Rural Health
Resources by Topic: Rural Health Transformation Program
Rural Health Transformation Program: State Focus on Community Health Workers
Describes examples of state initiatives regarding community health workers (CHWs) outlined Rural Health Transformation Program (RHTP) applications from Arizona, Iowa, Nebraska, and Wisconsin. Includes results of a scan of CHW proposals for each state with a publicly available RHTP application.
Author(s): Megan D'Alessandro, Sandra Wilkniss
Date: 02/2026
Sponsoring organization: National Academy for State Health Policy
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Describes examples of state initiatives regarding community health workers (CHWs) outlined Rural Health Transformation Program (RHTP) applications from Arizona, Iowa, Nebraska, and Wisconsin. Includes results of a scan of CHW proposals for each state with a publicly available RHTP application.
Author(s): Megan D'Alessandro, Sandra Wilkniss
Date: 02/2026
Sponsoring organization: National Academy for State Health Policy
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Launching Rural Health Transformation Plans: Lessons from Other Large-Scale State Initiatives
Discusses state implementation of Rural Health Transformation Plans (RHTPs) and provides recommendations to assist states in creating appropriate administrative infrastructure to implement their RHTPs. Focuses on governance; stakeholder engagement and communications; budget tracking, reporting, and contracting; and data and evaluation.
Author(s): Tricia McGinnis, Rob Houston
Date: 02/2026
Sponsoring organization: Center for Health Care Strategies
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Discusses state implementation of Rural Health Transformation Plans (RHTPs) and provides recommendations to assist states in creating appropriate administrative infrastructure to implement their RHTPs. Focuses on governance; stakeholder engagement and communications; budget tracking, reporting, and contracting; and data and evaluation.
Author(s): Tricia McGinnis, Rob Houston
Date: 02/2026
Sponsoring organization: Center for Health Care Strategies
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Chartis Center for Rural Health Research & Resources for the 2026 National Rural Health Association's Rural Health Policy Institute Conference
Offers research and analysis of the stability of the rural healthcare safety net. Includes 2026 Rural State of the State, and presentation slides on this report from the 2026 National Rural Health Association Policy Institute. Provides links to national and state data tables showing the financial impact of federal policies on rural hospitals.
Date: 02/2026
Sponsoring organization: Chartis Center for Rural Health
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Offers research and analysis of the stability of the rural healthcare safety net. Includes 2026 Rural State of the State, and presentation slides on this report from the 2026 National Rural Health Association Policy Institute. Provides links to national and state data tables showing the financial impact of federal policies on rural hospitals.
Date: 02/2026
Sponsoring organization: Chartis Center for Rural Health
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Rural Healthcare Challenges Deepen as the Rural Health Transformation Program Ramps Up
Examines the impact of the Rural Health Transformation (RHT) program and the ongoing issues of rural hospital closures and financial losses, Medicaid policy, workforce shortages, diminishing access to rural healthcare services, and more. Discusses themes in state RHT applications and how they plan to utilize RHT funding.
Date: 02/2026
Sponsoring organization: Chartis Center for Rural Health
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Examines the impact of the Rural Health Transformation (RHT) program and the ongoing issues of rural hospital closures and financial losses, Medicaid policy, workforce shortages, diminishing access to rural healthcare services, and more. Discusses themes in state RHT applications and how they plan to utilize RHT funding.
Date: 02/2026
Sponsoring organization: Chartis Center for Rural Health
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From Clinics to Communities: Mobile Health in State Rural Health Transformation Plans
Highlights mobile health models included in state Rural Health Transformation Plan applications. Includes information on the effectiveness of mobile health models in rural healthcare delivery.
Author(s): Julia Burleson, Leila Sullivan
Date: 02/2026
Sponsoring organization: Center on Health Insurance Reforms at Georgetown University's McCourt School of Public Policy
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Highlights mobile health models included in state Rural Health Transformation Plan applications. Includes information on the effectiveness of mobile health models in rural healthcare delivery.
Author(s): Julia Burleson, Leila Sullivan
Date: 02/2026
Sponsoring organization: Center on Health Insurance Reforms at Georgetown University's McCourt School of Public Policy
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From "Rural Bypass" to Regional Capacity: Building CA Hub-and-Spoke Specialty Care
Details how the state of California is implementing a telehealth-based hub-and-spoke model connecting rural hospitals as specialty care providers with local clinics. Discusses implications for providers, including suggestions for Critical Access Hospitals, Rural Health Clinics, Federally Qualified Health Centers, and other rural facilities.
Author(s): Sylvia Trujillo, Emilia Ochoa-Ruiz
Date: 01/2026
Sponsoring organization: California Telehealth Resource Center
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Details how the state of California is implementing a telehealth-based hub-and-spoke model connecting rural hospitals as specialty care providers with local clinics. Discusses implications for providers, including suggestions for Critical Access Hospitals, Rural Health Clinics, Federally Qualified Health Centers, and other rural facilities.
Author(s): Sylvia Trujillo, Emilia Ochoa-Ruiz
Date: 01/2026
Sponsoring organization: California Telehealth Resource Center
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Advancing Medicaid Primary Care Population-Based Payment Models: Four Lessons for States
Discusses the impact of Medicaid policy, the Rural Health Transformation Program, and reimbursement models on primary healthcare. Discusses population-based payment (PC PBP) and value-based payment (VBP) models, sharing examples from Colorado meant to enhance payments to rural and small primary care practices.
Author(s): Kelsey Brykman
Date: 01/2026
Sponsoring organization: Center for Health Care Strategies
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Discusses the impact of Medicaid policy, the Rural Health Transformation Program, and reimbursement models on primary healthcare. Discusses population-based payment (PC PBP) and value-based payment (VBP) models, sharing examples from Colorado meant to enhance payments to rural and small primary care practices.
Author(s): Kelsey Brykman
Date: 01/2026
Sponsoring organization: Center for Health Care Strategies
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Rural Health Transformation Program: Funding Amounts and State Policy Actions
Presents an analysis of Rural Health Transformation Program (RHTP) first-year funding across three components of the award: baseline, rural facility and population, and workload. Summarizes which states addressed certain current or proposed state policies intended to enhance the impact of the program in their RHTP applications.
Date: 01/2026
Sponsoring organization: The Cecil G. Sheps Center for Health Services Research
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Presents an analysis of Rural Health Transformation Program (RHTP) first-year funding across three components of the award: baseline, rural facility and population, and workload. Summarizes which states addressed certain current or proposed state policies intended to enhance the impact of the program in their RHTP applications.
Date: 01/2026
Sponsoring organization: The Cecil G. Sheps Center for Health Services Research
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Rural Health Transformation 50 State Spotlights
Summarizes the goals and key themes of each state's Rural Health Transformation Program application. Highlights select initiatives, expected impact of the program, and related state policy actions.
Date: 12/2025
Sponsoring organization: Centers for Medicare and Medicaid Services
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Summarizes the goals and key themes of each state's Rural Health Transformation Program application. Highlights select initiatives, expected impact of the program, and related state policy actions.
Date: 12/2025
Sponsoring organization: Centers for Medicare and Medicaid Services
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RHT Program State Project Abstracts
Presents the one-page project abstracts submitted by each state as part of their applications for the Rural Health Transformation Program.
Date: 12/2025
Sponsoring organization: Centers for Medicare and Medicaid Services
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Presents the one-page project abstracts submitted by each state as part of their applications for the Rural Health Transformation Program.
Date: 12/2025
Sponsoring organization: Centers for Medicare and Medicaid Services
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