Opportunity Information: Apply for HRSA 12 176
Apply for HRSA 12 176
- The Health Resources and Services Administration in the health sector is offering a public funding opportunity titled "Rural Health System Analysis and Technical Assistance Cooperative Agreement" and is now available to receive applicants.
- Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.155 Rural Health Research Centers.
- This funding opportunity was created on Apr 17, 2012 and posted on Apr 17, 2012.
- Applicants must submit their applications by Jun 1, 2012. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
- The funding agency has allocated a total of $600,000.00 to eligible and selected applicants.
- The number of recipients for this funding is limited to 1 candidate(s).
- Eligible applicants include: Native American tribal governments (Federally recognized) Native American tribal organizations (other than Federally recognized tribal governments) Nonprofits having a 501(c)(3) status with the IRS, other than institutions of higher education Others (see text field entitled Additional Information on Eligibility for clarification).
- Eligible applicants include public, private, and nonprofit organizations, including faith based and community organizations, as well as Federally recognized Indian tribal governments and organizations.
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Opportunity Summary:
The Rural Health System Analysis and Technical Assistance (RHSATA) Cooperative Agreement is a Health Resources and Services Administration (HRSA) discretionary funding opportunity designed to help rural health care leaders and policy makers keep pace with rapid, system-wide changes in how health care is organized, paid for, and evaluated. The central idea is that rural communities often operate under different financial and delivery conditions than larger urban systems, yet many of the newest reforms and pilots were built around high-volume providers and traditional payment structures. This program aims to close that gap by producing practical, policy-oriented analysis on what emerging delivery and payment models mean for rural settings, and by directly helping rural providers prepare for and participate in demonstrations and pilots that test new ways of delivering care.
At a high level, the opportunity responds to major shifts in the health care delivery system, including the move from volume-based reimbursement toward value-based payment, stronger expectations for measuring and reporting quality, and a growing emphasis on care coordination and smoother transitions between settings. It also recognizes that new organizational models and tools are spreading quickly, such as patient-centered medical homes, accountable care organizations, and patient safety organizations, along with technology-enabled approaches to managing populations. Because early adopters have often been large, urban, integrated health systems, there is less evidence about how these models perform when patient volume is low, distances are large, staffing is limited, and rural providers are paid under alternative reimbursement rules. RHSATA is meant to generate the evidence and practical guidance rural stakeholders need to make informed decisions in that environment.
The cooperative agreement lays out five main areas of work for the awardee. First, the awardee must assess the distinct characteristics of the current rural health care delivery system, essentially describing what rural infrastructure looks like today and how it functions. Second, the awardee must analyze national, regional, state, and local demonstrations and pilots, both rural and non-rural, to extract lessons that can inform future rural health policy. This includes specific attention to demonstrations authorized under Section 434 of the Medicare Modernization Act of 2003 and Section 123 of the Medicare Improvements to Patients and Providers Act of 2008 (as amended). Third, the awardee must conduct modeling of payment and quality proposals, with the goal of informing policy makers and rural delivery systems about the likely impacts of different payment approaches and quality frameworks, and exploring alternative ways to organize and deliver services in rural communities. Fourth, the awardee is expected to provide technical assistance to rural health care providers who are developing or applying to demonstrations and pilots intended to improve care coordination, strengthen patient outcomes, and potentially reduce costs. Fifth, the program requires active dissemination: the awardee must promote key findings to stakeholder groups and public policy leaders so that the analyses and lessons learned translate into real-world decision-making.
A major expectation is that the awardee will function as a national analytic and technical assistance resource focused on rural systems. The project is not limited to producing reports; it involves ongoing policy-oriented health services research and hands-on support. The awardee must catalog core features of the rural health care infrastructure, such as the types of providers available, where they are located, their service mix, and relevant financial and operational details, alongside broad information about rural population health status. Because of that scope, applicants are expected to show strong capacity to work with complex national datasets, including the ability to manipulate, link, and analyze data across sources. They must also demonstrate the ability to perform sophisticated financial and quality modeling tailored to rural providers, taking into account the reimbursement methods that commonly apply in rural settings and that do not always align with standard prospective payment systems or typical fee schedules.
The program also emphasizes learning from recent and emerging demonstrations and pilots by identifying what has worked, what has not, and what barriers are unique or amplified in rural environments. That includes policy challenges that may prevent rural providers from participating in value-based models, as well as operational realities such as workforce constraints, limited capital, difficulties collecting and reporting quality measures, and the complexity of coordinating care across distant facilities. The intended end users for this work are broad: national, state, and regional policy makers; local officials; and rural health care providers themselves. The technical assistance component is also positioned to help rural organizations pursue participation in public and private pilots and demonstrations at multiple levels, including programs referenced under Section 330A of the Public Health Service Act.
From an administrative standpoint, this was posted as HRSA Funding Opportunity Number HRSA-12-176 under CFDA 93.155 (Rural Health Research Centers). The funding instrument is a cooperative agreement, which typically means HRSA expects substantial involvement or partnership during the project rather than a fully hands-off grant. The opportunity anticipated a single award with an estimated total funding amount of $600,000, and it did not require cost sharing or matching. Eligible applicants included a wide range of public, private, and nonprofit entities, including faith-based and community organizations, as well as federally recognized American Indian/Alaska Native tribal governments and tribal organizations. The posting date was April 17, 2012, with a closing date of June 1, 2012, and an archive date of July 31, 2012.
Overall, RHSATA is best understood as a combined research, modeling, and technical assistance effort aimed at making sure rural health systems are not left behind during a period of fast-moving reform. It funds one lead organization to produce rigorous, data-driven analysis of rural delivery and payment realities, translate lessons from demonstrations into actionable guidance, support rural providers pursuing new care models, and communicate findings in a way that directly informs both policy development and on-the-ground rural health strategy.
Frequently Asked Questions (FAQs)
What is the Rural Health System Analysis and Technical Assistance (RHSATA) opportunity?
RHSATA is a Health Resources and Services Administration (HRSA) discretionary funding opportunity offered as a cooperative agreement. It is designed to help rural health care leaders and policy makers keep pace with rapid, system-wide changes in how health care is organized, paid for, and evaluated by producing practical, policy-oriented analysis and by providing hands-on technical assistance to rural providers.
What is the main purpose of RHSATA?
The purpose is to close the gap between emerging health care delivery and payment reforms and the realities of rural health systems. Many new reforms and pilots were built around high-volume, urban, integrated systems, while rural providers often face low patient volume, long distances, limited staffing, and different reimbursement rules. RHSATA supports research, modeling, and technical assistance so rural stakeholders can make informed decisions and participate effectively in new models.
What kinds of health system changes is RHSATA responding to?
The program responds to major shifts such as movement from volume-based reimbursement to value-based payment, increased expectations for quality measurement and reporting, and a stronger emphasis on care coordination and smoother transitions between care settings. It also addresses the spread of new organizational models and tools, including patient-centered medical homes, accountable care organizations, patient safety organizations, and technology-enabled approaches to population management.
Why is this program focused specifically on rural settings?
Rural communities often operate under different financial and delivery conditions than urban systems. Evidence about how newer delivery and payment models perform in rural environments is more limited, especially where patient volumes are low, distances between services are large, staffing is constrained, and reimbursement methods differ from standard prospective payment systems or typical fee schedules.
What type of funding instrument is RHSATA?
RHSATA is a cooperative agreement. This typically means HRSA expects substantial involvement or partnership during the project, rather than a fully hands-off grant relationship.
How many awards were anticipated, and what was the estimated funding amount?
The opportunity anticipated a single award with an estimated total funding amount of $600,000.
Is cost sharing or matching required?
No. The opportunity stated that cost sharing or matching was not required.
Who was eligible to apply for RHSATA?
Eligible applicants included a wide range of public, private, and nonprofit entities, including faith-based and community organizations, as well as federally recognized American Indian/Alaska Native tribal governments and tribal organizations.
What are the five main areas of work required under this cooperative agreement?
The cooperative agreement described five major work areas for the awardee:
- Assess the distinct characteristics of the current rural health care delivery system (describe rural infrastructure and how it functions).
- Analyze national, regional, state, and local demonstrations and pilots (both rural and non-rural) to extract policy-relevant lessons for rural health.
- Model payment and quality proposals to inform policy makers and rural delivery systems about likely impacts and alternatives for organizing and delivering services.
- Provide technical assistance to rural providers developing or applying to demonstrations and pilots aimed at improving care coordination, patient outcomes, and potentially reducing costs.
- Actively disseminate findings to stakeholders and policy leaders so analyses and lessons learned inform real-world decisions.
What does it mean to “assess the distinct characteristics” of the rural health care delivery system?
It means cataloging and describing core features of rural health care infrastructure, including the types of providers available, where they are located, the services they offer (service mix), key financial and operational details, and broad information about rural population health status.
What demonstrations and pilots were specifically referenced for analysis?
The opportunity specifically called for attention to demonstrations authorized under Section 434 of the Medicare Modernization Act of 2003 and Section 123 of the Medicare Improvements to Patients and Providers Act of 2008 (as amended).
What does “modeling of payment and quality proposals” involve in this program?
Modeling involves analyzing how different payment approaches and quality frameworks could affect rural providers and rural delivery systems. The goal is to inform policy makers and rural stakeholders about likely impacts, while exploring alternative ways to organize and deliver services in rural communities.
How is the technical assistance component described?
Technical assistance is intended to directly support rural health care providers that are developing or applying to demonstrations and pilots. These demonstrations and pilots are described as efforts to improve care coordination, strengthen patient outcomes, and potentially reduce costs. The technical assistance is also positioned to help rural organizations pursue participation in public and private pilots and demonstrations at multiple levels.
Who are the intended end users of the analyses and technical assistance?
The intended users include national, state, and regional policy makers; local officials; and rural health care providers themselves.
Does RHSATA only fund research reports?
No. The description emphasizes that the awardee is expected to serve as a national analytic and technical assistance resource focused on rural systems. It includes ongoing policy-oriented health services research, modeling, hands-on support to rural providers, and active dissemination of findings.
What kinds of data and analytic capabilities were expected of applicants?
Applicants were expected to demonstrate strong capacity to work with complex national datasets, including the ability to manipulate, link, and analyze data across multiple sources. They were also expected to demonstrate sophisticated financial and quality modeling capabilities tailored to rural providers and rural reimbursement methods.
What rural-specific barriers or realities does the program highlight?
The opportunity highlights challenges that can be unique or amplified in rural settings, including workforce constraints, limited capital, difficulties collecting and reporting quality measures, and the complexity of coordinating care across distant facilities. It also notes policy challenges that may prevent rural providers from participating in value-based models.
How does dissemination fit into the RHSATA requirements?
Dissemination is a required component. The awardee must promote key findings to stakeholder groups and public policy leaders so that analyses and lessons learned translate into real-world decision-making and rural health strategy.
What is the HRSA Funding Opportunity Number (FON) for this posting?
The posting was identified as HRSA Funding Opportunity Number HRSA-12-176.
What CFDA number was associated with this opportunity?
The opportunity was listed under CFDA 93.155 (Rural Health Research Centers).
When was the opportunity posted, and what were the key dates?
The posting date was April 17, 2012. The closing date was June 1, 2012. The archive date was July 31, 2012.
Was this opportunity intended to support multiple organizations or one lead organization?
It anticipated a single award, supporting one lead organization to serve as a national analytic and technical assistance resource focused on rural health systems.
How does RHSATA relate to value-based payment and quality measurement?
RHSATA is explicitly framed around the shift toward value-based payment and the increased importance of measuring and reporting quality. A core requirement is to model payment and quality proposals and to extract lessons from demonstrations and pilots so rural stakeholders can prepare for and participate in these evolving approaches.
Does the technical assistance component connect to any specific statutory programs?
Yes. The description notes that technical assistance is positioned to help rural organizations pursue participation in public and private pilots and demonstrations at multiple levels, including programs referenced under Section 330A of the Public Health Service Act.
What is the overall outcome RHSATA is trying to achieve?
RHSATA aims to ensure rural health systems are not left behind during a period of fast-moving reform by generating rigorous, data-driven analysis of rural delivery and payment realities, translating lessons from demonstrations into actionable guidance, supporting rural providers as they pursue new care models, and communicating findings to inform policy and on-the-ground strategy.
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