The Small Rural Hospital Improvement Grant Program (SHIP) is coordinated through the Health Resources and Services Administration's (HRSA) Federal Office of Rural Health Policy (FORHP). SHIP provides funding to hospitals in 46 participating State Offices of Rural Health (SORH) to help small rural hospitals engage in various Affordable Care Act (ACA) delivery system reforms, such as value-based purchasing programs, accountable care organizations, prospective payment systems and payment bundling.

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