Rural health transformation for states

Let us work together to move fast on rural health transformation for states— program design, planning and execution, grant management and compliance risk mitigation, stakeholder engagement and public-private sector collaboration — to deliver measurable impact for rural communities.

What EY can do for you

EY professionals work with states to support the design and delivery of Rural Health Transformation Programs (RHTP). We help convene providers, public health agencies, community organizations, employers and health plans to align RHTP priorities, build realistic initiative roadmaps and manage state and subrecipient grant compliance risk with discipline.

Our EY teams bring deep experience across government agencies and private sector health ecosystems to help states navigate risk, meet federal requirements and accelerate implementation. We support every stage of RHTP — from strategic planning and operating model design to grants management, fiscal compliance, performance reporting and stakeholder engagement.

RHTP is structured as a performance-based, stage-gate funding model. Speed and accountability are essential. EY teams help states stand up the team structures and management needed for rapid launch and sustained execution, including command-center operations, initiative roadmaps, community partner engagement plans and results-driven governance.

We also support states in deploying the technology and data capabilities critical to rural health transformation — including telehealth and remote monitoring, mobile tools, AI-driven analytics, health data interoperability and FedRAMP-compliant grant management platforms.

From strategy through implementation, EY professionals are working with states to deliver innovative care models, increase cross-sector collaboration and actively manage compliance risk. This once-in-a-generation funding opportunity will strengthen rural health infrastructure, workforce capacity and data systems — and build sustainable, community-centered models of care.

Grants Accelerator

Powered by Microsoft and born in the cloud, the EY Grants Accelerator (EYGA)  is a flexible, rapidly deployable and integrated solution for helping grantors and grantees manage their funding.


Our latest thinking

Why execution discipline now decides rural health funding

The RHTP shifts rural health funding from traditional grants to a performance-based investment, with annual dollars tied to measurable progress.

Building a minimum viable digital foundation for rural health

Technology is essential to rural health transformation, but only when states invest in the right foundations.

Why hub-based models matter — and how states should approach them

Under the RHTP, states can designate locally governed hubs or lead organizations to coordinate care, partners and services across regions.

Maximize your impact: guidance for RHTP grant subrecipients

Discover guidance for grant subrecipients of the Rural Health Transformation Program to secure funding and improve healthcare delivery in rural areas.

Empowering states: strategies for successful RHTP grant management

Discover how RHTP funding helps states master grant management strategies to boost rural health initiatives and improve community wellbeing. Read on.

Embracing an innovation mindset in rural health transformation

Explore the Rural Health Transformation Program: a $50B initiative aimed at enhancing rural healthcare.

Activating H.R.1: Driving horizontal innovation in the social safety net

Discover how H.R.1 reshapes Medicaid and SNAP funding, shifting financial responsibility to states while unlocking $50B in rural health innovation grants.

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