Premier Submits Recommendations to CMS on Rural Health Transformation Fund

Premier submitted a letter to CMS outlining recommendations for implementing the Rural Health Transformation Program (RHTP), which was established under H.R. 1, the One Big, Beautiful Bill Act. The RHTP allocates $50 billion over five years to improve healthcare access and delivery in rural communities. In its letter, Premier urges CMS to focus on long-term impact, minimizing administrative burden, and ensuring funding reaches providers best positioned to serve rural patients. Key recommendations include:

  • Direct funding to rural providers to ensure sustainability and avoid diversion to third-party entities.
  • Support for value-based care models tailored to rural needs, emphasizing access and quality over cost savings.
  • Investments in technology and infrastructure, including interoperable electronic health records, broadband for telehealth and cybersecurity.
  • Workforce development, with funding for vocational training and recruitment across clinical roles.
  • Flexible state implementation, allowing local communities to define needs and solutions.
  • Clear guidance and oversight, with streamlined applications, technical assistance and measurable outcomes.

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Date Published:
8/25/25
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