This paper critically evaluates the various healthcare delivery models that prevail in rural and underserved regions, considering issues of efficiency, problem areas, and implications for healthcare management. Attention is being turned to the main determinants of healthcare delivery in the regions under consideration, as well as creative avenues and strategies for improving healthcare access and quality of outcome. This study uncovers and elaborates on these topics based on a literature review covering the administrative methods used as well as the results and findings relating to rural and underserved areas in healthcare. Conclusions from the analysis are drafted, which provide recommendations on improving the design of healthcare delivery models in these conditions; the ultimate aim is to ensure a more just and adequate healthcare supply.