Rural Health
Resources by Topic: Service delivery models
The National Consortium of Telehealth Resource Centers: COVID-19 Assistance
Provides an overview of the National Consortium of Telehealth Resource Centers (TRC Consortium). Describes the services and technical assistance the TRC Consortium provides to stakeholders implementing telehealth services in response to COVID-19. Includes a table listing each regional Telehealth Resource Center and their geographic jurisdictions.
Date: 04/2020
Type: Document
Sponsoring organization: Congressional Research Service
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Provides an overview of the National Consortium of Telehealth Resource Centers (TRC Consortium). Describes the services and technical assistance the TRC Consortium provides to stakeholders implementing telehealth services in response to COVID-19. Includes a table listing each regional Telehealth Resource Center and their geographic jurisdictions.
Date: 04/2020
Type: Document
Sponsoring organization: Congressional Research Service
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Public Law 116-136: Coronavirus Aid, Relief, and Economic Security (CARES) Act
Text of the Coronavirus Aid, Relief, and Economic Security (CARES) Act, Public Law 116-136 (March 27, 2020). Outlines telehealth flexibilities to support providers and enhance access to care during the COVID-19 Public Health Emergency. Among other things, the CARES Act allows Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) to serve as distant sites to provide telehealth services to patients in their homes during the public health emergency (PHE); establishes the Paycheck Protection Program (PPP); extends the ability to order home health services to physician assistants, nurse practitioners, and certified nurse specialists; and provides additional funding to the Federal Communications Commission (FCC) to enable the provision of telehealth services.
Date: 03/2020
Type: Document
Sponsoring organization: U.S. Congress
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Text of the Coronavirus Aid, Relief, and Economic Security (CARES) Act, Public Law 116-136 (March 27, 2020). Outlines telehealth flexibilities to support providers and enhance access to care during the COVID-19 Public Health Emergency. Among other things, the CARES Act allows Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) to serve as distant sites to provide telehealth services to patients in their homes during the public health emergency (PHE); establishes the Paycheck Protection Program (PPP); extends the ability to order home health services to physician assistants, nurse practitioners, and certified nurse specialists; and provides additional funding to the Federal Communications Commission (FCC) to enable the provision of telehealth services.
Date: 03/2020
Type: Document
Sponsoring organization: U.S. Congress
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Fast-Track to Teledentistry - Removing Barriers to Care While Maximizing Overall Health
Details the barriers to oral healthcare access and discusses the ways teledentistry can help overcome them. Highlights the role teledentistry can play during public health emergencies, such as the COVID-19 pandemic, and in rural and underserved communities. Presents examples of successful uses of teledentistry and provides guidance for teledentistry implementation.
Date: 03/2020
Type: Document
Sponsoring organization: CareQuest Institute for Oral Health
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Details the barriers to oral healthcare access and discusses the ways teledentistry can help overcome them. Highlights the role teledentistry can play during public health emergencies, such as the COVID-19 pandemic, and in rural and underserved communities. Presents examples of successful uses of teledentistry and provides guidance for teledentistry implementation.
Date: 03/2020
Type: Document
Sponsoring organization: CareQuest Institute for Oral Health
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March 2020 MedPAC Meeting Transcript
Transcript from the Medicare Payment Advisory Commission's (MedPAC) March 2020 meeting. Covers Medicare Shared Savings Program vulnerabilities, the role of specialists in alternative payment models and accountable care organizations, incentives in Medicare Part D, the Medicare Advantage quality bonus program, and Medicare's end-stage renal disease (ESRD) prospective payment system. Includes a discussion of ESRD payment adjustments for rural and low-volume providers.
Date: 03/2020
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Transcript from the Medicare Payment Advisory Commission's (MedPAC) March 2020 meeting. Covers Medicare Shared Savings Program vulnerabilities, the role of specialists in alternative payment models and accountable care organizations, incentives in Medicare Part D, the Medicare Advantage quality bonus program, and Medicare's end-stage renal disease (ESRD) prospective payment system. Includes a discussion of ESRD payment adjustments for rural and low-volume providers.
Date: 03/2020
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Second Report to Congress: Social Risk Factors and Performance in Medicare's Value-Based Purchasing Programs
Analyzes the effect of individuals' social risk factors on quality measures, resource utilization, and other Medicare program measures using Medicare and non-Medicare data sources. Describes how Medicare value-based purchasing (VBP) programs impact providers who serve socially at-risk beneficiaries. Categorizes rurality as a social risk factor. Explores emerging trends among providers addressing social risk factors through cooperation with social services and community-based organizations. Offers policy recommendations for the U.S. Department of Health and Human Services to account for social risk factors in VBP programs and achieve better outcomes for those with social risk factors. Second of two reports required by the Improving Medicare Post-Acute Care Transformation (IMPACT) Act of 2014. See the first report.
Additional links: Executive Summary
Date: 03/2020
Type: Document
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Analyzes the effect of individuals' social risk factors on quality measures, resource utilization, and other Medicare program measures using Medicare and non-Medicare data sources. Describes how Medicare value-based purchasing (VBP) programs impact providers who serve socially at-risk beneficiaries. Categorizes rurality as a social risk factor. Explores emerging trends among providers addressing social risk factors through cooperation with social services and community-based organizations. Offers policy recommendations for the U.S. Department of Health and Human Services to account for social risk factors in VBP programs and achieve better outcomes for those with social risk factors. Second of two reports required by the Improving Medicare Post-Acute Care Transformation (IMPACT) Act of 2014. See the first report.
Additional links: Executive Summary
Date: 03/2020
Type: Document
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Identifying Measures and Data Elements for the HRSA Evidence-Based Tele-Emergency Network Grant Program
Research brief identifying the standardized set of measures used for data collection by the Evidence-Based Tele-Emergency Network Grant Program grantees. Explores ways in which emergency department-based telehealth services can be used in rural hospital emergency departments.
Author(s): Marcia M. Ward, Fred Ullrich, Kimberly A.S. Merchant, et al.
Date: 03/2020
Type: Document
Sponsoring organization: Rural Telehealth Research Center
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Research brief identifying the standardized set of measures used for data collection by the Evidence-Based Tele-Emergency Network Grant Program grantees. Explores ways in which emergency department-based telehealth services can be used in rural hospital emergency departments.
Author(s): Marcia M. Ward, Fred Ullrich, Kimberly A.S. Merchant, et al.
Date: 03/2020
Type: Document
Sponsoring organization: Rural Telehealth Research Center
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Issue Brief: Creating a High-value Telehealth Strategy
Explores how hospitals can use telehealth services to improve patient outcomes and reduce costs. Discusses approaches to deliver telehealth services and provides guidelines to consider when developing a telehealth strategy. Provides examples of how rural hospitals are using telehealth services to meet community needs.
Date: 03/2020
Type: Document
Sponsoring organization: American Hospital Association
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Explores how hospitals can use telehealth services to improve patient outcomes and reduce costs. Discusses approaches to deliver telehealth services and provides guidelines to consider when developing a telehealth strategy. Provides examples of how rural hospitals are using telehealth services to meet community needs.
Date: 03/2020
Type: Document
Sponsoring organization: American Hospital Association
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Coverage and Utilization of Telemedicine Services by Enrollees in Large Employer Plans
Reports on the offering and uptake of telemedicine services by large employer health plans. Includes data on access to telehealth for rural and urban large employer health plan enrollees.
Author(s): Matthew Rae, Cynthia Cox, Gary Claxton
Date: 03/2020
Type: Document
Sponsoring organization: KFF
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Reports on the offering and uptake of telemedicine services by large employer health plans. Includes data on access to telehealth for rural and urban large employer health plan enrollees.
Author(s): Matthew Rae, Cynthia Cox, Gary Claxton
Date: 03/2020
Type: Document
Sponsoring organization: KFF
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Digital Prosperity: How Broadband Can Deliver Health and Equity to All Communities
Examines the role broadband plays in impacting health and equity in rural and urban areas, and identifies policy reforms to reduce these barriers. Outlines how government and marketplaces influence access to broadband, and offers case studies demonstrating effective methods to develop more equitable outcomes.
Author(s): Adie Tomer, Lara Fishbane, Angela Siefer, Bill Callahan
Date: 02/2020
Type: Document
Sponsoring organization: Brookings Institution
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Examines the role broadband plays in impacting health and equity in rural and urban areas, and identifies policy reforms to reduce these barriers. Outlines how government and marketplaces influence access to broadband, and offers case studies demonstrating effective methods to develop more equitable outcomes.
Author(s): Adie Tomer, Lara Fishbane, Angela Siefer, Bill Callahan
Date: 02/2020
Type: Document
Sponsoring organization: Brookings Institution
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Underserved Communities: Enhancing Care with Graduate Medical Education
Provides an overview of the current supply of rheumatology healthcare providers in rural America and future projected workforce shortages. Discusses strategies to improve access to care and address rheumatology workforce shortages such as increasing residency and fellowship positions in Medically Underserved Areas (MUAs), telemedicine, the J-1 visa waiver program, and the National Health Service Corps.
Author(s): Vaneet Kaur Sandhu, Donna Jose, Candace H Feldman
Citation: Rheumatic Diseases Clinics of North America, 46(1), 167-178
Date: 02/2020
Type: Document
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Provides an overview of the current supply of rheumatology healthcare providers in rural America and future projected workforce shortages. Discusses strategies to improve access to care and address rheumatology workforce shortages such as increasing residency and fellowship positions in Medically Underserved Areas (MUAs), telemedicine, the J-1 visa waiver program, and the National Health Service Corps.
Author(s): Vaneet Kaur Sandhu, Donna Jose, Candace H Feldman
Citation: Rheumatic Diseases Clinics of North America, 46(1), 167-178
Date: 02/2020
Type: Document
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