Opportunity Information: Apply for HRSA 19 022
The Rural Health Innovation and Transformation Technical Assistance (RHIT-TA) opportunity (HRSA-19-022) is a discretionary cooperative agreement offered by the U.S. Department of Health and Human Services (HHS) through the Health Resources and Services Administration (HRSA), under CFDA 93.155. The grant is designed to fund a single award recipient that can deliver technical assistance to rural health stakeholders and the general public, with the practical goal of helping rural communities better understand, prepare for, and actively participate in the rapidly changing value-based care environment.
At its core, the program responds to a major shift in how health care is being paid for in the United States. Public and private payers are increasingly moving away from traditional fee-for-service reimbursement (which tends to reward volume of services) and toward value-based care approaches that aim to reward quality, outcomes, and efficiency. These models often include stronger performance measurement, more accountability for outcomes, and, increasingly, payment structures that involve some level of financial risk tied to cost and quality results. RHIT-TA is intended to help rural providers and communities navigate that shift, especially as value-based models continue evolving toward risk-based arrangements.
A major theme in the opportunity is that rural health care settings face challenges that can make value-based care harder to adopt and sustain compared with higher-volume urban or suburban systems. Rural providers often operate with lower margins and smaller patient populations, which can make it more difficult to cover the up-front investments associated with redesigning care, adopting new reporting and analytics capabilities, or hiring staff for care coordination and quality improvement. Low patient volume can also make performance measurement less stable; outcomes can look artificially high or low due to small numbers, increasing the chance of skewed results and making it harder to reliably demonstrate value. On top of that, taking on downside financial risk can be more threatening in rural environments where a single bad year or unexpected utilization pattern may have outsized financial consequences. RHIT-TA recognizes these realities and positions technical assistance as a way to reduce barriers and improve readiness for rural participation.
The program aligns directly with HHS priorities related to value-based health care and with the Centers for Medicare and Medicaid Services (CMS) Rural Health Strategy (2018), which elevated rural health within payment and delivery reform efforts. In that context, RHIT-TA focuses technical assistance around four strategic areas emphasized by HHS: maximizing the promise of health information technology (including interoperability), boosting transparency around price and quality, supporting the development and testing of new Medicare and Medicaid payment and service delivery models, and reducing government burdens and barriers that get in the way of care coordination. The intent is not simply educational in the abstract, but practical and action-oriented, helping rural stakeholders understand what these policy and market shifts mean on the ground and what steps can make participation in value-based models more achievable.
The opportunity sets out two overarching goals for the technical assistance work. First, it aims to raise awareness of the unique considerations rural providers and communities face when implementing value-based care, both in today’s environment and as new models emerge, with specific attention to the four strategic areas above. Second, it seeks to actively engage stakeholders by providing strategies and support that help rural providers and communities participate in value-based care models, positioning them to succeed rather than be left behind as payment reforms expand.
From an administrative standpoint, the funding notice lists an expected single award, uses the cooperative agreement mechanism (suggesting substantial federal involvement and collaboration during the project), and identifies eligibility broadly as “Others,” with further clarification referenced in the full notice. The posting date was November 23, 2018, and the original application closing date was February 22, 2019. The award ceiling is listed as 0 in the extracted data, which typically indicates that the ceiling was not captured in the summary field or was defined elsewhere in the full announcement rather than implying no funding. Overall, RHIT-TA is best understood as a targeted federal effort to equip rural health systems and their partners with the know-how and practical support needed to adapt to value-based payment and delivery reforms while accounting for the distinctive operational and financial constraints of rural care.Apply for HRSA 19 022
- The Department of Health and Human Services, Health Resources and Services Administration in the health sector is offering a public funding opportunity titled "Rural Health Innovation and Transformation Technical Assistance" and is now available to receive applicants.
- Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.155.
- This funding opportunity was created on Nov 23, 2018.
- Applicants must submit their applications by Feb 22, 2019. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
- 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).
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Rural Health Innovation and Transformation Technical Assistance (RHIT-TA) (HRSA-19-022) FAQs
What is the RHIT-TA opportunity?
Rural Health Innovation and Transformation Technical Assistance (RHIT-TA) (HRSA-19-022) is a discretionary cooperative agreement offered by the U.S. Department of Health and Human Services (HHS) through the Health Resources and Services Administration (HRSA), under CFDA 93.155. The purpose is to fund technical assistance that helps rural health stakeholders and the general public understand, prepare for, and participate in value-based care.
Which federal agency administers RHIT-TA?
The program is administered by HRSA within HHS.
What is the CFDA number for RHIT-TA?
The opportunity is listed under CFDA 93.155.
What type of funding mechanism is RHIT-TA?
RHIT-TA uses a cooperative agreement mechanism. This indicates substantial federal involvement and collaboration during the project, compared with a standard grant.
How many awards are expected under RHIT-TA?
The notice indicates an expected single award (one award recipient).
Who is the grant intended to serve?
The funded recipient is expected to deliver technical assistance to rural health stakeholders and the general public, with an emphasis on rural communities and rural providers facing value-based payment and delivery changes.
What is the practical goal of the technical assistance?
The practical goal is to help rural communities better understand, prepare for, and actively participate in the rapidly changing value-based care environment.
Why does RHIT-TA focus on value-based care?
The opportunity responds to a nationwide shift away from fee-for-service reimbursement (which tends to reward volume) toward value-based care approaches that reward quality, outcomes, and efficiency, often with stronger performance measurement and accountability.
What does the opportunity mean by "risk-based arrangements"?
The notice describes value-based models as increasingly involving payment structures with some level of financial risk tied to cost and quality results. RHIT-TA is positioned to help rural participants navigate an environment that is evolving toward these risk-based arrangements.
Why are rural providers uniquely challenged by value-based care adoption?
The opportunity highlights several rural-specific constraints, including lower margins, smaller patient populations, difficulty funding up-front investments (such as care redesign, analytics, and staffing for care coordination and quality improvement), and more volatile performance measurement due to low patient volume.
How does low patient volume affect performance measurement in rural settings?
Because rural providers often have smaller patient populations, measured outcomes can appear artificially high or low due to small numbers. This instability can skew results and make it harder to reliably demonstrate value.
Why is downside financial risk particularly concerning in rural environments?
The notice explains that a single bad year or unexpected utilization pattern may have outsized financial consequences for rural providers, making downside risk more threatening compared with higher-volume systems.
What is RHIT-TA intended to do about these rural barriers?
RHIT-TA positions technical assistance as a way to reduce barriers and improve readiness for rural participation in value-based care, accounting for the operational and financial realities of rural care.
How does RHIT-TA align with broader federal priorities?
The program aligns with HHS priorities related to value-based health care and with the Centers for Medicare and Medicaid Services (CMS) Rural Health Strategy (2018), which elevated rural health within payment and delivery reform efforts.
What strategic areas does RHIT-TA emphasize for technical assistance?
The opportunity focuses technical assistance around four strategic areas emphasized by HHS: (1) maximizing the promise of health information technology (including interoperability), (2) boosting transparency around price and quality, (3) supporting the development and testing of new Medicare and Medicaid payment and service delivery models, and (4) reducing government burdens and barriers that get in the way of care coordination.
Is the technical assistance meant to be purely educational?
No. The notice emphasizes that the intent is practical and action-oriented, helping rural stakeholders understand what policy and market shifts mean operationally and what steps can make participation in value-based models more achievable.
What are the two overarching goals of RHIT-TA?
First, to raise awareness of the unique considerations rural providers and communities face when implementing value-based care (including as new models emerge), with attention to the four strategic areas. Second, to actively engage stakeholders by providing strategies and support that help rural providers and communities participate and succeed in value-based care models.
Who is eligible to apply?
The eligibility category is listed broadly as "Others," with additional clarification referenced in the full notice.
What were the key dates for this opportunity?
The posting date was November 23, 2018, and the original application closing date was February 22, 2019.
What is the award ceiling for RHIT-TA?
The extracted summary field lists the award ceiling as 0. This typically indicates that the ceiling was not captured in the summary field or was defined elsewhere in the full announcement, rather than meaning that no funding is available.
What should applicants infer from the award ceiling being shown as 0?
Based on the information provided, it should be interpreted as a data-extraction or summary-field limitation, with the actual ceiling likely specified in the full funding notice.
Does RHIT-TA focus specifically on Medicare and Medicaid models?
Yes. One of the four strategic areas explicitly includes supporting the development and testing of new Medicare and Medicaid payment and service delivery models.
What role does health information technology play in RHIT-TA?
Health information technology is a central emphasis area, including interoperability, as part of helping rural providers succeed in value-based care arrangements that often rely on data, reporting, and coordination.
How does the opportunity describe transparency as part of value-based care?
Transparency is emphasized through a strategic focus on boosting transparency around price and quality, consistent with broader value-based care priorities.
What does RHIT-TA mean by reducing government burdens and barriers?
The notice frames this as reducing burdens and barriers that get in the way of care coordination, suggesting technical assistance may help rural stakeholders navigate or mitigate administrative obstacles that hinder coordinated care.
What is the overall intent of RHIT-TA in one sentence?
RHIT-TA is a targeted federal effort to equip rural health systems and their partners with practical technical assistance so they can adapt to and succeed in value-based payment and delivery reforms despite the distinctive constraints of rural care.
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