Rural Health
Resources by Topic: Service delivery models
How to Design Value‐based Care Models for Rural Participant Success: A Summit Findings Report
Summarizes a July 2020 virtual summit of rural participants in value‐based care (VBC) models and programs. Details six themes on VBC model design, implementation, and operation that can influence rural organization participation in VBC models. Provides recommendations for VBC model designers to improve rural healthcare provider participation and success in VBC models.
Author(s): Keith Mueller, Clint MacKinney, Jennifer Lundblad, Karla Weng
Date: 12/2020
Sponsoring organization: Rural Health Value
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Summarizes a July 2020 virtual summit of rural participants in value‐based care (VBC) models and programs. Details six themes on VBC model design, implementation, and operation that can influence rural organization participation in VBC models. Provides recommendations for VBC model designers to improve rural healthcare provider participation and success in VBC models.
Author(s): Keith Mueller, Clint MacKinney, Jennifer Lundblad, Karla Weng
Date: 12/2020
Sponsoring organization: Rural Health Value
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Telehealth Practice Among Health Centers During the COVID-19 Pandemic — United States, July 11–17, 2020
Reports health center telehealth services based on a July 11–17, 2020 survey of Health Resources and Services Administration–funded health centers. Includes data for urban and rural locations. Discusses barriers that rural health centers face in expanding telehealth, including broadband access, lack of partners, and logistics.
Author(s): Hanna B. Demeke, Leah Zilversmit Pao, Hollie Clark, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 69(50), 1902-1905
Date: 12/2020
Sponsoring organization: Centers for Disease Control and Prevention
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Reports health center telehealth services based on a July 11–17, 2020 survey of Health Resources and Services Administration–funded health centers. Includes data for urban and rural locations. Discusses barriers that rural health centers face in expanding telehealth, including broadband access, lack of partners, and logistics.
Author(s): Hanna B. Demeke, Leah Zilversmit Pao, Hollie Clark, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 69(50), 1902-1905
Date: 12/2020
Sponsoring organization: Centers for Disease Control and Prevention
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How Might Internet Connectivity Affect Health Care Access?
Describes how a lack of internet access may negatively impact access to healthcare. Features data and statistics on internet access, with information broken down by race/ethnicity, age, poverty level, insurance status and type, and metropolitan/nonmetropolitan location. Discusses COVID-19 and how social distancing measures have led to increased implementation of telehealth, resulting in additional challenges accessing healthcare among people with little to no internet connectivity.
Author(s): Krutika Amin, Matthew Rae, Giorlando Ramirez, Cynthia Cox
Date: 12/2020
Sponsoring organization: KFF
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Describes how a lack of internet access may negatively impact access to healthcare. Features data and statistics on internet access, with information broken down by race/ethnicity, age, poverty level, insurance status and type, and metropolitan/nonmetropolitan location. Discusses COVID-19 and how social distancing measures have led to increased implementation of telehealth, resulting in additional challenges accessing healthcare among people with little to no internet connectivity.
Author(s): Krutika Amin, Matthew Rae, Giorlando Ramirez, Cynthia Cox
Date: 12/2020
Sponsoring organization: KFF
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Case Study: Exploring Options to Deploy Capitated Payments to Enhance Primary Care in Rural Settings
Discusses the need for primary care services in rural areas. Provides an overview of healthcare delivery models that utilize capitated payments. Presents examples of capitated payment agreements aimed at increasing the use and quality of primary care services in rural communities, and offers lessons learned.
Date: 12/2020
Sponsoring organization: American Hospital Association
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Discusses the need for primary care services in rural areas. Provides an overview of healthcare delivery models that utilize capitated payments. Presents examples of capitated payment agreements aimed at increasing the use and quality of primary care services in rural communities, and offers lessons learned.
Date: 12/2020
Sponsoring organization: American Hospital Association
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Hearing Norton Sound: Community Involvement in the Design of a Mixed Methods Community Randomized Trial in 15 Alaska Native Communities
Describes a community-based research project examining a telemedicine cell-phone based screening process to improve early detection and treatment of childhood hearing loss in rural Alaska. Community stakeholders assisted in shaping the research question, measurable outcomes, and project procedures. Serves as a model for community-based research in rural communities.
Author(s): Samantha Kleindienst Robler, S. Meade Inglis, Joseph J. Gallo, et al.
Citation: Research Involvement and Engagement, 6(67)
Date: 11/2020
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Describes a community-based research project examining a telemedicine cell-phone based screening process to improve early detection and treatment of childhood hearing loss in rural Alaska. Community stakeholders assisted in shaping the research question, measurable outcomes, and project procedures. Serves as a model for community-based research in rural communities.
Author(s): Samantha Kleindienst Robler, S. Meade Inglis, Joseph J. Gallo, et al.
Citation: Research Involvement and Engagement, 6(67)
Date: 11/2020
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November 2020 MedPAC Meeting Transcript
Transcript from the Medicare Payment Advisory Commission's (MedPAC) November 2020 meeting. Covers the expansion of telehealth in Medicare, Medicare beneficiaries' access to care in rural areas, effects of pharmaceutical manufacturer rebates on Part D's risk adjustment, and improving competition among Part D's benchmark plans.
Date: 11/2020
Sponsoring organization: Medicare Payment Advisory Commission
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Transcript from the Medicare Payment Advisory Commission's (MedPAC) November 2020 meeting. Covers the expansion of telehealth in Medicare, Medicare beneficiaries' access to care in rural areas, effects of pharmaceutical manufacturer rebates on Part D's risk adjustment, and improving competition among Part D's benchmark plans.
Date: 11/2020
Sponsoring organization: Medicare Payment Advisory Commission
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An Observational Study of Telemental Care Delivery and the Context for Involuntary Commitment for Mental Health Patients in a Group of Rural Emergency Departments
Examines telemental healthcare delivery in Critical Access Hospital (CAH) emergency departments (ED) in 4 Indiana counties, with a focus on the context surrounding subsequent psychiatric involuntary commitment (IC) or noninvoluntary commitment (non-IC) of mental health patients who presented to the participating EDs. Provides information on patient demographics, ED wait time and length of stay, ED costs and reimbursement, and telehealth parity laws.
Author(s): Roseanne Fairchild, Shiaw-Fen Ferng-Kuo, Hicham Rahmouni, Daniel Hardesty
Citation: Telemedicine Reports, 1(1), 22-35
Date: 11/2020
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Examines telemental healthcare delivery in Critical Access Hospital (CAH) emergency departments (ED) in 4 Indiana counties, with a focus on the context surrounding subsequent psychiatric involuntary commitment (IC) or noninvoluntary commitment (non-IC) of mental health patients who presented to the participating EDs. Provides information on patient demographics, ED wait time and length of stay, ED costs and reimbursement, and telehealth parity laws.
Author(s): Roseanne Fairchild, Shiaw-Fen Ferng-Kuo, Hicham Rahmouni, Daniel Hardesty
Citation: Telemedicine Reports, 1(1), 22-35
Date: 11/2020
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The Complex Geographies of Telelactation and Access to Community Breastfeeding Support in the State of Ohio
Study examining face-to-face and virtual breastfeeding support options in Ohio, comparing access in urban and rural areas. Explores potential for telelactation services to increase access for rural mothers, noting the barrier of broadband service access. Offers maps that represent spatial data on breastfeeding support access and that identify locations where breastfeeding support interventions would have the most impact.
Author(s): Tony H. Grubesic, Kelly M. Durbin
Citation: PLoS One, 15(11), e0242457
Date: 11/2020
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Study examining face-to-face and virtual breastfeeding support options in Ohio, comparing access in urban and rural areas. Explores potential for telelactation services to increase access for rural mothers, noting the barrier of broadband service access. Offers maps that represent spatial data on breastfeeding support access and that identify locations where breastfeeding support interventions would have the most impact.
Author(s): Tony H. Grubesic, Kelly M. Durbin
Citation: PLoS One, 15(11), e0242457
Date: 11/2020
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Frontier Community Health Integration Project (FCHIP) Demonstration Evaluation: Final Evaluation Report
Presents findings from an evaluation of the Frontier Community Health Integration Project (FCHIP) Demonstration. Describes the three possible interventions, including their impact, progress and accomplishments, challenges, and lessons learned. Identifies commonalities that emerged across the FCHIP interventions that may inform future demonstrations among rural healthcare providers.
Additional links: Findings At-A-Glance
Date: 11/2020
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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Presents findings from an evaluation of the Frontier Community Health Integration Project (FCHIP) Demonstration. Describes the three possible interventions, including their impact, progress and accomplishments, challenges, and lessons learned. Identifies commonalities that emerged across the FCHIP interventions that may inform future demonstrations among rural healthcare providers.
Additional links: Findings At-A-Glance
Date: 11/2020
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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Rural Challenges, Strategies, and Recommendations to Advance Value-Based Payment and Care During and Beyond the COVID-19 Crisis
Describes the key challenges rural primary care and behavioral health providers have faced in delivering care since COVID-19, in addition to the policy changes implemented in response to those challenges. Offers state-level policy recommendations for improving rural primary care and behavioral health services.
Author(s): Angel Bourgoin, Jim Maxwell, Yvette Cho, Rachel Tobey
Date: 11/2020
Sponsoring organization: Delta Center for a Thriving Safety Net
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Describes the key challenges rural primary care and behavioral health providers have faced in delivering care since COVID-19, in addition to the policy changes implemented in response to those challenges. Offers state-level policy recommendations for improving rural primary care and behavioral health services.
Author(s): Angel Bourgoin, Jim Maxwell, Yvette Cho, Rachel Tobey
Date: 11/2020
Sponsoring organization: Delta Center for a Thriving Safety Net
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