, 41(1), 38-44
Date: 01/2024
Type: Document
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Examines the feasibility and sustainability of a family caregiver-focused transitional palliative care intervention that uses telehealth technologies. Presents results of a budget impact analysis of a randomized control trial, community-dwelling rural caregivers of hospitalized patients with a serious, life-limiting illness and receiving palliative care during hospitalization. Describes potential reimbursement mechanisms available to offset health system costs to providing transitional palliative care to support caregivers, including transitional care management and chronic care management service reimbursement.
Author(s): Brystana G. Kaufman, Diane E. Holland, Catherine E. Vanderboom, Cory Ingram, et al.
Citation: American Journal of Hospice and Palliative Care, 41(1), 38-44
Date: 01/2024
Type: Document
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Exploring Telemental Health Practice Before, During, and After the COVID-19 Pandemic
Presents a study on the use of telemedicine by mental health providers since the COVID-19 pandemic. Highlights the expansion of telemental health during the pandemic and how that expansion has continued in the aftermath. Breaks down data by patient and provider characteristics, as well as the rurality of providers and of the area served.
Author(s): Demi Zhu, Samantha R Paige, Henry Slone, et al.
Citation: Journal of Telemedicine and Telecare, 30(1), 72-78
Date: 01/2024
Type: Document
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Presents a study on the use of telemedicine by mental health providers since the COVID-19 pandemic. Highlights the expansion of telemental health during the pandemic and how that expansion has continued in the aftermath. Breaks down data by patient and provider characteristics, as well as the rurality of providers and of the area served.
Author(s): Demi Zhu, Samantha R Paige, Henry Slone, et al.
Citation: Journal of Telemedicine and Telecare, 30(1), 72-78
Date: 01/2024
Type: Document
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AHIP Value-Based Care Workgroup
Presentation slides from a January 23, 2024, presentation to the AHIP Value-Based Care Workgroup. Provides an overview of rural healthcare. Discusses rural-relevant engagement and rural value-based care and payment model design considerations. Highlights examples of rural providers successfully participating in value-based payment programs, including Medicare Shared Savings Programs and Accountable Care Organizations (ACOs).
Date: 01/2024
Type: Presentation Slides
Sponsoring organization: Rural Health Value
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Presentation slides from a January 23, 2024, presentation to the AHIP Value-Based Care Workgroup. Provides an overview of rural healthcare. Discusses rural-relevant engagement and rural value-based care and payment model design considerations. Highlights examples of rural providers successfully participating in value-based payment programs, including Medicare Shared Savings Programs and Accountable Care Organizations (ACOs).
Date: 01/2024
Type: Presentation Slides
Sponsoring organization: Rural Health Value
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States Advancing All-Payer Health Equity Approaches and Development (AHEAD) Model
Recording of a January 29, 2024, webinar regarding the Centers for Medicare & Medicaid Services' States Advancing All-Payer Health Equity Approaches and Development (AHEAD) Model. Discusses the AHEAD Model's timeline, key elements, opportunities, and requirements from a rural perspective. Identifies potential implications for rural hospital and primary care participation.
Additional links: Presentation Slides
Author(s): Clint MacKinney
Date: 01/2024
Type: Document
Sponsoring organization: Rural Health Value
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Recording of a January 29, 2024, webinar regarding the Centers for Medicare & Medicaid Services' States Advancing All-Payer Health Equity Approaches and Development (AHEAD) Model. Discusses the AHEAD Model's timeline, key elements, opportunities, and requirements from a rural perspective. Identifies potential implications for rural hospital and primary care participation.
Additional links: Presentation Slides
Author(s): Clint MacKinney
Date: 01/2024
Type: Document
Sponsoring organization: Rural Health Value
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Fortifying Community Health Centers: Fostering Community Resilience, Equitable Response, and Disaster Preparedness
Discusses the impact of community health centers, with a focus on the diverse patients they serve, the low-cost/high-quality healthcare, and the ability to serve patients with complex needs. Includes discussion on disaster response, care coordination, and policies, such as those related to telehealth, that affect community health center work.
Date: 01/2024
Type: Document
Sponsoring organizations: Association of Clinicians for the Underserved, Healthcare Ready
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Discusses the impact of community health centers, with a focus on the diverse patients they serve, the low-cost/high-quality healthcare, and the ability to serve patients with complex needs. Includes discussion on disaster response, care coordination, and policies, such as those related to telehealth, that affect community health center work.
Date: 01/2024
Type: Document
Sponsoring organizations: Association of Clinicians for the Underserved, Healthcare Ready
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A Federally Qualified Health Center and Certified Community Behavioral Health Clinic Partnership in Rural Missouri
Case study describing a medication for opioid use disorder (MOUD) program partnership between a Federally Qualified Health Center and a certified community behavioral health clinic in rural southwest Missouri. Covers the infrastructure of the MOUD program, staffing and services, financing, and more. Highlights challenges and successes, as well as recommendations for other health centers interested in a similar partnership.
Author(s): Ashley Jasko, Meryl Schulman
Date: 01/2024
Type: Document
Sponsoring organization: Center for Health Care Strategies
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Case study describing a medication for opioid use disorder (MOUD) program partnership between a Federally Qualified Health Center and a certified community behavioral health clinic in rural southwest Missouri. Covers the infrastructure of the MOUD program, staffing and services, financing, and more. Highlights challenges and successes, as well as recommendations for other health centers interested in a similar partnership.
Author(s): Ashley Jasko, Meryl Schulman
Date: 01/2024
Type: Document
Sponsoring organization: Center for Health Care Strategies
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