Mathematica, the National Academy for State Health Policy and the Rural Health Redesign Center are launching a new project aimed at supporting the development of rural health care payment and delivery reforms that are sustainable, improve patient outcomes, and reduce costs. We are seeking teams to participate in this project which will convene states and stakeholders to identify and share practical guidance for rural payment reform. This project will complement states’ work implementing the Rural Health Transformation Program (RHTP).  

As a project participant: 

• State teams will be invited to a call series that highlights experts in rural health payment and delivery reform and will include opportunities for state-to-state learning.  
• State teams will receive an analytic profile of needs and assets to help better understand their current rural health environment and inform opportunities for future reforms.  
• Six state teams will be selected to participate in an in-depth gap analysis comparing activities included in their RHTP with the Future of Rural Health Framework – a national roadmap for addressing the needs of evolving rural healthcare systems. The confidential analysis will identify considerations for how alternative payment models can serve as foundational for future rural payment and delivery reform transformation.  

To learn more about the project, we invite you to listen to the recording of the May 21 informational webinar linked below.  

If you are interested in participating in this project, we invite you to fill out this survey. Completed surveys should be sent to Christina Cousart (ccousart@nashp.org), by end of day Friday, June 26, 2026.

If you have any questions about the project, please contact Christina Cousart.