Although one in five Americans live in rural communities, the delivery and payment for healthcare in rural America is unique and largely misunderstood. The rural healthcare delivery system is not small urban, but instead a complex mix of providers, patients, and payers – all of which operate within distinct and changing cultures and reimbursement models.

Too often, urban-centric provider organizations view rural communities primarily as referral sources in a traditional hub-and-spoke model. That can result in a one-directional relationship that subordinates the needs and potential value of the small rural hospital and aligned clinics.

We work to develop creative regional delivery systems that are strategic and balanced.

Our goal is to harmonize the healthcare needs of rural communities with the available regional resources to create market-specific delivery models, relationships and patient access points that make sense for all actors – with an eye toward retaining as much local care as possible.