Abstract In fulfilling the purpose of the Rural Health Innovation and Transformation Technical Assistance (RHIT-TA) program the Rural Health Value (RHV) team will support transitions from volume-driven payment systems to value-based care and payment design. Accomplishing that general mission requires assuring the rural perspective is incorporated into national policies and actions by major payers. The RHV team will do through policy briefs and presentations. The team will also provide technical assistance to support rural stakeholder understanding, participation, and success in current and emerging rural value-based care opportunities. The RHV team uses specific approaches suggested by implementation science literature and supported by the team’s deep expertise in rural health. The methodology and work plan includes careful listening, data synthesis, and knowledge dissemination that shares value-based care insights with key rural stakeholders and their communities. RHV’s TA is designed to help rural healthcare organizations overcome inherent challenges of limited managerial resources, and to adapt value-based care approaches and value-based payment to the circumstances of health care delivery in rural America. Less rural capacity and fewer rural resources to apply for, and manage, federal or other demonstrations means that rural health care organizations are much less likely to be included in these crucial opportunities to learn and adapt. Thus, the need for informed and comprehensive rural health care technical assistance has never been greater. The RHV team, and the tools and assistance it provides, offer critical and strategic thinking about organizational relationships, governance, physician-hospital relationships, and community-based organization integration to assist rural people, places, and providers successfully navigate the transition from volume-based to value-based payment and care. The RHIT-TA Goals: 1. Identify and raise awarenes
s of key rural health policy issues, and unique considerations and challenges related to implementing equitable value-based care models in rural communities. 2a. Support rural stakeholders by describing, summarizing, and comparing value-based care models and options across public and private sectors. 2b. Help rural providers find and apply strategies that support successful rural participation in equitable value-based care. 3. Provide a trusted source for information, analysis, and resources, that is nationwide in scope and that supports a broad set of stakeholders in identifying, structuring, and implementing strategies and models that support the ability of rural providers to participate and succeed in VBC. Since 2012, the RHV team has been a highly functioning collaboration between two primary organizations, the Rural Policy Research Institute (RUPRI) at the University of Iowa and Stratis Health. The RHV team brings to RHIT-TA an unprecedented ten-year history of delivering value-based care tools and technical assistance to rural providers, stakeholders, and communities. The RHV team also brings to RHIT-TA the collective health care wisdom and comprehensive resources of its parent organizations, RUPRI and Stratis Health.