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Community Health Access and Rural Transformation (CHART) Model - Community Transformation Track

Award Number: 2G2CMS331802
ORGANIZATION: HEALTH CARE FINANCING ADMINISTRATION, OFFICE OF ACQUISITION AND GRANTS
OPDIV: CMS
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: OTHER
PERIOD OF PERFORMANCE START DATE: 10/01/2021
PERIOD OF PERFORMANCE END DATE: 11/30/2022

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Community Health Access and Rural Transformation (CHART) Model - Community Transformation Track - The University of Alabama at Birmingham (UAB) is applying to participate as the lead organization in the Community Transformation Track of the CHART Model offered by the CMMI. UAB is located in Birmingham, Alabama. In addition to the academic core, it includes a healthcare enterprise, UAB Health System, a $5 billion organization with responsibility for UAB Hospital, one of the largest hospitals in the nation. It also includes 14+ hospitals across Alabama under various management and affiliation arrangements. UAB has experience in managing health-related grants and has advanced knowledge within the healthcare arena. Many of the awarded grants have specifically focused on health disparities and access issues in rural communities including the NIH funded Risk Underlying Rural Areas Longitudinal (RURAL) Study and the HRSA funded Comprehensive Urban Underserved and Rural Experience (CU2RE). The size, scope, and standing in the state of Alabama makes UAB and its healthcare entities a prime candidate for leading this model in Alabama. Alabama is a state with 54 rural counties and 47 rural hospitals. An estimated 1.1 million residents live in these rural counties. In order to maximize this opportunity for rural hospitals, the service area proposed in this application incorporates all of these rural counties as the community. At the time of this writing, approximately ten eligible hospitals have signed a non-binding letter of intent to participate. As more information is made known regarding the model criteria and the financing mechanisms beyond baseline capitation rates and how those rates are projected for the out years, we anticipate that additional hospitals will likely express interest in participating. The goals proposed in the transformation plan are consistent with the goals of this model. UAB with its component parts in conjunction with the State Medicaid Agency (SMA) will work with participating hospitals and the Advisory Council to implement an alternative payment model designed to improve financial stability for hospitals as well as improve access and outcomes for members of the community. Central tenets of the transformation plan are: "Reliance on capitated revenues for financial stability. "Wide-spread adoption of ambulatory telemedicine for specialty and subspecialty care with an emphasis on mental and behavioral health. "Development of care management strategies to help patients get the right care, in the right place, at the right time. "Identifying solutions for certain social determinants of health such as transportation in extremely rural communities. "Managing at least the 6 quality measures defined by CMMI. The proposed budget to accomplish these goals is set at $4,912,000. These funds will be used primarily to leverage the expertise and experience brought to the project by the leaders enlisted to support UAB and SMA as the recipient and subrecipient of the cooperative agreement. These roles include leadership, grants management, telemedicine, care management, quality management, practice transformation, strategic planning, and reimbursement specialists. Most rural hospitals have some or minimal experience in these areas. UAB will be able to guide participating hospitals in transformation activities that will support the successful implementation of the objectives of the CHART Model Community Transformation Track.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2023 ( Subtotal = -$2,045,377 )
2023	2022	University Of Alabama At Birmingham	701 S 20th St	Birmingham	AL	35294	JEFFERSON	USA	Community Health Access and Rural Transformation (CHART) Model	02	2	3/31/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	-$496,674
2023	2022	UNIVERSITY OF ALABAMA AT BIRMINGHAM	701 S 20th St	Birmingham	AL	35294	JEFFERSON	USA	Community Health Access and Rural Transformation (CHART) Model	01	2	12/8/2022	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2023	2021	University Of Alabama At Birmingham	701 S 20th St	Birmingham	AL	35294	JEFFERSON	USA	Community Health Access and Rural Transformation (CHART) Model	02	2	3/31/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	-$1,548,703
														Subtotal = -$2,045,377

Issue Date FY: 2022 ( Subtotal = $496,674 )
2022	2022	UNIVERSITY OF ALABAMA AT BIRMINGHAM	701 S 20th St	Birmingham	AL	35294	JEFFERSON	USA	Community Health Access and Rural Transformation (CHART) Model	00	2	9/23/2022	NON-COMPETING CONTINUATION	$496,674
2022	2021	UNIVERSITY OF ALABAMA AT BIRMINGHAM	701 S 20th St	Birmingham	AL	35294	JEFFERSON	USA	Community Health Access and Rural Transformation (CHART) Model	02	1	9/14/2022	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2022	2021	University Of Alabama At Birmingham	701 S 20th St	Birmingham	AL	35294	JEFFERSON	USA	Community Health Access and Rural Transformation (CHART) Model	01	1	8/5/2022	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $496,674

Issue Date FY: 2021 ( Subtotal = $1,973,008 )
2021	2021	University Of Alabama At Birmingham	701 S 20th St	Birmingham	AL	35294	JEFFERSON	USA	Community Health Access and Rural Transformation (CHART) Model	00	1	9/10/2021	NEW	$1,973,008
														Subtotal = $1,973,008

Grand Total All Awards = $424,305

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Community Health Access and Rural Transformation (CHART) Model - Community Transformation Track

Award Number: 2G2CMS331802

ORGANIZATION: HEALTH CARE FINANCING ADMINISTRATION, OFFICE OF ACQUISITION AND GRANTS

OPDIV: CMS

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: OTHER

PERIOD OF PERFORMANCE START DATE: 10/01/2021

PERIOD OF PERFORMANCE END DATE: 11/30/2022

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