MedPage Today January 2, 2026
Joyce Frieden

Funds are aimed at improving rural care, but deciding how to divvy them up will be tricky

This week, the Trump administration announced the award amounts for its new Rural Health Transformation Program, but questions remain about which providers will see those funds and how effective the program will be at improving rural health quality and access.

“The hardest part of implementing the Rural Health Transformation Program isn’t allocating the money to states,” Harold Miller, president and CEO of the Center for Healthcare Quality and Payment Reform in Pittsburgh, said in an email. “It is ensuring the money actually preserves and improves rural healthcare services.”

“Over the past 5 years, over 100 rural hospitals have stopped delivering babies, more than...

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