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Rural Health Information Hub

Rural Health
Resources by Topic: Service delivery models

Medicaid & State Telehealth Policy – Medicaid Telehealth Policy & Substance Use Disorder
Webinar covering state and federal Medicaid telehealth policy for the treatment of substance use disorder (SUD). Offers an overview of telehealth, its expansion during the COVID-19 pandemic, and its application in SUD treatment with examples from Arkansas and Philadelphia. Also covers research on disparities in drug-related mortality and access to treatment during the pandemic. Captions are available by clicking "CC" at the bottom of the video pane.
Additional links: Presentation Slides
Date: 06/2022
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
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Introduction to Improving Telehealth and Virtual Care for Pain Management and Opioid/Substance Use Disorder
Summarizes a meeting of the Pain Management Guidelines and Evidence Standards (PM) and Prevention, Treatment, and Recovery Services (PTR) Working Groups of the National Academy of Medicine's Action Collaborative on Countering the U.S. Opioid Epidemic. Discusses telehealth flexibilities during the COVID-19 public health emergency, telehealth use for pain management, and telehealth-based treatment of opioid and substance use disorders.
Date: 06/2022
Sponsoring organization: National Academy of Medicine
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The Pennsylvania Rural Health Model (PARHM): Second Annual Evaluation Report
Evaluates the second year of the Pennsylvania Rural Health Model (PARHM), an initiative designed to test if global budgets can help rural hospitals improve their financial viability, provide flexibility to meet locally defined community health needs, and reduce overall healthcare spending. Provides an overview of the model and describes the implementation experience of participating hospitals and payers. Presents a descriptive quantitative assessment of financial performance, spending and utilization, access to care, and quality of care outcomes during the second performance year.
Additional links: Appendix, Findings at a Glance
Date: 06/2022
Sponsoring organizations: Centers for Medicare and Medicaid Services, NORC at the University of Chicago
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48th Annual Arizona Rural Health Conference
Offers an agenda and presentation slides from the 2022 Arizona Rural Health Conference. Covers a variety of topics including workforce issues, health disparities, community partnerships, and more.
Date: 06/2022
Sponsoring organization: Arizona Center for Rural Health
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The Appalachia Mind Health Initiative (AMHI): A Pragmatic Randomized Clinical Trial of Adjunctive Internet-Based Cognitive Behavior Therapy for Treating Major Depressive Disorder among Primary Care Patients
Describes a planned study to evaluate a trial program to address major depressive disorder (MDD) among 3,360 enrolled patients across West Virginia through internet-based cognitive behavior therapy (CBT). Discusses the need for MDD care in rural states and offers an overview of the study's design and methodology.
Author(s): Robert M. Bossarte, Ronald C. Kessler, Andrew A. Nierenberg, et al.
Citation: Trials, 23, 520
Date: 06/2022
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Answering The Call: 988 - A New Vision for Crisis Response
Discuss three areas important to implementing the 988 mental health crisis response number and behavioral health crisis response: interagency collaboration, the behavioral health workforce, and financing. Offers policy recommendations for developing a comprehensive crisis response system. Discusses rural considerations and challenges throughout.
Date: 06/2022
Sponsoring organization: Bipartisan Policy Center
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Insurance Type Is the Top Predictor of Telehealth Use as Adoption Levels Off Long-Term
Brief presenting data on rates of outpatient telehealth use by encounter type, rural and metro location, and insurance type based on provider-reported 2020 data from Cosmos.
Author(s): Christopher Alban, Alissa MacGibbon, Tim Keogh, et al.
Date: 06/2022
Sponsoring organization: Epic Research
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Staving Off One's Mortality: Rural Kidney Health and Its Disparities
Describes rural disparities around access to disease-stabilizing treatment for kidney disease and to renal replacement therapies. Features insights from providers serving rural patients, as well as a rural kidney transplant recipient sharing her experience.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 06/2022
Sponsoring organization: Rural Health Information Hub
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Report to Congress on Medicaid and CHIP, June 2022
Semi-annual report to Congress from the Medicaid and CHIP Payment and Access Commission (MACPAC). Discusses access to care, the oversight and transparency of managed care directed payments, access to vaccines for adult Medicaid beneficiaries, how Medicaid policy can be used to support the adoption of health IT among behavioral health providers, care integration for people who are dually eligible for Medicaid and Medicare, and advancing health equity in Medicaid. Includes rural references throughout.
Date: 06/2022
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Association of Financial Factors and Telemedicine Adoption for Heart Attack and Stroke Care Among Rural and Urban Hospitals: A Longitudinal Study
Examines the adoption of telemedicine for cardiac and stroke care in rural and urban hospitals between 2012 and 2017. Analyzes indicators for telemedicine adoption with a focus on hospital profitability and geographic location. Includes data on 4,108 hospitals across the U.S., such as academic centers, Critical Access Hospitals, and general medical, among other hospital types, as well as breakdowns of hospital characteristics by rural versus urban location.
Author(s): Amir Alishahi Tabriz, Kea Turner, Dunc Williams Jr., et al.
Citation: Telemedicine and e-Health, 28(6), 781-788
Date: 06/2022
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