Innovations in rural health care delivery and finance are emerging across the nation. The profiles below describe exciting, and potentially replicable, innovations in rural health care that show promise in improving health, improving care, and lowering costs.
Most recent profiles are listed first. Click on title to view the profile.
Rural Hospital Experiences in the Colorado Hospital Transformation Program (CO HTP)
Summarizes experiences of three rural Colorado hospital participants in the CO HTP, a mandatory statewide five-year program that ties Medicaid supplemental payments to hospitals’ ability to meet performance targets. (2023)
Iowa Community Health Centers and Value-Based Care
The Iowa Primary Care Association (Iowa PCA), IowaHealth+, and INConcertCare collaborate as a network to leverage resources in support of community health centers (CHCs) across Iowa. The three organizations have established a common strategic plan that supports a clinically integrated network for Medicaid and Medicare value-based care (VBC) contracting. (2023)
Rural Health Value Summit: Driving Value Through Community-Based Partnerships
Four rural communities (in AR, MI, OR, SC) shared experiences with health care and community-based partnerships that highlighted opportunities for policymakers, payers, and health system leaders for building and supporting social needs infrastructure in rural communities in alignment with value-based care strategies. (2023)
A Rural Accountable Care Organization's Journey
For more than a decade, South East Rural Physicians Alliance Accountable Care Organization (SERPA-ACO), a physician-led ACO that includes 16 physician-owned clinics in Nebraska has been leveraging health care payment and delivery models to provide high quality, comprehensive, coordinated, and patient-centered care at a lower cost. (2023)
Rural Health System Value-Based Care Innovators Roundtable: Strategies and Insights
This report describes interviews with five health systems supporting value-based care in their rural affiliates. Interview topics included organizational structure, governance and decision-making, operations, data and communication, contracts, and social determinants of health. The report includes common health system tensions and opportunities as they facilitate rural affiliate success in value-based care. (2022)
Experience in the Pennsylvania Rural Health Model: Barnes-Kasson County Hospital
A critical access hospital in Susquehanna, PA provides insight into their experience participating in the Pennsylvania Rural Health Model, which includes a global budget and transforming care to address community health needs. (2022)
MaineHealth ACO - Integrating and Using Data to Support Care Delivery
A predominantly rural network of hospitals and clinics in Maine integrates clinical and claims data to support improvements in care delivery and target patient needs as part of their Accountable Care Organization. (2022)
Vermont's All-Payer Accountable Care Organization Model
Mt. Ascutney Hospital and Health Center's (MAHHC) Experience - Vermont's dominant payers have partnered to test an alternative payment model statewide that requires health care organizations like MAHHC to innovate health care delivery and achieve shared goals. (2022)
Northern Michigan Community Health Innovation Region
This partnership of health and community providers across ten rural counties in Northern Michigan addresses social determinants of health through systems change and collaboration, including development of a Community Connections Hub Network, a clinical community linkages model that connects individuals and families to community resources. (2021)
Accountable Health Communities Model - Two Rural Participants' Experiences
Participants in CMMI's Accountable Health Communities (AHC) Model identify and address health-related social needs of Medicare, Medicaid, and dual-eligible beneficiaries. (2020)
Rural Health Network Thrives on Innovation in Whole-Person Care
Health Care Collaborative (HCC) of Rural Missouri, a rural health network comprised of more than 55 member organizations, wraps social service support around the patients who receive care at four HCC health care clinics. (2019)
Community Reinvestment Program
Eastern Oregon Coordinated Care Organization, a 12-county collaboration in rural eastern Oregon, offers a community reinvestment grant program to achieve coordinated care organization metrics, and innovate to improve health within individual counties. (2018)
Behavioral Health Integration into Primary Care
Western Wisconsin Health, a rural health system, delivers behavioral health services as part of its comprehensive health and wellness approach in its Rural Health Clinic. (2018)