Encouraging Rural Participation in Population-Based Total Cost of Care (PB-TCOC) Models

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Examines the financial constraints rural providers have in pivoting to value-based care and alternative payment models (APMs), including population-based total cost of care (PB-TCOC) models. Provides recommendations and supportive policies to increase rural participation in PB-TOC models and discusses issues such as financial risk, use of benchmarks to meet spending goals, performance measurements, information technology and telehealth, and more.

01/2026

HHS Office of the Assistant Secretary for Planning and Evaluation

Healthcare business and finance · Policy · Reimbursement and payment models