Watch for a rural ACO coming to an area near you. More than 130 rural hospitals have closed since 2010, and Medicare is looking to do something about it — and about other hardships for rural providers and beneficiaries.
The Centers for Medicare & Medicaid Services is testing the Community Health Access and Rural Transformation (CHART) Model. Under the program, CMS is directly providing a pool of $75 million in upfront, seed funding, with 15 rural communities applying for up to $5 million to develop local transformation plans, the agency says in a release. The program will involve paying hospitals a capitated monthly payment and hopes to include 20 rural Accountable Care Organizations (ACOs) paying shared savings upfront, among other features.