CMS Announces a Model for Rural Health Care Access and Transformation On September 16, 2020, the CMS Innovation Center announced the Community Health Access and Rural Transformation (CHART) Model. As part of that rural transformation, including transforming a system built on fee-for-service and volume to one based on value, CMS is testing the CHART Model. Through the Model, 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. With this upfront seed funding, CMS is also providing regulatory and operational flexibility for updated service delivery models as well as changing how participating hospitals in these communities are paid, from a system based
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