This notice announces the opportunity to apply for funding under the Rural Healthcare Provider Transition Project (RHPTP). This cooperative agreement will provide technical assistance (TA) that will assist eligible small rural hospitals and rural health clinics (RHCs) in strengthening their foundation in key elements of value-based care, including, but not limited to quality, efficiency, patient experience, and safety of care. The Centers for Medicare and Medicaid Services (CMS) Rural Health Strategy elevates rural health as an important focus of its provider payment policies, including delivery system reform and innovation opportunities.1 While a number of rural hospitals and RHCs are participating in value-based programs in both the public and private sector, others need to build a stronger foundation around key components of value before they are ready to participate in a formal program. The move towards value requires small rural hospitals and RHCs to have a clear understanding of value-based care and the strategies they can implement to be effective participants in a health care system focused on value.

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