An Interim Evaluation Report of the Innovative Projects Portfolio of the Flex Program (FMT Briefing Paper #37)

Publication Date: Jan 2018
Author(s): Kahn-Troster S, Gale J, Hansen A, Coburn AF
Research Center(s): Maine
Project: Evaluation of State Flex Program Impact and Performance: Innovative Projects and PIMS Data
Topic(s): Care Coordination, Evaluation, Flex Program, Health Reform, Quality, Telehealth

In the most recent competitive grant cycle (FY2015-17), the Flex Program included an optional
new program area focused on rural health system innovations—Program Area 5: Integration
of Innovative Health Care Models (Innovative Projects)—to address needs not covered by
the other core areas of the grant program. The Flex Monitoring Team (FMT) has undertaken
an evaluation of the states participating in this new program area, with a particular focus on
activities involving the transition to value-based care, telehealth, care coordination, quality
improvement, and system delivery in rural communities. This report provides background
on the Flex Program and the Innovative Projects program area. With a focus on the projects
and implementation experiences of seven states participating in the Flex Monitoring Team
evaluation, we describe the states’ projects and desired outcomes, and discuss initial evaluation