On August 11, 2020, the Centers for Medicare & Medicaid Services (CMS) announced an alternative payment methodology (APM) for rural health care services. The APM is called the Community Health Access and Rural Transformation (CHART) Model. CHART has two value-based payment models: the Community Transformation model and the Accountable Care Organization (ACO) Transformation model. Both models provide seed money for a lead entity to make upfront investments in planning for care redesign and care coordination. Under the Community model, participating hospitals receive bi-weekly payments from a lead entity. Under the ACO model, the ACO will be eligible to . . .

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