Rural Health Transformation Program (RHTP)

Understand what’s changing — and how rural hospitals can engage

financial stability for rural hospitals

What Is the Rural Health Transformation Program (RHTP)?

The Rural Health Transformation Program (RHTP) is a $50 billion, five-year federal funding initiative (2026–2030) designed to strengthen rural healthcare systems, including Critical Access Hospitals (CAHs).

While all states have received initial RHTP funding, how those dollars are used will depend on execution, measurable progress, and hospital readiness. First-year (2026) awards average approximately $200 million per state, within a range of $147 million to $281 million.

Unlike traditional grant programs, RHTP ties funding to demonstrated outcomes, creating an opportunity for CAHs to focus on sustainable improvements in access, operations, and financial stability.

Importantly, it is not too late to engage. Many states and hospitals are still shaping priorities and metrics, and early engagement can help CAHs position themselves for long-term support.

What RHTP Focuses On

RHTP supports state-led efforts related to:

       01      Preventive health and long-term outcomes

       02     Sustaining access to essential                      services

    03    Technology-enabled care and                    coordination

         04      Rural Care Delivery Models

         05      Rural workforce recruitment                            and retention

Funding: What’s Different This Time?

  RHTP uses a stage-gate funding model, meaning continued    funding depends on documented progress.

  For rural hospitals, this may mean              ▾

  – Earlier timelines and more frequent evaluation

  – Increased reporting tied directly to funding

  – Greater emphasis on outcomes, not just activity                 ▴

 

Participation will require careful planning and realistic alignment with operational capacity.

What This Means for Rural Hospital Leaders

Rural hospital leaders already wear many hats. RHTP introduces new expectations without taking any of the existing ones off. At the same time, it creates an opportunity to step back and be more intentional about financial stability and long-term sustainability.

When approached thoughtfully, RHTP can help bring clearer priorities, better visibility into performance, and more stable operations over time.

There is real opportunity here. And with the right planning, the added responsibilities can be managed—without overwhelming the people already carrying the load.

REDi Health: A Thoughtful Partnership

We serve as a facilitator and partner, helping rural hospitals make sense of RHTP requirements and translate them into sustainable action.

Improve data accuracy and consistency

Align metrics to RHTP expectations

Strengthen financial performance and visibility tied to sustainability

Turn existing data into clear evidence of progress

Our work is grounded in proven outcomes, including collaboration with the Utah State Office of Rural Health on complex reporting initiatives.

OT-21 Partnership Insights→

Our Sustainability Roadmap

Let’s talk

If you’re beginning—or continuing—to assess what RHTP may mean for your hospital or community, it’s not too late to engage thoughtfully.

REDi Health is here to help you think it through, plan realistically, and move forward with confidence.

Let’s connect ▾

Connect with us! Feel free to complete our form below with any questions you may have regarding RHTP and what this program means for your hospital, and we will contact you.