August 11, 2020
Today the Trump Administration announced the Community Health Access and Rural Transformation (CHART) Model. CHART advances efforts to create new ways to finance rural health care, as announced in President Trump’s recent Executive Order. Today’s announcement further builds on recent actions by the Centers for Medicare & Medicaid Services (CMS) to address health care delivery in rural America, including the expansion of telehealth and reducing the minimum required level of supervision for hospital outpatient therapeutic services provided by critical access hospitals.
CHART aims to:
CHART will provide new funding opportunities to achieve these goals. Leveraging value-based payment methodologies, the CHART model offers two options for participants:
During 2019, Pennsylvania launched the Rural Health Model, a global budget payment system, with five participating rural hospitals. During 2020, an additional eight hospitals joined the model. Similar to the goals set by the Trump Administration, the Pennsylvania model aims to ensure access to high quality, affordable health care for rural residents and create financial stability for hospitals operating within these communities. While differing slightly from the Community Transformation Track, which offers upfront funding, the Pennsylvania model is similar to this track in that it encourages utilizing predictable payments and offers the opportunity to pursue operational and regulatory flexibilities.
For more information, contact Kate Slatt, HAP’s vice president, innovative payment and care delivery.
Tags: Public Health | Federal Advocacy | Rural Health Care
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