Rural Health
Resources by Topic: Telehealth
Use of Telebehavioral Health Services by Critical Access Hospitals in the United States: A Qualitative Study of the Impacts of Medicare Flexibilities and Future Opportunities
Analyzes interviews with 22 Critical Access Hospital (CAH) administrators and providers to identify how telebehavioral health is used in CAHs, the impact of Medicare billing flexibility, and opportunities and challenges for telebehavioral healthcare moving forward.
Author(s): Christopher M. Shea, Sharita Thomas, Marah Maaita, Heidi O'Connor, Yvonne Jonk
Citation: Digital Health, 11
Date: 07/2025
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Analyzes interviews with 22 Critical Access Hospital (CAH) administrators and providers to identify how telebehavioral health is used in CAHs, the impact of Medicare billing flexibility, and opportunities and challenges for telebehavioral healthcare moving forward.
Author(s): Christopher M. Shea, Sharita Thomas, Marah Maaita, Heidi O'Connor, Yvonne Jonk
Citation: Digital Health, 11
Date: 07/2025
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Interstate Occupational Licensure Arrangements to Expand Access to Behavioral Health Services
Policy brief describing state-based provisions to expand behavioral health services through interstate licensure arrangements for providers. Discusses potential impact on provision of behavioral health services, including telehealth, with a focus on how expanded services might enhance access for rural residents. Features state-level maps showing where legislation has been enacted or introduced, as of November 2024.
Author(s): Natalia V. Oster, C. Holly A. Andrilla, Davis G. Patterson, Lisa A. Garberson, Janessa M. Graves
Date: 07/2025
Sponsoring organization: WWAMI Rural Health Research Center
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Policy brief describing state-based provisions to expand behavioral health services through interstate licensure arrangements for providers. Discusses potential impact on provision of behavioral health services, including telehealth, with a focus on how expanded services might enhance access for rural residents. Features state-level maps showing where legislation has been enacted or introduced, as of November 2024.
Author(s): Natalia V. Oster, C. Holly A. Andrilla, Davis G. Patterson, Lisa A. Garberson, Janessa M. Graves
Date: 07/2025
Sponsoring organization: WWAMI Rural Health Research Center
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MedPAC Data Book: Health Care Spending and the Medicare Program, 2025
Provides an overview of Medicare spending and highlights data on Medicare beneficiary demographics, dual-eligible beneficiaries, quality of care provided through the Medicare program, and other payer liability. Examines settings of care, including rural-specific provider sites, as they relate to spending, access to care, and profit margins. Compares rural and urban beneficiaries and providers throughout. Chart 6-2 addresses rural hospital closures and Rural Emergency Hospital conversions.
Date: 07/2025
Sponsoring organization: Medicare Payment Advisory Commission
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Provides an overview of Medicare spending and highlights data on Medicare beneficiary demographics, dual-eligible beneficiaries, quality of care provided through the Medicare program, and other payer liability. Examines settings of care, including rural-specific provider sites, as they relate to spending, access to care, and profit margins. Compares rural and urban beneficiaries and providers throughout. Chart 6-2 addresses rural hospital closures and Rural Emergency Hospital conversions.
Date: 07/2025
Sponsoring organization: Medicare Payment Advisory Commission
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Establishing First Age-Friendly Health System Tele-Palliative Care Clinic – Facilitators, Challenges, Lessons Learned to Improve Care for Rural, Older Veterans
Presents a study exploring an age-friendly tele-palliative care clinic for older veterans. Highlights challenges and successes of using telehealth to provide palliative care to older rural veterans in Colorado.
Author(s): Stephanie Hartz, Alexander Garbin, Kathryn Allen Nearing, et al.
Citation: INQUIRY: The Journal of Health Care Organization, Provision, and Financing, 62
Date: 07/2025
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Presents a study exploring an age-friendly tele-palliative care clinic for older veterans. Highlights challenges and successes of using telehealth to provide palliative care to older rural veterans in Colorado.
Author(s): Stephanie Hartz, Alexander Garbin, Kathryn Allen Nearing, et al.
Citation: INQUIRY: The Journal of Health Care Organization, Provision, and Financing, 62
Date: 07/2025
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Palliative Video Consultation and Symptom Distress Among Rural Inpatients: A Randomized Clinical Trial
Results of a study to assess whether culturally-based palliative care video consultation improves symptom distress compared with usual inpatient care without palliative care. Uses data collected from July 2020 to December 2023 from 3 rural hospitals in Alabama, Mississippi, and South Carolina.
Author(s): Marie A. Bakitas, Shena Gazaway, Felicia Underwood, et al.
Citation: JAMA Network Open, 8(7), e2519426
Date: 07/2025
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Results of a study to assess whether culturally-based palliative care video consultation improves symptom distress compared with usual inpatient care without palliative care. Uses data collected from July 2020 to December 2023 from 3 rural hospitals in Alabama, Mississippi, and South Carolina.
Author(s): Marie A. Bakitas, Shena Gazaway, Felicia Underwood, et al.
Citation: JAMA Network Open, 8(7), e2519426
Date: 07/2025
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Diabetic Retinopathy in Rural Communities: A Review of Barriers to Access of Care and Potential Solutions
Narrative review examining diabetic retinopathy (DR) prevalence and barriers to care in rural communities. Identifies factors contributing to poor access to care and suggests potential solutions, covering topics including telehealth use, workforce supply and distribution, healthcare policy, and more.
Author(s): James Burmeister, Madeline N. Pham, Forrest Bohler, Caleb North
Citation: Annals of Medicine, 57, 2522323
Date: 07/2025
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Narrative review examining diabetic retinopathy (DR) prevalence and barriers to care in rural communities. Identifies factors contributing to poor access to care and suggests potential solutions, covering topics including telehealth use, workforce supply and distribution, healthcare policy, and more.
Author(s): James Burmeister, Madeline N. Pham, Forrest Bohler, Caleb North
Citation: Annals of Medicine, 57, 2522323
Date: 07/2025
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EMS Service Integration in American Indian and Native Alaskan Rural Communities
Highlights several initiatives aimed at expanding emergency medical services (EMS) in tribal communities. Explores the role of tribal sovereignty, cost effectiveness, and infrastructure improvements in expanding and optimizing EMS in tribal communities.
Author(s): Chelsea Tsasse, John Shufeldt
Citation: AMA Journal of Ethics, 27(7), 525-529
Date: 07/2025
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Highlights several initiatives aimed at expanding emergency medical services (EMS) in tribal communities. Explores the role of tribal sovereignty, cost effectiveness, and infrastructure improvements in expanding and optimizing EMS in tribal communities.
Author(s): Chelsea Tsasse, John Shufeldt
Citation: AMA Journal of Ethics, 27(7), 525-529
Date: 07/2025
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Access and Quality of Mental Health Services in Rural and Urban America
Research brief documenting recent trends in mental healthcare access and quality in urban and rural communities. Features state-level maps showing locations of mental health facilities, a county-level map with shadings showing driving distances to any mental health facility or access to telehealth, and statistics on ZIP code area demographics, with breakdowns by urban, large rural, and small rural area.
Author(s): Peiyin Hung, Sophia N.D. Negaro, Rachel M. Hantman, et al.
Date: 07/2025
Sponsoring organization: University of South Carolina Rural Health Research Center
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Research brief documenting recent trends in mental healthcare access and quality in urban and rural communities. Features state-level maps showing locations of mental health facilities, a county-level map with shadings showing driving distances to any mental health facility or access to telehealth, and statistics on ZIP code area demographics, with breakdowns by urban, large rural, and small rural area.
Author(s): Peiyin Hung, Sophia N.D. Negaro, Rachel M. Hantman, et al.
Date: 07/2025
Sponsoring organization: University of South Carolina Rural Health Research Center
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Telehealth-Readiness, Healthcare Access, and Cardiovascular Health in the Deep South: A Spatial Perspective
Examines the spatial distribution and social determinants of coronary heart disease (CHD) and CHD-related mortality across 428 counties in Alabama, Georgia, Louisiana, Mississippi, and South Carolina. Explores how enabling resources, such as healthcare provider availability and broadband infrastructure; sociodemographic characteristics; and access barriers relate to cardiovascular burden.
Author(s): Ruaa Al Juboori, Dylan Barker, Andrew Yockey, et al.
Citation: International Journal of Environmental Research and Public Health, 22(7), 1020
Date: 06/2025
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Examines the spatial distribution and social determinants of coronary heart disease (CHD) and CHD-related mortality across 428 counties in Alabama, Georgia, Louisiana, Mississippi, and South Carolina. Explores how enabling resources, such as healthcare provider availability and broadband infrastructure; sociodemographic characteristics; and access barriers relate to cardiovascular burden.
Author(s): Ruaa Al Juboori, Dylan Barker, Andrew Yockey, et al.
Citation: International Journal of Environmental Research and Public Health, 22(7), 1020
Date: 06/2025
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Beneficiary and Clinician Perspectives on Medicare and Other Issues: Findings from 2025 Focus Groups in St. Louis, Missouri, and 2021–2025 Rural Focus Groups
Summarizes findings from 8 focus groups of Medicare beneficiaries, Medicare and Medicaid (dual eligible) beneficiaries, and clinicians conducted between April and May 2025, including one virtual focus group of rural Medicare beneficiaries. Compiles findings from 13 focus groups of rural Medicare beneficiaries between 2021 and 2025. Highlights themes that emerged across the focus groups covering Medicare coverage options, access to care, telehealth, organization of care, and prescription drugs.
Date: 06/2025
Sponsoring organizations: Medicare Payment Advisory Commission, NORC at the University of Chicago
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Summarizes findings from 8 focus groups of Medicare beneficiaries, Medicare and Medicaid (dual eligible) beneficiaries, and clinicians conducted between April and May 2025, including one virtual focus group of rural Medicare beneficiaries. Compiles findings from 13 focus groups of rural Medicare beneficiaries between 2021 and 2025. Highlights themes that emerged across the focus groups covering Medicare coverage options, access to care, telehealth, organization of care, and prescription drugs.
Date: 06/2025
Sponsoring organizations: Medicare Payment Advisory Commission, NORC at the University of Chicago
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