Rural Health
Resources by Topic: Service delivery models
Certain Medicare Beneficiaries, Such as Urban and Hispanic Beneficiaries, Were More Likely Than Others To Use Telehealth During the First Year of the COVID-19 Pandemic
Data brief examining telehealth usage by Medicare beneficiaries during the first year of the COVID-19 pandemic, noting rural and urban differences, state-level trends, and usage by race/ethnicity and age according to Medicare Advantage and fee-for-service claims data. Offers policy recommendations and agency responses.
Date: 09/2022
Sponsoring organization: Office of Inspector General (HHS)
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Data brief examining telehealth usage by Medicare beneficiaries during the first year of the COVID-19 pandemic, noting rural and urban differences, state-level trends, and usage by race/ethnicity and age according to Medicare Advantage and fee-for-service claims data. Offers policy recommendations and agency responses.
Date: 09/2022
Sponsoring organization: Office of Inspector General (HHS)
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MedPAC Comment on CMS's Proposed Rule on the Physician Fee Schedule and Other Revisions to Part B for CY 2023
Comment on a July 29, 2022, Federal Register proposed rule revising the physician fee schedule to improve payment systems for physicians and other Medicare Part B revisions. Includes a discussion of the coverage of certain telehealth services after the COVID-19 public health emergency, as well as rebasing and revising the Medicare Economic Index (MEI).
Date: 09/2022
Sponsoring organization: Medicare Payment Advisory Commission
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Comment on a July 29, 2022, Federal Register proposed rule revising the physician fee schedule to improve payment systems for physicians and other Medicare Part B revisions. Includes a discussion of the coverage of certain telehealth services after the COVID-19 public health emergency, as well as rebasing and revising the Medicare Economic Index (MEI).
Date: 09/2022
Sponsoring organization: Medicare Payment Advisory Commission
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Broadband Internet Subscription Rates and Opioid Prescribing via Telemedicine During the COVID-19 Pandemic
Explores the effect of the DEA's temporary permission for providers to prescribe opioids via telehealth during the COVID-19 pandemic in Kentucky. Discusses the effect this permission had on rural areas and in counties with low and high rates of broadband access.
Author(s): Douglas R. Oyler, Svetla Slavova, Patricia R. Freeman, et al.
Citation: Journal of Rural Health, 38(4), 900-907
Date: 09/2022
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Explores the effect of the DEA's temporary permission for providers to prescribe opioids via telehealth during the COVID-19 pandemic in Kentucky. Discusses the effect this permission had on rural areas and in counties with low and high rates of broadband access.
Author(s): Douglas R. Oyler, Svetla Slavova, Patricia R. Freeman, et al.
Citation: Journal of Rural Health, 38(4), 900-907
Date: 09/2022
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Telehealth Reimbursement Guide for California, 2022 Edition
Provides an overview of telehealth and explains telehealth reimbursement criteria for Medicare, Medi-Cal, and other insurance programs in California. Includes specific information for Critical Access Hospitals, Rural Health Clinics, and Federally Qualified Health Centers.
Date: 09/2022
Sponsoring organization: California Telehealth Resource Center
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Provides an overview of telehealth and explains telehealth reimbursement criteria for Medicare, Medi-Cal, and other insurance programs in California. Includes specific information for Critical Access Hospitals, Rural Health Clinics, and Federally Qualified Health Centers.
Date: 09/2022
Sponsoring organization: California Telehealth Resource Center
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Disability and Telehealth since the COVID-19 Pandemic
Discusses the importance of telehealth for people with disabilities in context of the COVID-19 public health emergency. Describes telehealth's benefits and barriers for individuals as well as institutional advantages and limitations, including discussion of increased need and accessibility issues in rural areas. Describes specific policy and funding modifications during the public health emergency. Provides policy and infrastructure recommendations.
Author(s): Natalie Lawson, Jaque King, Robyn Rontal
Date: 08/2022
Sponsoring organization: Center for Health and Research Transformation at the University of Michigan (CHRT)
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Discusses the importance of telehealth for people with disabilities in context of the COVID-19 public health emergency. Describes telehealth's benefits and barriers for individuals as well as institutional advantages and limitations, including discussion of increased need and accessibility issues in rural areas. Describes specific policy and funding modifications during the public health emergency. Provides policy and infrastructure recommendations.
Author(s): Natalie Lawson, Jaque King, Robyn Rontal
Date: 08/2022
Sponsoring organization: Center for Health and Research Transformation at the University of Michigan (CHRT)
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Telehealth Brings Important Services to Rural Long-Term Care Facilities
Discusses the benefits of telehealth services for residents and staff of rural long-term care facilities. Identifies some of the challenges related to providing these services. Features a New Hampshire skilled nursing facility providing telemental health services, and a Virginia geriatrician helping long-term care facilities address COVID-19 via Project ECHO educational sessions.
Author(s): Allee Mead
Citation: Rural Monitor
Date: 08/2022
Sponsoring organization: Rural Health Information Hub
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Discusses the benefits of telehealth services for residents and staff of rural long-term care facilities. Identifies some of the challenges related to providing these services. Features a New Hampshire skilled nursing facility providing telemental health services, and a Virginia geriatrician helping long-term care facilities address COVID-19 via Project ECHO educational sessions.
Author(s): Allee Mead
Citation: Rural Monitor
Date: 08/2022
Sponsoring organization: Rural Health Information Hub
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Adoption of Telemedicine in a Rural US Cancer Center Amid the COVID-19 Pandemic: Qualitative Study
Describes the implementation of telemedicine in outpatient oncology clinics affiliated with the Dartmouth Cancer Center that serve rural patients. Discusses findings from interviews with staff, specialty providers, and practice managers, noting challenges to implementation, the need for guidance, and concerns about communication quality.
Author(s): Matthew Mackwood, Rebecca Butcher, Danielle Vaclavik, et al.
Citation: JMIR Cancer, 8(3), e33768
Date: 08/2022
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Describes the implementation of telemedicine in outpatient oncology clinics affiliated with the Dartmouth Cancer Center that serve rural patients. Discusses findings from interviews with staff, specialty providers, and practice managers, noting challenges to implementation, the need for guidance, and concerns about communication quality.
Author(s): Matthew Mackwood, Rebecca Butcher, Danielle Vaclavik, et al.
Citation: JMIR Cancer, 8(3), e33768
Date: 08/2022
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Health Panel Comment Letter – Medicare Advantage Program
Offers comments in response to the Centers for Medicare & Medicaid Services (CMS) Request for Information on various aspects of the Medicare Advantage (MA) program. Presents a rural perspective on the MA program and discusses health equity in the MA program, expanding access to care, and value-based contracting. Includes data on the proportion of MA plans offering supplemental benefits in noncore, micropolitan, and metropolitan counties in 2020.
Date: 08/2022
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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Offers comments in response to the Centers for Medicare & Medicaid Services (CMS) Request for Information on various aspects of the Medicare Advantage (MA) program. Presents a rural perspective on the MA program and discusses health equity in the MA program, expanding access to care, and value-based contracting. Includes data on the proportion of MA plans offering supplemental benefits in noncore, micropolitan, and metropolitan counties in 2020.
Date: 08/2022
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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Perceptions of How Integrated Care Impacts Treatment in Rural Settings
Examines provider perceptions when working in rural integrated care contexts. Analyzes 8 interviews from primary and behavioral health professionals in Ohio, Maine, and Tennessee about their experiences on integrated care teams and discusses themes such as healthcare access, interprofessional education, and provider communication.
Author(s): Dawn Graham, Samantha Nandyal, Salonas Ayad
Citation: Ohio Journal of Public Health, 5(1), 79-84
Date: 08/2022
Sponsoring organization: Ohio Public Health Association
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Examines provider perceptions when working in rural integrated care contexts. Analyzes 8 interviews from primary and behavioral health professionals in Ohio, Maine, and Tennessee about their experiences on integrated care teams and discusses themes such as healthcare access, interprofessional education, and provider communication.
Author(s): Dawn Graham, Samantha Nandyal, Salonas Ayad
Citation: Ohio Journal of Public Health, 5(1), 79-84
Date: 08/2022
Sponsoring organization: Ohio Public Health Association
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Integrated Care for Kids (InCK) Model Evaluation: Report 1
Presents findings from the 2020-2021 pre-implementation period of the Integrated Care for Kids (InCK) Model, which aims to improve health outcomes for Medicaid-enrolled children with complex physical and behavioral health needs. Provides an overview of the InCK Model and profiles each InCK award recipient's model, community context, planned approach, and progress with implementing the model. Identifies models serving rural areas and service gaps in these areas.
Additional links: Findings at a Glance
Date: 08/2022
Sponsoring organizations: Abt Associates, Centers for Medicare and Medicaid Services
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Presents findings from the 2020-2021 pre-implementation period of the Integrated Care for Kids (InCK) Model, which aims to improve health outcomes for Medicaid-enrolled children with complex physical and behavioral health needs. Provides an overview of the InCK Model and profiles each InCK award recipient's model, community context, planned approach, and progress with implementing the model. Identifies models serving rural areas and service gaps in these areas.
Additional links: Findings at a Glance
Date: 08/2022
Sponsoring organizations: Abt Associates, Centers for Medicare and Medicaid Services
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