Rural Health
Resources by Topic: Service delivery models
Environmental Scan on Issues Related to the Development of Population-Based Total Cost of Care (TCOC) Models in the Broader Context of Alternative Payment Models (APMs) and Physician-Focused Payment Models (PFPMs)
Presents results of an environmental scan regarding population-based total cost of care (TCOC) payment models and the role these models can play in optimizing health care delivery and value-based transformation in the context of alternative payment models (APMs) and physician-focused payment models (PFPMs). Provides an overview of TCOC payment models, relevant performance and outcome measures used in reporting and evaluation, findings from research related to population-based models and programs that seek to reduce TCOC, barriers and challenges related to implementing population-based TCOC models, and opportunities for improving and optimizing efforts to develop and implement these models. Highlights rural considerations and examples throughout.
Date: 03/2022
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Presents results of an environmental scan regarding population-based total cost of care (TCOC) payment models and the role these models can play in optimizing health care delivery and value-based transformation in the context of alternative payment models (APMs) and physician-focused payment models (PFPMs). Provides an overview of TCOC payment models, relevant performance and outcome measures used in reporting and evaluation, findings from research related to population-based models and programs that seek to reduce TCOC, barriers and challenges related to implementing population-based TCOC models, and opportunities for improving and optimizing efforts to develop and implement these models. Highlights rural considerations and examples throughout.
Date: 03/2022
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Mental Health Care: Access Challenges for Covered Consumers and Relevant Federal Efforts
Explores the experiences of consumers with health insurance coverage in accessing timely and appropriate mental healthcare. Describes challenges accessing mental health services, including workforce shortages and broadband availability in rural areas. Identifies ongoing and planned federal efforts to address these challenges.
Additional links: Full Report
Date: 03/2022
Sponsoring organization: Government Accountability Office
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Explores the experiences of consumers with health insurance coverage in accessing timely and appropriate mental healthcare. Describes challenges accessing mental health services, including workforce shortages and broadband availability in rural areas. Identifies ongoing and planned federal efforts to address these challenges.
Additional links: Full Report
Date: 03/2022
Sponsoring organization: Government Accountability Office
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VA Recommendations to the Asset and Infrastructure Review (AIR) Commission
Presents Department of Veterans Affairs' (VA) recommendations to the Asset and Infrastructure Review (AIR) Commission to modernize and realign the VA health care system. Recommendations cover investing in the VA outpatient care infrastructure, enhancing care for veterans with complex needs, providing equitable access to inpatient medical and surgical care, and strengthening the VA's ability to execute its education, research, and emergency preparedness missions. Volume I outlines the legislative history; the present and future of VA health care, including the access needs of rural veterans; the methodology used to conduct the market assessments; and a national summary of the recommendations. Volume II details the recommendations and is organized by the 18 Veterans Integrated Service Networks (VISNs).
Additional links: Appendices, Volume I, Volume II
Date: 03/2022
Sponsoring organization: U.S. Department of Veterans Affairs
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Presents Department of Veterans Affairs' (VA) recommendations to the Asset and Infrastructure Review (AIR) Commission to modernize and realign the VA health care system. Recommendations cover investing in the VA outpatient care infrastructure, enhancing care for veterans with complex needs, providing equitable access to inpatient medical and surgical care, and strengthening the VA's ability to execute its education, research, and emergency preparedness missions. Volume I outlines the legislative history; the present and future of VA health care, including the access needs of rural veterans; the methodology used to conduct the market assessments; and a national summary of the recommendations. Volume II details the recommendations and is organized by the 18 Veterans Integrated Service Networks (VISNs).
Additional links: Appendices, Volume I, Volume II
Date: 03/2022
Sponsoring organization: U.S. Department of Veterans Affairs
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Telehealth for FQHCs/RHCs: School-Based Telehealth
Offers a 3-part video series on school-based telehealth for Federally Qualified Health Centers (FQHCs) and Rural Health Clinics (RHCs). Topics covered in part 1 include school-based telehealth resources and opportunities; part 2 offers information on school-based health clinic benefits, program development, payment, and technology considerations; and part 3 covers school based primary care, integrated behavioral health, virtual learning, and evolution of telehealth services. If viewed through YouTube, transcripts are available below description.
Additional links: Telehealth for FQHCs/RHCs: School-Based Telehealth Part 2, Telehealth for FQHCs/RHCs: School-Based Telehealth Part 3
Date: 03/2022
Sponsoring organization: National Consortium of Telehealth Resource Centers
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Offers a 3-part video series on school-based telehealth for Federally Qualified Health Centers (FQHCs) and Rural Health Clinics (RHCs). Topics covered in part 1 include school-based telehealth resources and opportunities; part 2 offers information on school-based health clinic benefits, program development, payment, and technology considerations; and part 3 covers school based primary care, integrated behavioral health, virtual learning, and evolution of telehealth services. If viewed through YouTube, transcripts are available below description.
Additional links: Telehealth for FQHCs/RHCs: School-Based Telehealth Part 2, Telehealth for FQHCs/RHCs: School-Based Telehealth Part 3
Date: 03/2022
Sponsoring organization: National Consortium of Telehealth Resource Centers
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MedPAC Report to the Congress: Medicare Payment Policy, 2022
Annual review of Medicare payment policies, with recommendations to Congress. Includes discussion on Medicare payment policies directly affecting rural providers and beneficiaries. Addresses payment adequacy for healthcare facilities and services, improving Medicare payment for post-acute care, Medicare Advantage, Medicare Part D, and the impact of healthcare provider consolidation.
Date: 03/2022
Sponsoring organization: Medicare Payment Advisory Commission
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Annual review of Medicare payment policies, with recommendations to Congress. Includes discussion on Medicare payment policies directly affecting rural providers and beneficiaries. Addresses payment adequacy for healthcare facilities and services, improving Medicare payment for post-acute care, Medicare Advantage, Medicare Part D, and the impact of healthcare provider consolidation.
Date: 03/2022
Sponsoring organization: Medicare Payment Advisory Commission
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Telehealth Has Played an Outsized Role Meeting Mental Health Needs During the COVID-19 Pandemic
Explores usage of telehealth for physical and mental health outpatient visits between March 2019 and August 2021. Figure 3 shows use of mental health and substance use telehealth visits versus other outpatient telehealth visits, with rural versus urban comparisons. Includes a discussion about payment models for telehealth via private insurance, Medicare, and Medicaid.
Author(s): Justin Lo, Matthew Rae, Krutika Amin, et al.
Date: 03/2022
Sponsoring organization: KFF
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Explores usage of telehealth for physical and mental health outpatient visits between March 2019 and August 2021. Figure 3 shows use of mental health and substance use telehealth visits versus other outpatient telehealth visits, with rural versus urban comparisons. Includes a discussion about payment models for telehealth via private insurance, Medicare, and Medicaid.
Author(s): Justin Lo, Matthew Rae, Krutika Amin, et al.
Date: 03/2022
Sponsoring organization: KFF
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Vermont's All-Payer Accountable Care Organization Model: Mt. Ascutney Hospital and Health Center's Experience
Profiles Mt. Ascutney Hospital and Health Center (MAHHC), a Critical Access Hospital and health center partnership in central Vermont. Describes how MAHHC provides care differently as a participant in the OneCare Vermont accountable care organization (ACO). Discusses how MAHHC adapted healthcare delivery during the COVID-19 pandemic. Highlights challenges and financial implications of MAHHC's participation in OneCare Vermont.
Date: 03/2022
Sponsoring organization: Rural Health Value
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Profiles Mt. Ascutney Hospital and Health Center (MAHHC), a Critical Access Hospital and health center partnership in central Vermont. Describes how MAHHC provides care differently as a participant in the OneCare Vermont accountable care organization (ACO). Discusses how MAHHC adapted healthcare delivery during the COVID-19 pandemic. Highlights challenges and financial implications of MAHHC's participation in OneCare Vermont.
Date: 03/2022
Sponsoring organization: Rural Health Value
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Educating Future Healthcare Providers: Health Literacy Opportunities for Webside Manners
Discusses best practices for teaching health literacy principles to healthcare profession trainees. Features several programs that are helping students learn how to support the health literacy of their future patients.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 03/2022
Sponsoring organization: Rural Health Information Hub
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Discusses best practices for teaching health literacy principles to healthcare profession trainees. Features several programs that are helping students learn how to support the health literacy of their future patients.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 03/2022
Sponsoring organization: Rural Health Information Hub
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Veterans Community Care Program: VA Should Strengthen Its Ability to Identify Ineligible Health Care Providers
Examines the extent to which vulnerabilities in Veterans Community Care Program eligibility requirements contribute to potentially ineligible providers participating in the program. Offers recommendations to the Veterans Administration to enhance provider eligibility controls and oversight.
Additional links: Full Report
Date: 03/2022
Sponsoring organization: Government Accountability Office
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Examines the extent to which vulnerabilities in Veterans Community Care Program eligibility requirements contribute to potentially ineligible providers participating in the program. Offers recommendations to the Veterans Administration to enhance provider eligibility controls and oversight.
Additional links: Full Report
Date: 03/2022
Sponsoring organization: Government Accountability Office
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Comparing Smoking Cessation Interventions among Underserved Patients Referred for Lung Cancer Screening: A Pragmatic Trial Protocol
Presents a study comparing four different smoking cessation support programs offered in tandem with lung cancer screening for underserved patients. Evaluates each intervention offered to Black, Latinx, and rural patients and draws conclusions based on outcomes.
Author(s): Rachel Kohn, Anil Vachani, Dylan Small, et al.
Citation: Annals of the American Thoracic Society, 19(2), 303-314
Date: 02/2022
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Presents a study comparing four different smoking cessation support programs offered in tandem with lung cancer screening for underserved patients. Evaluates each intervention offered to Black, Latinx, and rural patients and draws conclusions based on outcomes.
Author(s): Rachel Kohn, Anil Vachani, Dylan Small, et al.
Citation: Annals of the American Thoracic Society, 19(2), 303-314
Date: 02/2022
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