Long-Term Sustainability Through Reimbursement Redesign

Helping states, payers, and rural providers achieve long-term financial stability through innovative and alternative payment models (APM).

Overview

Through data-driven planning paired with pragmatic implementation, our team helps:

Assess current needs

Develop APM methodology

Prepare for transitioning to value-based care

Our approach is not one-size-fits-all. We work with communities to co-design solutions that reflect their specific needs and assets.

Our Services

RHRC helps states and organizations move quickly from planning to execution, combining proven methodology with real-world experience.

  • Statewide data analysis
  • Governance and infrastructure development
  • Methodology aligned to state priorities and provider operations
  • Coordination across providers, payers, tribal organizations, and government entities
  • Visioning sessions and collaborative workgroups
  • Shared goals, aligned value-propositions, and defined roles
  • Ongoing engagement throughout design and implementation 
  • Change management strategy
  • Customizable frameworks tailored to your community
  • Program launch and operationalization
  • Reporting and performance tracking
  • Technical assistance for participating organizations
  • Ongoing program refinement, monitoring, and guidance
  • Population health and technology integration
  • Care model redesign and planning frameworks
  • Quality programming and alignment
  • Baseline and scenario-based financial analysis
  • Risk-adjustment methodology
  • Sustainability modeling across payment approaches
  • Data-driven refinement of program concepts

Our Approach

Partner Alignment

building the foundation for trust and collaboration

Methodology Development

aligned to partner needs and built for sustainability

Hands-On Technical Assistance

supporting participants throughout implementation

Impact

Delivering Meaningful Results for Rural Transformation.

The RHRC team has been wonderful to work with and are very supportive of our transformational efforts."
Anonymous
Hospital
Without the PARHM, our hospital would not have survived the COVID-19 pandemic.”
Anonymous
Hospital
We thought we were doing well in meeting our community's needs until we saw the data.”
Anonymous
Hospital
The PARHM has helped us create financial stability which gives our hospital the opportunity to assess community needs and to grow, establish, and implement positive changes.”
Anonymous
Hospital
The work of the RHRC has transformed our hospital's focus from providing “sick” care to providing HEALTH care which has helped drive many other strategic initiatives.”
Dave Hoff
Former CEO, Wayne Memorial Hospital
PARHM has helped maintain financial viability at Punxsutawney. It has transformed wellness and care avoidance with the desire to generate fewer fee-for-service transactions at the same time as expanding community services.”
Jack Sisk
Former President, Punxsutawney Area Hospital
Through PARHM our organization has become a beacon of excellence in our rural community, maintaining every level of service with the highest quality and safety standards, at the same time reducing overall costs. Much of our great work was centered around innovative delivery models utilizing telemedicine. We implemented an Advanced Practice Provider-staffed emergency department with telemedicine [in] 2021 and have seen steady growth in volumes and patient satisfaction scores since then. PARHM has resulted in favorable revenue since its inception, with finances improving each year. This transformation into a vibrant enterprise within our system is a testament to the goals and vision of the PARHM.”
Mark Papalia
CEO, UPMC Kane
Keep up the great work"
Anonymous
Hospital
The RHRC team has been wonderful to work with and are very supportive of our transformational efforts."
Anonymous
Hospital
Without the PARHM, our hospital would not have survived the COVID-19 pandemic.”
Anonymous
Hospital
We thought we were doing well in meeting our community's needs until we saw the data.”
Anonymous
Hospital
The PARHM has helped us create financial stability which gives our hospital the opportunity to assess community needs and to grow, establish, and implement positive changes.”
Anonymous
Hospital
The work of the RHRC has transformed our hospital's focus from providing “sick” care to providing HEALTH care which has helped drive many other strategic initiatives.”
Dave Hoff
Former CEO, Wayne Memorial Hospital
PARHM has helped maintain financial viability at Punxsutawney. It has transformed wellness and care avoidance with the desire to generate fewer fee-for-service transactions at the same time as expanding community services.”
Jack Sisk
Former President, Punxsutawney Area Hospital
Through PARHM our organization has become a beacon of excellence in our rural community, maintaining every level of service with the highest quality and safety standards, at the same time reducing overall costs. Much of our great work was centered around innovative delivery models utilizing telemedicine. We implemented an Advanced Practice Provider-staffed emergency department with telemedicine [in] 2021 and have seen steady growth in volumes and patient satisfaction scores since then. PARHM has resulted in favorable revenue since its inception, with finances improving each year. This transformation into a vibrant enterprise within our system is a testament to the goals and vision of the PARHM.”
Mark Papalia
CEO, UPMC Kane

Our Work in Action

The Pennsylvania Rural Health Model (PARHM) was a CMMI initiative designed to improve the financial stability of rural hospitals by shifting from fee-for-service to a global budget model.

RHRC led the Model’s development, governance, and implementation, working alongside hospitals and payers to improve population health and hospital sustainability.

Reaching over 1.3 million residents, the model demonstrated the potential of scalable, rural-focused payment reform while advancing innovation in healthcare across Pennsylvania.

Ready to Explore Alternative Payment?

From early planning through implementation, RHRC helps design and deliver robust and sustainable Alternative Payment Models.

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