In this policy brief, researchers identify the barriers to and facilitators of success for rural organizations implementing the Rural Health Network Development Planning Grant. As the U.S. healthcare landscape looks increasingly at different ways of funding services, and focus shifts toward value-based payment systems and an emphasis on preventive care, the need for strong networks has become even more apparent. Understanding the challenges and opportunities grantees have faced in forming health networks will have implications for both future grant offerings, as well as other policies and programs that support health care and health in rural areas at the local level.