This grant, offered by the Centers for Medicare and Medicaid Services (CMS) within the Department of Health and Human Services (HHS), aims to provide crucial technical assistance (TA) to support rural healthcare stakeholders nationwide. Its primary purpose is to empower rural providers to successfully participate in and transition towards innovative, value-based care payment models. Recognizing the unique economic and logistical challenges faced by rural settings—such as low patient volumes and financial risks—this initiative seeks to raise awareness, provide comprehensive education, and offer practical resources. The overarching goal is to transform rural healthcare by improving care quality, reducing costs, and significantly advancing health equity for underserved populations, aligning with federal priorities for a more affordable and person-centered healthcare system.
Opportunity ID: 340897
General Information
| Document Type: | Grants Notice |
| Funding Opportunity Number: | HRSA-23-047 |
| Funding Opportunity Title: | Rural Health Innovation and Transformation Technical Assistance |
| Opportunity Category: | Discretionary |
| Opportunity Category Explanation: | – |
| Funding Instrument Type: | Cooperative Agreement |
| Category of Funding Activity: | Health |
| Category Explanation: | https://grants.hrsa.gov/2010/Web2External/Interface/FundingCycle/ExternalView.aspx?fCycleID=f3215de5-4f22-4cd1-ae40-e3b9633f5d1f |
| Expected Number of Awards: | 1 |
| Assistance Listings: | 93.155 — Rural Health Research Centers |
| Cost Sharing or Matching Requirement: | No |
| Version: | Synopsis 1 |
| Posted Date: | Nov 29, 2022 |
| Last Updated Date: | Nov 29, 2022 |
| Original Closing Date for Applications: | Feb 07, 2023 |
| Current Closing Date for Applications: | Feb 07, 2023 |
| Archive Date: | – |
| Estimated Total Program Funding: | $500,000 |
| Award Ceiling: | $500,000 |
| Award Floor: | $0 |
Eligibility
| Eligible Applicants: | County governments City or township governments Native American tribal organizations (other than Federally recognized tribal governments) Native American tribal governments (Federally recognized) Nonprofits having a 501(c)(3) status with the IRS, other than institutions of higher education For profit organizations other than small businesses Others (see text field entitled “Additional Information on Eligibility” for clarification) State governments Independent school districts Small businesses Special district governments |
| Additional Information on Eligibility: | Eligible applicants include domestic public or private, for-profit and non-profit entities. Domestic faith-based and community-based organizations, Tribes, and tribal organizations are also eligible to apply. |
Additional Information
| Agency Name: | Health Resources and Services Administration |
| Description: | This notice announces the opportunity to apply for funding under the Rural Health Innovation and Transformation Technical Assistance (RHIT-TA) program. The purpose of this program is to provide technical assistance (TA) to support rural health care through innovative payment models and to promote the value-based care landscape in the context of rural health care. For the purposes of this funding opportunity, the term “stakeholders” may include, but is not limited to, different types of rural health care providers, community-based organizations, foundations, third party payers, and public (e.g., state, local, and Federal Government) entities. In an effort to control health care costs and improve the quality of care, public and private payers have increasingly implemented initiatives to encourage value-based care. Value-based care programs reward health care providers for the quality of care through the realignment of financial incentives towards value over volume. Because of the unique economic factors affecting rural providers, the implementation and effects of value-based care initiatives may look different in rural, low-volume settings. For example, low patient volumes, along with low margins in rural settings can make it more difficult to absorb the financial risks associated with value-based care. Start-up costs for value-based care may seem prohibitive for some, while small volumes may make it more difficult to measure value and may increase the risk of skewed outcomes. At the same time, value-based care initiatives are evolving towards total cost of care and population-based payment models associated with some level of financial or other risk. Further, considering the ongoing COVID-19 pandemic and its effect on underserved and rural communities, the need for equitable value-based care has become even more evident. Disparities seen before and during this time have shown a need to achieve equitable outcomes through high-quality, affordable, person-centered care through value-based care models, including for rural communities. Therefore, a major goal of this program is to support the ability of rural providers to participate and succeed in current and emerging payment and delivery system models designed to provide high-quality care, improve health outcomes and most especially advance health equity. The Centers for Medicare and Medicaid Services (CMS) defines health equity as “the attainment of the highest level of health for all people, where everyone has a fair and just opportunity to attain their optimal health regardless of race, ethnicity, disability, sexual orientation, gender identity, socioeconomic status, geography, preferred language, or other factors that affect access to care and health outcomes”. Achieving equitable health care through value-based care is a priority of the United States Department of Health and Human Services (HHS). Through the prioritization of value-based care, HHS is working to transform our healthcare system to reduce costs, improve quality of health care services, and ensure access, including strategies to partner with providers to develop payment models and other incentives to expand options for quality care at lower costs. The Center for Medicare and Medicaid Innovation (CMMI), within CMS, is tasked with transitioning our health system to value-based care by developing, testing, and evaluating new payment and service delivery models to reduce health care cost while improving outcomes. In its strategic direction for the next ten years, CMMI is emphasizing equitable value-based care that will improve the health system for all patients and aims to achieve equitable outcomes by focusing on five strategies: 1. Increasing the number of beneficiaries in a care relationship with accountability for quality and total cost of care 2. Advancing health equity by increasing focus on underserved populations 3. Supporting care innovations that enable integrated, person-centered care 4. Improving access by addressing affordability 5. Engaging partners and beneficiaries to achieve system transformation In alignment with federal priorities with respect to value-based care, this funding opportunity seeks to provide a mechanism for the federal government to support rural health care stakeholders to achieve the following goals: 1. Raise awareness of the unique considerations facing rural providers and communities in implementing equitable value-based care in the current and emerging environments, with a focus on the strategic areas identified above. 2. Enable rural stakeholders to understand value-based care models in both the public and the private sector, the rural relevance of these models, and their options for participation. Help rural providers and other rural stakeholders find and apply strategies to support rural participation in value-based care. 3. Provide resources, analysis, and other TA that is nationwide in scope, meaning that the focus of this award is to reach a broad set of rural stakeholders across the country as opposed to limiting the focus on one particular state, region, provider type, model, or program. |
| Link to Additional Information: | – |
| Grantor Contact Information: | If you have difficulty accessing the full announcement electronically, please contact:
Department of Health and Human Services, Health Resources and Services Administration
LAfagbedzi@hrsa.gov Email:LAfagbedzi@hrsa.gov |
Version History
| Version | Modification Description | Updated Date |
|---|---|---|
Related Documents
Folder 340897 Full Announcement-HRSA-23-047 -> FORHP HRSA-23-047 RHIT-TA Final.pdf
Packages
| Agency Contact Information: | Department of Health and Human Services, Health Resources and Services Administration LAfagbedzi@hrsa.gov Email: LAfagbedzi@hrsa.gov |
| Who Can Apply: | Organization Applicants |
| Assistance Listing Number | Competition ID | Competition Title | Opportunity Package ID | Opening Date | Closing Date | Actions |
|---|---|---|---|---|---|---|
| 93.155 | HRSA-23-047 | Rural Health Innovation and Transformation Technical Assistance | PKG00278715 | Nov 29, 2022 | Feb 07, 2023 | View |
Package 1
Mandatory forms
340897 SF424_4_0-4.0.pdf
340897 AttachmentForm_1_2-1.2.pdf
340897 PerformanceSite_4_0-4.0.pdf
340897 ProjectNarrativeAttachments_1_2-1.2.pdf
340897 GG_LobbyingForm-1.1.pdf
340897 BudgetNarrativeAttachments_1_2-1.2.pdf
340897 SF424A-1.0.pdf
340897 Key_Contacts_2_0-2.0.pdf
340897 Project_AbstractSummary_2_0-2.0.pdf
Optional forms
340897 SFLLL_2_0-2.0.pdf
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