Rural Health
Funding by Topic: Accountable Care Organizations

Minnesota Small Hospital Improvement Program (SHIP)
Coordinated state application to HRSA Federal Office of Rural Health Policy on behalf of the needs of Minnesota's small rural hospitals. Funds may be used to purchase items from the SHIP Purchasing Menu in the categories of value-based purchasing, accountable care organization, and payment bundling.

North Carolina Small Rural Hospital Improvement Program (SHIP) Grant Inactive
Funding for a contractor to assist small, rural hospitals in North Carolina with quality reporting and improvement activities, becoming or joining an accountable care organization, and improving hospital financial processes.

Small Rural Hospital Improvement Program (SHIP) Inactive
Provides funding to small rural hospitals, through their State Office of Rural Health, to help them do any or all of the following: purchase equipment or training to attain value-based payment and care goals; join Medicare Shared Savings Program or become an accountable care organization; and purchase health information technology, equipment, or training.

Texas Small Rural Hospital Improvement Grant Program (SHIP) Inactive
Grants to help small rural hospitals in Texas with 49 beds or less with their quality improvement efforts and their adaptation to changing payment systems through investments in hardware, software, and related trainings.

Accountable Care Organization Realizing Equity, Access, and Community Health (ACO REACH) Model Inactive
Payment model to test financial risk sharing options, as well as innovative approaches from Medicare Advantage (MA) and private sector risk sharing arrangements. ACO REACH seeks to improve quality of care and health outcomes for Medicare beneficiaries through alignment of financial incentives to promote effective and appropriate care; the promotion of health equity among all model participants; emphasis on patient choice; strong monitoring to ensure that beneficiaries maintain access to care; and emphasis on care delivery for complex, chronically, and seriously ill populations.

Direct Contracting Model Inactive
Building on lessons learned from initiatives involving Medicare Accountable Care Organizations, the Direct Contracting Model is a set of 3 voluntary payment model options designed to reduce expenditures and preserve and enhance quality of care for Medicare fee-for-service beneficiaries.