Rural Health Transformation Program (RHTP)
Overview
The Rural Health Transformation Program (RHTP), established through the One Big Beautiful Bill Act (OBBBA), provides $50 billion over five years to help states strengthen and modernize rural health systems.
Administered by CMS, the program requires states to develop and implement transformation plans focused on access, sustainability, and innovation.
RHTP presents a unique opportunity for states to move beyond short-term funding and implement lasting system change through well-designed payment models and coordinated implementation strategies.
How We Support States
RHRC helps states move quickly from planning to execution, combining proven methodology with real-world implementation experience. We serve as a central convenor, bringing together healthcare providers, associations, payers, and state and federal representatives, to ensure buy-in and long-term success.
Alternative Payment Design
- Statewide data analysis
- Governance and infrastructure development
- Methodology aligned to state priorities and provider operations
Financial Modeling
- Baseline and scenario-based financial analysis
- Risk-adjustment methodology
- Sustainability modeling across payment approaches
- Data-driven refinement of program concepts
Alignment Across Partners
- 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
Value-Based Transformation
- Care model redesign and planning frameworks
- Quality programming and alignment
- Population health and technology integration
Co-Designed Implementation
- 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
Why RHRC
Our approach is not one-size-fits-all. We work with states to co-design solutions that reflect their specific needs and assets.
Proven experience
RHRC designed and implemented the PA Rural Health Model, the nation’s first statewide alternative payment initiative specific to rural.
We understand rural
Our team is composed of rural healthcare leaders who understand the unique challenges, politics, and values of the communities we serve.
End-to-End Support
Our work extends beyond planning. We partner with clients through implementation, offering continuous advisory support, monitoring, and coaching to ensure strategies are successfully put into practice.
Interested in learning more about our experience in Pennsylvania, including the PA Rural Health Model and next generation alternative payment strategies?
Partner with RHRC
From early planning through implementation, RHRC helps states design and deliver effective Rural Health Transformation Programs.