Texas Community Health Access and Rural Transformation (CHART) Model Review
In September 2023, Rural Health Innovations, the consulting arm of the National Rural Health Resource Center, was contracted by the Episcopal Health Foundation to conduct a review and assessment of the Texas Community Health Access and Rural Transformation (CHART) Model design and rollout.
The assessment included an examination of Centers for Medicare and Medicaid Innovation initiatives, an analysis of the Texas CHART Model design and related communications with hospitals and partners, an analysis of state hospital finances, and interviews with more than a dozen key informants.
The results of the review and assessment — the full report; recommendations for health policymakers, rural health care organizations and state-level leaders; and a webinar highlighting report findings — offer guidance on how to successfully implement future rural value-based payment models.