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The National Rural Health Resource Center (The Center) has launched the 2025 update to its Population Health Toolkit, which is designed to assist State Offices of Rural Health, state Medicare Rural Hospital Flexibility (Flex) Programs and individual health care organizations as they seek to better understand, manage and improve population health in their communities and states.

America’s rural health care system faces growing challenges in accessing capital funding for essential infrastructure projects. This paper provides a historical overview of major capital funding programs and analyzes the persistent challenges that prevent rural health care providers from converting available funding into usable capital—undermining sustainability in rural health systems.

View the criteria to be eligible to participate in Flex-related activities for Fiscal Year 2020. Learn exceptions and answers to frequently asked questions and access the 2019 MBQIP sample waiver template.

A MOU is required in order for any CAH to participate in MBQIP. Access current and past MBQIP MOU and consent forms as well as descriptions of when to use them.

Resources to support abstracting, submitting, and confirming data submission to the Centers for Medicare and Medicaid Services (CMS) QualityNet Warehouse, including the CMS Abstraction and Reporting Tool (CART) and reporting specifications manuals. 

Flex Program Fundamentals: An Introduction to the Medicare Rural Hospital Flexibility Program is designed to be used by both new and current Flex Program staff: as an orientation manual and as a guide to helpful resources.

Access Flex Program funding guidance, templates, webinar recordings, the Flex Program Structure Document, and other associated materials for the current funding cycle.

In this module, we’re going to take a broad look at your health care organization and help you think about how you and your team contribute to its long-term success. We’ll also explore the ways you impact culture and relationships through your daily interactions with others. 

In this module, we’re going to explore ways that you can work to influence the behavior of those on your team. We’ll share best practices for communicating expectations, giving and receiving feedback, and recognizing others.