Request for input from rural providers on HHS health care system delivery reform

On January 26, HHS Secretary Sylvia M. Burwell announced a major new HHS initiative focused on health care delivery system reform.  The announcement included measurable goals and a timeline to move the Medicare program, and the health care system at large, toward paying providers based on the quality, rather than the quantity of care they give patients. To support these activities, HHS is creating a Health Care Payment Learning and Action Network that will involve both public and private sector stakeholders.  You can read more about the initiative in the links below.


This initiative will have important implications for all health care providers and the patients they serve. The Federal Office of Rural Health Policy wants to hear from rural providers to ensure that rural providers can leverage the opportunities to align with the goals laid out by the Secretary.  For example, what are the implications of the unique payment classifications for rural hospitals and rural health clinics for engaging fully in these new directions? How can we ensure that the goals are attainable for rural providers?

We’re asking our grantees and rural health stakeholders to take a thorough look at information available through the links below and provide feedback.  Send us your comments at the following address:


You can also provide feedback on key rural issues for the Learning and Action Network at the following address:


Links with information about the initiative:

Delivery System Reform News Release

Secretary Burwell’s Blog Item on Delivery System Reform

Secretary Burwell’s Article in the New England Journal of Medicine

Delivery System Reform Fact Sheet

Delivery System Reform Taxonomy


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