Rural Health
Funding by Topic: Medicare

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.

American Rescue Plan Provider Relief Fund New Distributions Inactive
Relief funds for hospitals and other healthcare providers to support expenses and lost revenue due to COVID-19. The application portal will open on September 29, 2021. $17 billion is available for a broad range of providers who can document revenue loss and expenses associated with the pandemic. An additional $8.5 billion in relief funds is available for providers who serve rural patients.

Primary Care First Model Cohort 2 Inactive
Voluntary 5-year payment options that reward value and quality by offering an innovative payment structure to support delivery of advanced primary care. Participating practices will generally include primary care practitioners, as well as other clinicians that are managing complex, chronically ill, and seriously ill populations.

Emergency Triage, Treat, and Transport (ET3) Model – Medical Triage Line Inactive
Grant to state and local governments or other eligible entities to improve the efficiency of their 911 emergency response system by establishing a medical triage line that can redirect non-emergency callers to care alternatives.

NCOA Grants for New Benefits Enrollment Centers Inactive
Grants to community-based nonprofits to serve as Benefits Enrollment Centers that work to find and enroll eligible adults in 5 core federal benefit programs. Focuses on serving certain target population groups, including people living in rural areas.

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.

Emergency Triage, Treat, and Transport (ET3) Model Inactive
A voluntary, 5-year payment model that will provide greater flexibility to ambulance care teams to address emergency healthcare needs of Medicare Fee-for-Service (FFS) beneficiaries following a 911 call. The model is designed to correct misaligned incentives and has the potential to improve the quality of care and lower costs to Medicare by reducing avoidable transports to the hospital ED and potentially reducing avoidable inpatient admissions.

Accountable Health Communities: Track 1 – Awareness Inactive
This funding opportunity announcement is for the Track 1 – Awareness track only and includes the following elements: (1) screening of community-dwelling beneficiaries to identify certain unmet health-related social needs and (2) referral of community-dwelling beneficiaries to increase awareness of community services.

Accountable Health Communities Model Inactive
Grant objective is to test whether screening beneficiaries for health-related social needs and associated referrals to and navigation of community-based services will improve quality and affordability in Medicare and Medicaid.