What RHTP Requires

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The Rural Health Transformation Program (RHTP) represents a major federal investment intended to strengthen rural healthcare systems, improve access to care, and stabilize the financial future of rural providers.

But RHTP is not simply a funding opportunity.

States receiving funding must submit and execute a Rural Health Transformation Plan that demonstrates how investments will improve rural health outcomes, expand access to care, and strengthen the long-term financial sustainability of rural hospitals and providers.

To meet these expectations, transformation plans must outline initiatives that:

-Improve access to healthcare services for rural residents

-Strengthen the financial stability of rural providers

-Expand workforce capacity and recruitment

-Deploy technology that improves care delivery and chronic disease management

-Support new care models such as value-based payment arrangements

In practice, this means RHTP initiatives must move beyond planning. Programs must be implemented, measured, and reported in ways that demonstrate real progress toward these goals.

Most transformation plans therefore involve multiple initiatives working together — from telehealth expansion and infrastructure upgrades to revenue cycle improvements, workforce development, and new care delivery models.

These initiatives must show measurable progress over time and demonstrate how improvements will continue after federal funding ends.

At its core, RHTP asks organizations to do something both ambitious and practical:

Strengthen rural healthcare systems in ways that expand access, improve outcomes, and sustain rural providers long after the grant period ends.

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Jeff Grandia

Jeff Grandia is a co-founder of REDi Health and a passionate advocate for rural healthcare. For more than 25 years, he has worked at the intersection of healthcare, technology, and strategy, helping organizations use data in meaningful ways to improve care and strengthen their communities. Jeff is deeply committed to ensuring that people in rural and underserved areas have access to the same opportunities for quality care as those in larger communities. He works alongside hospital leaders to uncover practical solutions, secure critical resources, and turn data into action that improves patient outcomes and supports long-term sustainability. Known for his collaborative approach and unwavering dedication to the communities he serves, Jeff has spent his career helping healthcare organizations navigate complex challenges while staying focused on what matters most—better health and stronger futures for rural communities. He holds an Executive M.B.A. from the University of Utah.

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