
Rural healthcare systems continue to face structural challenges that threaten access, quality, and long-term sustainability. Workforce shortages, financial instability, limited specialty access, and growing chronic disease burdens have created an urgent need for systemic change.
In response, the Centers for Medicare & Medicaid Services (CMS) established the Rural Health Transformation (RHT) Program, a nationwide initiative designed to help states modernize and stabilize rural healthcare delivery through coordinated, long-term reform.