These Federal funds are intended to address four (4) key areas of hospital operations as identified by the Health Resources and Services Administration (HRSA): 1) Prospective Payment Systems, 2) Accountable Care Organizations, 3) Value Based Purchasing, and 4) Bundled Payments. Qualified hospitals must propose specific initiatives to address one or more of the four key areas. This service supports the goal of improving financial operations, quality of care provided, and viability of rural hospitals, thus enhancing health care in rural areas.