Skip to main content
Rural Health Information Hub

Telehealth Use in Rural Healthcare – Resources

Selected recent or important resources focusing on Telehealth Use in Rural Healthcare.

Receipt of Out-of-State Telemedicine Visits Among Medicare Beneficiaries During the COVID-19 Pandemic
Study examining out-of-state telemedicine utilization during the COVID-19 pandemic by Medicare beneficiaries from January to June 2021 based on Medicare fee-for-service claims. Presents patient characteristics, variation in out-of-state telemedicine by geography, and benefits of out-of-state telemedicine access for rural beneficiaries.
Author(s): Ateev Mehrotra, Haiden A. Huskamp, Alok Nimgaonkar, et al.
Citation: JAMA Health Forum, 3(9), e223013
Date: 09/2022
Type: Document
view details
Health Panel Comment Letter – Hospital Outpatient Prospective Payment System and Rural Emergency Hospitals
Comments offered in response to a July 26, 2022, Federal Register proposed rule revising the Medicare Hospital Outpatient Prospective Payment System (OPPS) and Medicare Ambulatory Surgical Center (ACS) payment system for calendar year 2023 and establishing Rural Emergency Hospital (REH) payment policy, quality measures, and enrollment policy. Discusses telehealth services for mental healthcare; REH quality measures, telehealth, and Conditions of Participation; and the use of Centers for Medicare & Medicaid Services (CMS) data on hospital and skilled nursing facilities changes in ownership.
Date: 09/2022
Type: Document
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
view details
Impact of Project ECHO on Patient and Community Health Outcomes: A Scoping Review
Explores the impact of Project Extension for Community Healthcare Outcomes (ECHO) on improving patient care in rural and underserved areas through a literature review of ECHO-related research articles. Examines 15 studies to see ECHO impacts on the health outcomes at the individual patient level, clinical practice level, and community level.
Author(s): Jo-Ann Osei-Twum, Brittany Wiles, Tieghan Killackey, et al.
Citation: Academic Medicine, 97(9), 1393-1402
Date: 09/2022
Type: Document
view details
Before and During Pandemic Telemedicine Use: An Analysis of Rural and Urban Safety-Net Clinics
Investigates telemedicine use for primary care before and during the COVID-19 pandemic. Utilizes electronic health record data to analyze 1,015,722 patients seen in 466 different safety-net clinics. Includes demographic breakdown of patients by sex, race/ethnicity, insurance status, chronic disease status, and urban, large rural, small rural, or isolated rural residence.
Author(s): Annie E. Larson, Whitney E. Zahnd, Melinda M. Davis, et al.
Citation: American Journal of Preventative Medicine
Date: 09/2022
Type: Document
view details
Frequently Asked Questions Regarding Licensure & Telehealth
Video addressing frequently asked questions about telehealth licensure, including cross-state issues, COVID-19 licensure waivers, and more. Answers to questions reflect policy as of September 2022.
Additional links: Slide deck
Date: 09/2022
Type: Video/Multimedia
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
view details
The IHS Telehealth System Was Deployed Without Some Required Cybersecurity Controls
Presents findings of an audit to determine whether the Indian Health Service (IHS) implemented select cybersecurity system controls prior to deploying its telehealth system nationally. Offers policy recommendations to the IHS for improving the implementation of cybersecurity controls for new information systems and remediating known vulnerabilities that may impact telehealth technologies.
Date: 09/2022
Type: Document
Sponsoring organization: Office of Inspector General (HHS)
view details
Certain Medicare Beneficiaries, Such as Urban and Hispanic Beneficiaries, Were More Likely Than Others To Use Telehealth During the First Year of the COVID-19 Pandemic
Data brief examining telehealth usage by Medicare beneficiaries during the first year of the COVID-19 pandemic, noting rural and urban differences, state-level trends, and usage by race/ethnicity and age according to Medicare Advantage and fee-for-service claims data. Offers policy recommendations and agency responses.
Date: 09/2022
Type: Document
Sponsoring organization: Office of Inspector General (HHS)
view details
Telehealth Brings Important Services to Rural Long-Term Care Facilities
Discusses the benefits of telehealth services for residents and staff of rural long-term care facilities. Identifies some of the challenges related to providing these services. Features a New Hampshire skilled nursing facility providing telemental health services, and a Virginia geriatrician helping long-term care facilities address COVID-19 via Project ECHO educational sessions.
Author(s): Allee Mead
Citation: Rural Monitor
Date: 08/2022
Type: Document
Sponsoring organization: Rural Health Information Hub
view details
State Telehealth Policy: Summary and Findings from the Summer 2022 Webinar Series
Offers a summary of presentations included in the Center for Connected Health Policy's (CCHP) Summer 2022 webinar series. Covered topics include telehealth in school-based programs, licensure, private payer telehealth laws, and telehealth policies for substance use disorder treatment.
Date: 08/2022
Type: Document
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
view details
COVID-19 Frequently Asked Questions (FAQs) on Medicare Fee-for-Service (FFS) Billing
Addresses issues related to Medicare fee-for-service (FFS) billing during the COVID-19 public health emergency. Covers COVID-19 test specimen collection, diagnostic laboratory services, hospital services, ambulance services, Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs), telehealth, skilled nursing facility services, home health, vaccination, and other services.
Date: 08/2022
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
view details

Additional resources are available related to this guide. See the full list of resources by topic for:


Last Updated: 9/23/2022