A review of all 50 state applications submitted to the CMS Office of Rural Health Transformation reveals a clear pattern in how states are approaching rural healthcare reform. While the specifics vary by geography and population, a common set of priorities appears repeatedly across submissions.
Collectively, these efforts are intended to stabilize rural healthcare delivery, improve patient outcomes, and put providers on firmer financial footing. Many states highlight the need to prepare rural providers for value-based payment models, viewing the shift as an opportunity to build operational capacity, improve care coordination, and develop regional partnerships that promote long-term stability and access to care.
The areas outlined below are where states are most consistently concentrating their rural health transformation efforts.
Common Rural Health Areas of Focus
Telehealth & Remote Monitoring
State applications demonstrate significant interest in investing in connectivity and digital tools to expand telehealth services and support remote patient monitoring , with the goal of improving access to care in geographically isolated communities. The delivery of clinical services through technology-enabled platforms will be critical to expanding clinical capacity in rural health areas. Any investment in Remote Patient Monitoring should be undertaken thoughtfully and supported by appropriate governance to mitigate compliance risk.
Mobile Units and Alternative Care Sites
Mobile healthcare units and alternative care sites are being deployed to support a range of services, including primary care, preventative services, and screening efforts.
Maternal Health
Many states highlight maternal health as a priority, with programs aimed at improving outcomes through expanded access to services, education, and care coordination.
Cancer Prevention and Screening
Cancer prevention and screening efforts are commonly included, with a focus on early detection and improving access to services in rural communities.
Integrated Behavioral Health and Social Services
States are advancing care models that integrate behavioral health with primary care and social services. These approaches are intended to address mental health needs in a more coordinated manner.
Food is Medicine
Several applications reference nutrition‑based programs that connect food access with health outcomes, particularly as a preventive approach for chronic disease.
Value‑Based Care and Data Systems
States frequently cite the need to strengthen data systems to support participation in value‑based care models, including improved reporting, analytics, and population health management capabilities.
Cross-Sector Collaboration and System Readiness
Many applications also refer to the need for readiness, including alignment across providers, technology, and operations to support long-term rural health transformation.
BDO is helping states across the country turn rural health transformation priorities into compliant programs that deliver measurable results for their communities. If you have questions about the Rural Health Transformation Program, or opportunities to participate as a contractor, BDO can help.
Implementation and management for government programs are offered through BDO Government Services, LLC, a Delaware limited liability company and a separate legal entity affiliated with BDO USA, P.C.