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Community Health Access and Rural Transformation (CHART)
The Community Health Access and Rural Transformation (CHART) Model is a voluntary payment model designed to meet the unique needs of rural communities.
The CHART Model will test whether aligned financial incentives, increased operational flexibility, and robust technical support promote rural health care providers’ capacity to implement effective health care delivery system redesign on a broad scale.
The Center for Medicare & Medicaid Innovation (CMMI) will evaluate the impact of the CHART Model on Medicare and Medicaid expenditures, access to care, quality of care, and health outcomes for rural residents.
CHART aligns with CMS’s Rethinking Rural Health initiative, which aims to ensure individuals in rural America have access to high quality, affordable health care by offering new and creative payment models.
The CHART Model will include two tracks:
1) the Community Transformation Track and 2) the Accountable Care Organization (ACO) Transformation Track.
This Notice of Funding Opportunity (NOFO) is for the Community Transformation Track only.
Under the Community Transformation Track, award recipients will receive cooperative agreement funding and a programmatic framework to assess the needs of their Community (as defined in section A.
4. 3. 1. Community Definition below) and implement health care delivery system redesign.
Hospitals participating in the Community Transformation Track Alternative Payment Model (APM) will receive capitated payments.
Capitated payments provide hospitals with a stable revenue stream and incentivize reductions in fixed costs and avoidable utilization.
Operational flexibilities will be available for participating hospitals to relieve regulatory burden, emphasize high-value services, and support providers in care management for their beneficiaries.
The CHART Model will test whether aligned financial incentives, increased operational flexibility, and robust technical support promote rural health care providers’ capacity to implement effective health care delivery system redesign on a broad scale.
The Center for Medicare & Medicaid Innovation (CMMI) will evaluate the impact of the CHART Model on Medicare and Medicaid expenditures, access to care, quality of care, and health outcomes for rural residents.
CHART aligns with CMS’s Rethinking Rural Health initiative, which aims to ensure individuals in rural America have access to high quality, affordable health care by offering new and creative payment models.
The CHART Model will include two tracks:
1) the Community Transformation Track and 2) the Accountable Care Organization (ACO) Transformation Track.
This Notice of Funding Opportunity (NOFO) is for the Community Transformation Track only.
Under the Community Transformation Track, award recipients will receive cooperative agreement funding and a programmatic framework to assess the needs of their Community (as defined in section A.
4. 3. 1. Community Definition below) and implement health care delivery system redesign.
Hospitals participating in the Community Transformation Track Alternative Payment Model (APM) will receive capitated payments.
Capitated payments provide hospitals with a stable revenue stream and incentivize reductions in fixed costs and avoidable utilization.
Operational flexibilities will be available for participating hospitals to relieve regulatory burden, emphasize high-value services, and support providers in care management for their beneficiaries.
Related Programs
ACA State Innovation Models: Funding for Model Design and Model Testing Assistance
Department of Health and Human Services
Agency: Department of Health and Human Services
Office: Centers for Medicare & Medicaid Services
Estimated Funding: $75,000,000
Office: Centers for Medicare & Medicaid Services
Estimated Funding: $75,000,000
Who's Eligible
Obtain Full Opportunity Text:
Community Health Access and Rural Transformation (CHART)
Additional Information of Eligibility:
This Program Announcement describes a specific project that may be awarded to the University of Alabama, premised on receipt of an acceptable proposal.
This is not an open solicitation for proposals.
This announcement is specifically to announce intent to undertake the project "Microfossil Assemblage Analysis in Support of the Mississippi Offshore Sediment Resources Inventory".
The award will be a cooperative agreement (see Eligibility Information below).
This involves substantial involvement by BOEM scientists in various aspects of study development and/or study conduct.
Eligibility Information: Research projects are required to have a staff member of the applying organization as the Principal Investigator (PI).
Cooperative research between interested organizations—i.e., state agencies, public universities, and non-profits in affected states—is always encouraged.
Cost Share/Match: Contributions of matching funds towards these efforts, either as cash or in-kind contributions (such as salary, equipment, etc., or a combination of both) is very strongly encouraged.
Match cannot include value associated with collection costs for samples previously collected.
Match value for instrumentation and other equipment should be adjusted to the period of use within the project relative to the full life cycle for the item.
Written documentation for the assessed match for ship time (if applicable) shall provide a fair assessment of costs relevant to the project.
Matching dollars cannot be from other Federal funding sources.
Further information can be located at 2 Code of Federal Regulations (CFR) 200.306.
All questions regarding this project, including eligibility, should be directed to the “Program Announcement and Cooperative Agreement Questions” point-of-contact listed in Section G.
Full Opportunity Web Address:
https://www.grantsolutions.gov/gs/preaward/previewPublicAnnouncement.do?id=77839
Contact:
Agency Email Description:
Grants.gov Customer Support
Agency Email:
Date Posted:
2020-09-15
Application Due Date:
Archive Date:
2021-03-18
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