Opportunity Information: Apply for HRSA 15 072

  • The Health Resources and Services Administration in the health sector is offering a public funding opportunity titled "Rural Health Value Program" 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 Jan 20, 2015 and posted on Jan 20, 2015.
  • Applicants must submit their applications by Mar 23, 2015. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
  • The funding agency has allocated a total of $500,000.00 to eligible and selected applicants.
  • The number of recipients for this funding is limited to 1 candidate(s).
  • Eligible applicants include: Others (see text field entitled Additional Information on Eligibility for clarification).
  • Eligible applicants include domestic public, private, and nonprofit organizations, including tribes and tribal organizations, and faith based and community based organizations.
Apply for HRSA 15 072

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Opportunity Summary:

The Rural Health Value Program is a Health Resources and Services Administration (HRSA) cooperative agreement designed to help rural health care providers and the policy community understand, adapt to, and participate in the health system shift from volume-based payment to value-based care. The core idea behind the program is that health care delivery is changing quickly, with growing emphasis on measurable quality, better care coordination (especially during transitions between settings), cost control, and population health outcomes. While many of the earliest value-based initiatives have been built around large, urban, integrated systems and payment structures where quality measures are already well established, rural providers often operate under different payment rules and special designations. Because of that, there is less clear evidence about how emerging delivery and payment models will work in rural settings, particularly for low-volume providers. This program is meant to close that gap by generating practical, rural-relevant analysis and by offering hands-on technical assistance so rural organizations are not left out of demonstrations, pilots, and reforms.

The opportunity is administered through HRSA, within the Federal Office of Rural Health Policy (FORHP) and the Office of Rural Health Policy (ORHP) ecosystem of programs that already fund rural community projects and technical assistance. FORHP commonly supports community-based organizations that test innovations such as new care delivery approaches, creation of networks that share resources and achieve economies of scale, quality improvement strategies, and expanded access through telehealth. Those projects are evaluated so successful methods can be translated into evidence-based practices and shared broadly, including through the Rural Community Health Gateway. The Rural Health Value Program fits into this landscape by focusing less on running a local service delivery pilot and more on analyzing the national movement toward value-based care, translating what it means for rural providers, and helping rural organizations implement and engage with these models effectively.

The single awardee under this program is expected to perform five main functions. First, the organization must review the work completed under the existing Rural Health System Analysis and Technical Assistance (RHSATA) cooperative agreement and identify how to build on and extend that foundation rather than duplicating it. Second, the awardee must analyze value-focused demonstrations and initiatives at national, regional, state, and local levels, extract lessons that matter for rural providers, identify barriers and policy challenges, and then translate those findings into practical guidance that rural organizations can use to participate meaningfully. A key expectation here is dissemination not only to rural providers but also to policymakers and stakeholders such as HHS, Congress, states, and other entities (including for-profit and nonprofit organizations) that influence rural health policy and financing. Third, the awardee must conduct modeling related to payment and quality proposals, with the goal of helping rural delivery systems and decision-makers understand how various payment reforms or quality frameworks might play out in rural environments and what alternative service delivery configurations could work better in those communities. Fourth, the awardee must provide technical assistance to rural health care providers, including ORHP grantees, that are trying to join or succeed in demonstrations and initiatives aimed at improving outcomes, lowering costs, and improving population health. Fifth, the awardee must coordinate with ORHP grantees and other rural community-based programs to increase exposure and dissemination of information, tools, and profiles of innovative rural health entities, essentially ensuring that what is learned is shared widely and can be replicated or adapted elsewhere.

From a funding and administrative standpoint, this was a discretionary grant opportunity (Funding Opportunity Number HRSA-15-072) using a cooperative agreement instrument, meaning HRSA would typically have substantial involvement and collaboration with the recipient during the project period compared with a standard grant. HRSA expected to make one award with an estimated total funding amount of $500,000, and there was no cost sharing or matching requirement listed. Eligible applicants were broadly defined and included domestic public, private, and nonprofit organizations, as well as tribes and tribal organizations, faith-based organizations, and community-based organizations. The opportunity was posted on January 20, 2015, with an application closing date of March 23, 2015, and it was later archived on May 22, 2015. The CFDA number listed was 93.155 (Rural Health Research Centers), reflecting the program’s strong research, analysis, and translation focus rather than direct clinical service expansion alone.

In practical terms, the Rural Health Value Program is best understood as a rural-focused bridge between policy and operations: it is meant to take fast-moving value-based payment and delivery reforms, figure out what they mean for rural realities (including special rural payment designations and low-volume constraints), test assumptions through modeling and analysis, and then turn those findings into technical assistance and widely shared guidance. The intended end result is that rural providers and rural communities are better positioned to engage with value-based care initiatives on equal footing, while policymakers and other stakeholders have clearer evidence about what works, what fails, and what needs to change to make reforms workable in rural America.

Rural Health Value Program (HRSA) - FAQs

What is the Rural Health Value Program?

The Rural Health Value Program is a Health Resources and Services Administration (HRSA) cooperative agreement focused on helping rural health care providers and the policy community understand, adapt to, and participate in the national shift from volume-based payment to value-based care.

Which federal agency runs this opportunity?

The opportunity is administered by HRSA through the Federal Office of Rural Health Policy (FORHP), within the broader Office of Rural Health Policy (ORHP) ecosystem of rural programs.

What is the main purpose of the program?

The program is designed to close the gap between rapidly evolving value-based payment and delivery reforms and the realities of rural health care. It does this by producing rural-relevant analysis, modeling how reforms may work in rural settings, and providing hands-on technical assistance so rural providers are not left out of demonstrations, pilots, and reforms.

Why does HRSA focus on value-based care specifically for rural providers?

Many early value-based initiatives were built around large, urban, integrated systems where quality measures and payment structures are already well established. Rural providers often operate under different payment rules and special designations, and many are low-volume. As a result, there is less clear evidence about how emerging models will work in rural settings. This program aims to generate practical guidance and evidence tailored to rural environments.

Is this program meant to fund local service delivery pilots?

No. Unlike many rural community projects that test local innovations in care delivery, networks, or telehealth, this program focuses more on analyzing the national movement toward value-based care, translating its implications for rural providers, and helping rural organizations engage with and implement these models effectively.

How many awards does HRSA expect to make under this opportunity?

HRSA expected to make one award under this program.

What is the estimated funding amount?

The estimated total funding amount was $500,000.

Is there a cost sharing or matching requirement?

No cost sharing or matching requirement was listed for this opportunity.

What type of funding instrument is used?

This opportunity used a cooperative agreement, which typically means HRSA would have substantial involvement and collaboration with the recipient during the project period compared with a standard grant.

Who was eligible to apply?

Eligible applicants were broadly defined and included domestic public, private, and nonprofit organizations, as well as tribes and tribal organizations, faith-based organizations, and community-based organizations.

What are the five main functions the single awardee is expected to perform?

The awardee is expected to: (1) review prior work completed under the existing Rural Health System Analysis and Technical Assistance (RHSATA) cooperative agreement and build on it rather than duplicate it; (2) analyze value-focused demonstrations and initiatives across national, regional, state, and local levels and translate rural-relevant lessons into practical guidance, while disseminating findings to providers and policymakers; (3) conduct modeling related to payment and quality proposals to show how reforms may play out in rural environments and what alternative configurations could work; (4) provide technical assistance to rural providers, including ORHP grantees, trying to join or succeed in value-based demonstrations and initiatives; and (5) coordinate with ORHP grantees and other rural programs to increase exposure and dissemination of tools, information, and profiles of innovative rural health entities.

What is RHSATA, and why does it matter for this program?

RHSATA refers to the Rural Health System Analysis and Technical Assistance cooperative agreement. The new awardee is expected to review what RHSATA already produced and extend that foundation rather than duplicating previous work.

What kinds of initiatives is the awardee expected to analyze?

The awardee is expected to analyze value-focused demonstrations and initiatives at the national, regional, state, and local levels, identify barriers and policy challenges for rural participation, and translate findings into practical guidance for rural organizations.

Who is the intended audience for the program's findings and guidance?

The program is expected to disseminate information not only to rural health care providers but also to policymakers and stakeholders that influence rural health policy and financing, including HHS, Congress, states, and other entities (including both for-profit and nonprofit organizations).

What does "modeling related to payment and quality proposals" mean in this program?

Within this program, modeling refers to analyzing how payment reforms or quality frameworks might function in rural environments and exploring what alternative service delivery configurations could be better suited for rural communities.

What types of technical assistance are expected?

The awardee is expected to provide technical assistance to rural health care providers, including ORHP grantees, that are working to participate in or succeed in demonstrations and initiatives aimed at improving outcomes, lowering costs, and improving population health.

How does this program connect to ORHP grantees and other rural programs?

The awardee is expected to coordinate with ORHP grantees and other rural community-based programs to increase exposure and dissemination of information, tools, and profiles of innovative rural health entities, supporting replication or adaptation in other communities.

What does FORHP typically fund, and how is this program different?

FORHP commonly supports community-based organizations that test innovations such as new care delivery approaches, creation of networks to share resources and achieve economies of scale, quality improvement strategies, and expanded access through telehealth. Those projects are evaluated and shared broadly (including through the Rural Community Health Gateway). This program differs by emphasizing system analysis, translation, modeling, and technical assistance related to value-based care rather than operating a local pilot.

What is the Funding Opportunity Number (FON) for this grant?

The Funding Opportunity Number listed for this program was HRSA-15-072.

What is the CFDA number associated with this opportunity?

The CFDA number listed was 93.155 (Rural Health Research Centers), reflecting a strong research, analysis, and translation focus.

When was the opportunity posted and when was the application due?

The opportunity was posted on January 20, 2015, and the application closing date was March 23, 2015.

Is this opportunity still open?

No. The opportunity was archived on May 22, 2015.

What is the "core idea" driving this program?

The program is built on the idea that health care delivery is shifting quickly toward measurable quality, better care coordination (especially during transitions between settings), cost control, and improved population health outcomes, and that rural providers need rural-specific guidance and support to engage in that shift.

What end result is the program aiming for?

The intended outcome is that rural providers and rural communities are better positioned to participate in value-based care initiatives on equal footing, while policymakers and other stakeholders gain clearer evidence about what works, what fails, and what changes may be needed for reforms to be workable in rural America.

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