State Initiatives Funded by the Medicare Rural Hospital Flexibility Grant Program

Publication Date: Dec 2007
Author(s): Gale J, Lenardson J, Race M, Gregg W, Casey MM, RIchardson I, Rutledge S, Slifkin RT
Research Center(s): Maine, Minnesota
Topic(s): Flex Program, Health Care Services

To document effective state initiatives using Flex Grant Program funds, Flex Coordinators in all 45 participating states were asked to identify and discuss their states’ three most successful initiatives in the past two years. These documents report findings from these interviews.

The briefing paper provides information with greater depth than the associated policy brief, which is designed to provide an overview of key findings and trends.

Key Findings

  • States have implemented a range of successful program activities addressing hospital quality and performance improvement, rural hospital viability, community-focused initiatives, EMS, HIT implementation, and workforce development, among others;
  • States have used Flex funds to seed the development of many of these initiatives, with other sources of funds being tapped to augment those from the grant;
  • Flex funds have been critical to the development of projects to support CAHs and rural health systems for which there were no other sources of funding; 
  • Flex has engaged stakeholders from health care organizations and state agencies and created relationships that have value added beyond the Flex Program.
Descriptor Date File
Brief (FMT Policy Brief #3) Dec 2007 Download
Report (FMT Briefing Paper #15) Oct 2007 Download