Telehealth is a valuable tool to connect people to a health care provider when there are barriers to accessing
transportation or it is not feasible to travel. This model uses telecommunications technology like video
conferencing and smartphones to enable providers to deliver care to their patients from a distance. Telehealth
can be used to deliver mental health treatment services, consult with specialists, provide obstetric care, and
support chronic disease management, among a variety of other uses. Care can also be delivered in a community
setting, like a rural primary care clinic, or it can take place in the patient’s home through remote monitoring
Examples of Rural Programs that use Telehealth
An extensive list of evidence-based and promising telehealth models can be found in the Rural Health
Information Hub's Telehealth Use in Rural
Healthcare Models and Innovations and in the Technology
Telehealth Model of the Rural Services Integration Toolkit.
Considerations for Implementation
Reliable broadband infrastructure is a critical component of a successful telehealth network
it ensures that providers can consistently connect to patients. Broadband internet connections have
download speeds of at least 25 megabits per second (Mbps) and upload speeds of 3 Mbps. According to
the Federal Communications Commission, 39%
of rural Americans (approximately 23 million people) do not have internet access that meets this
Medicaid and private insurer reimbursement policies for telemedicine encounters differ by state, and
may include restrictions on the type of service or type of provider who can be reimbursed. Providers
seeking reimbursement through Medicare may have a
different set of considerations.
In some cases, healthcare providers who will be administering telehealth services, including
prescribing medications across state lines, will
need to be licensed to practice in the state where the patient in located. State-specific
policies can be found at the American Telemedicine Association's State
Telemedicine Policy Center. In addition,
healthcare providers may be able to obtain assistance with obtaining licensure through national
professional organizations like the American Medical Association or the National Council of States
Boards of Nursing.
Special accommodations may be necessary at both the provider
site and the patient
site in order to facilitate effective and comfortable encounters. This may include modifications to
address privacy concerns or make space for telehealth conferencing equipment.
Program Clearinghouse Examples
Resources to Learn More
Economic Returns of Rural Telehealth
This report describes the economic benefits to rural pharmacies, hospitals, communities, and patients who have
access to telehealth services through broadband internet connections, including state-level estimates of
savings. It may be useful for program planners interested in building support for investments in broadband
Author(s): Schadelbauer, R.
Organization(s): NTCA – The Rural Broadband Association
Telehealth Resource Centers
Telehealth Resource Centers are federally funded consortia that provide technical assistance and training to
support the development of telehealth networks. Topics include reimbursement from insurers including Medicaid
and Medicare, legal and regulatory concerns, and marketing.
Organization(s): Federal Office of Rural Health Policy, Office for the Advancement of
A collection of fact sheets including information about policy barriers, reimbursement, funding, and
choosing a telehealth vendor.
Organization(s): National Organization of State Offices of Rural Health