​​​​​This project will compare Critical Access Hospitals (CAHs) participating and not participating in Value-Based Care (VBC) initiatives in order to identify differences in CAH financial and community characteristics that may be predictive of VBC success. VBC is a type of arrangement under which providers are reimbursed based on their ability to improve quality of care in a cost-effective manner, rather than being reimbursed based on volume of care provided. However, many VBC payment models exclude rural hospitals, overlook the unique challenges of providing care in rural communities, or require episode volumes greater than most rural hospitals have.