{"id":9506,"date":"2025-09-18T12:51:50","date_gmt":"2025-09-18T16:51:50","guid":{"rendered":"https:\/\/uniteustailstg.wpengine.com\/?p=9506"},"modified":"2025-09-19T13:35:59","modified_gmt":"2025-09-19T17:35:59","slug":"lessons-from-torch-on-rural-health-transformation","status":"publish","type":"post","link":"https:\/\/uniteus.com\/blog\/lessons-from-torch-on-rural-health-transformation\/","title":{"rendered":"Rural Health Transformation: Lessons from the ToRCH Model"},"content":{"rendered":"","protected":false},"excerpt":{"rendered":"","protected":false},"author":5,"featured_media":9514,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"categories":[1],"states":[],"topic":[89,79,88],"industry":[75],"series_name":[],"class_list":["post-9506","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-blog","topic-medicaid-innovation","topic-rural-health","topic-technology","industry-payers"],"acf":{"layout":"columns","gated_page":{"":null,"title":"","featured_image":null,"description":"","form_title":"Fill out the form to download the white paper.","code_editor":"","title_2":"","description_2":"","embeds":null,"display_cta_button":true,"button_text":"Download the White Paper"},"columns":[{"acf_fc_layout":"html_editor","acfe_layout_col":"12","html_editor":"<h3><span style=\"color: #216cff;\">How Missouri\u2019s ToRCH model demonstrates that technology and trust can drive sustainable change in rural communities.<\/span><\/h3>\r\n<span style=\"font-weight: 400;\">Rural communities across the United States face some of the most persistent health challenges\u2014limited access to care, provider shortages, and higher rates of chronic disease. Yet they also hold immense potential for innovation, resilience, and collaboration.<\/span>\r\n\r\n<span style=\"font-weight: 400;\">That was the focus of the recent <\/span>\u201c<a href=\"https:\/\/uniteus.com\/webinar\/rural-health-a-guide-for-digital-health-transformation\/\">Rural Health: A Guide for Digital Health Transformation<\/a>\u201d<span style=\"font-weight: 400;\"> webinar, hosted by Unite Us alongside partners from Missouri\u2019s Department of Social Services. With the historic <\/span><a href=\"https:\/\/www.grants.gov\/search-results-detail\/360442\">$50 billion Rural Health Transformation Fund (RHTF) <\/a><span style=\"font-weight: 400;\">on the horizon, the session highlighted what states can do today to position themselves for success\u2014and why technology, trust, and community partnerships will be key drivers of transformation.<\/span>\r\n\r\n<hr \/>\r\n\r\n&nbsp;\r\n<h2>Setting the Stage:\r\nThe Rural Health Transformation Fund<\/h2>\r\n<span style=\"font-weight: 400;\">The <\/span><a href=\"https:\/\/www.cms.gov\/priorities\/rural-health-transformation-rht-program\/rural-health-transformation-rht-program\"><span style=\"font-weight: 400;\">RHTF<\/span><\/a><span style=\"font-weight: 400;\">, created as part of H.R. 1, represents a once-in-a-generation opportunity to reimagine rural health systems. Through 2030, states will have access to $50 billion in federal funding\u2014not just to stabilize hospitals, but to build connected, responsive, and sustainable rural health ecosystems.<\/span>\r\n\r\n<span style=\"font-weight: 400;\">As <\/span><b>Natalie Daniel, Director of Policy at Unite Us<\/b><span style=\"font-weight: 400;\">, explained in her opening remarks:<\/span>"},{"acf_fc_layout":"html_editor","acfe_layout_col":"3","html_editor":"<img class=\"alignleft wp-image-9510\" src=\"https:\/\/uniteus.com\/wp-content\/uploads\/2025\/09\/NatalieDanielq.png\" alt=\"Natalie Daniel\" width=\"140\" height=\"140\" \/>"},{"acf_fc_layout":"html_editor","acfe_layout_col":"9","html_editor":"<span style=\"font-weight: 400;\">\r\n\u201cThis fund will be used to kickstart lasting and transformative change in rural communities. There\u2019s no time to waste\u2014applications will be due before the end of the year, and early planning is essential.\u201d<\/span>"},{"acf_fc_layout":"html_editor","acfe_layout_col":"12","html_editor":"<b>With the <\/b><a href=\"https:\/\/www.grants.gov\/search-results-detail\/360442\"><b>application<\/b><\/a><b> released this week, the countdown has officially begun<\/b><span style=\"font-weight: 400;\">. The fund emphasizes investments in prevention, workforce development, infrastructure modernization, and digital health solutions. States must apply for at least three approved uses, creating both flexibility and responsibility to craft holistic proposals.<\/span>\r\n\r\n<hr \/>\r\n\r\n&nbsp;\r\n<h2>Spotlight on Missouri: The ToRCH Model<\/h2>\r\n<span style=\"font-weight: 400;\">A centerpiece of the discussion was <\/span><a href=\"https:\/\/uniteus.com\/torch\/\"><span style=\"font-weight: 400;\">Missouri\u2019s <\/span>Transformation of Rural Community Health (ToRCH) model<\/a><span style=\"font-weight: 400;\">\u2014a pioneering initiative that could serve as a blueprint for other states.<\/span>\r\n\r\n<span style=\"font-weight: 400;\">Justin Clutter, PMP, Transformation Office Project Manager at Missouri\u2019s Department of Social Services, described the program as an effort to <\/span><b>\u201cthink about rural health care differently.\u201d<\/b><span style=\"font-weight: 400;\"> Instead of relying solely on sick care and hospital utilization, ToRCH emphasizes:<\/span>\r\n<ul style=\"margin-left: 2rem;\">\r\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Upstream interventions addressing drivers of health<\/span><\/li>\r\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Strong local leadership boards combining hospitals, primary care, and community-based organizations<\/span><\/li>\r\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Shared savings incentives that reinvest Medicaid cost reductions back into rural hospitals<\/span><\/li>\r\n<\/ul>\r\n<span style=\"font-weight: 400;\">One striking example: in a ToRCH pilot community, ten social service agencies co-located in a single building to create a <\/span><b>one-stop shop<\/b><span style=\"font-weight: 400;\"> for residents. From showers and laundry access to job placement support, this collaborative hub demonstrates how healthcare can expand beyond traditional walls.<\/span>\r\n\r\n<span style=\"font-weight: 400;\">The results speak for themselves:<\/span>"},{"acf_fc_layout":"html_editor","acfe_layout_col":"4","html_editor":"<h2><span style=\"color: #216cff;\"><b>400+<\/b><\/span><\/h2>\r\n<strong>community-based<\/strong> ToRCH programs launched"},{"acf_fc_layout":"html_editor","acfe_layout_col":"4","html_editor":"<h2><span style=\"color: #216cff;\"><b>100%<\/b><\/span><\/h2>\r\n<strong>case acceptance rate<\/strong> for contracted programs"},{"acf_fc_layout":"html_editor","acfe_layout_col":"4","html_editor":"<h2><span style=\"color: #216cff;\"><strong>2,050+<\/strong><\/span><\/h2>\r\n<strong>clients served<\/strong> as of August 2025"},{"acf_fc_layout":"html_editor","acfe_layout_col":"12","html_editor":"&nbsp;\r\n\r\n<hr \/>\r\n\r\n&nbsp;\r\n<h2>Technology as a Catalyst for Rural Health Transformation<\/h2>\r\n<span style=\"font-weight: 400;\">Technology isn\u2019t just an add-on to ToRCH\u2014it\u2019s a backbone.<\/span>\r\n\r\n<span style=\"font-weight: 400;\"><strong>Kelsey Hague, Account Executive at Unite Us<\/strong>, emphasized the importance of <\/span><b>trust and flexibility<\/b><span style=\"font-weight: 400;\"> in implementation:<\/span>"},{"acf_fc_layout":"html_editor","acfe_layout_col":"3","html_editor":"<img class=\"wp-image-9512 alignleft\" src=\"https:\/\/uniteus.com\/wp-content\/uploads\/2025\/09\/KelseyHagueq.png\" alt=\"Kelsey Hague\" width=\"140\" height=\"140\" \/>"},{"acf_fc_layout":"html_editor","acfe_layout_col":"auto","html_editor":"<span style=\"font-weight: 400;\">\r\n\u201cBuilding trust within rural communities has been key. At the end of the day, they know their unique workflows and needs. Our role is to meet them where they are and support their vision.\u201d<\/span>"},{"acf_fc_layout":"html_editor","acfe_layout_col":"12","html_editor":"<b>Unite Us delivers the infrastructure that makes this vision a reality.<\/b><span style=\"font-weight: 400;\"> Through our secure, <\/span><a href=\"https:\/\/uniteus.com\/products\/closed-loop-referral-system\/\"><span style=\"font-weight: 400;\">closed-loop referral platform<\/span><\/a><span style=\"font-weight: 400;\"> and streamlined revenue cycle management, hospitals and community organizations are empowered to coordinate services, track referrals, and secure reimbursement for eligible non-medical interventions. With <\/span><a href=\"https:\/\/uniteus.com\/report\/ehr-integration-report\/\"><span style=\"font-weight: 400;\">seamless integrations into leading EHRs<\/span><\/a><span style=\"font-weight: 400;\"> such as Epic and Meditech, Unite Us ensures technology aligns effortlessly with local workflows.<\/span>\r\n\r\n<span style=\"font-weight: 400;\">Beyond ToRCH, Unite Us\u2019 tools have already demonstrated measurable impact across states, based on Unite Us research and external evaluations:<\/span>"},{"acf_fc_layout":"html_editor","acfe_layout_col":"3","html_editor":"<h2><span style=\"color: #216cff;\"><strong>59%<\/strong><\/span><\/h2>\r\n<strong>drop<\/strong> in postpartum hospital readmissions"},{"acf_fc_layout":"html_editor","acfe_layout_col":"3","html_editor":"<h2><span style=\"color: #216cff;\"><strong>85%<\/strong><\/span><\/h2>\r\n<strong>per member per month<\/strong> in Medicaid savings"},{"acf_fc_layout":"html_editor","acfe_layout_col":"3","html_editor":"<h2><span style=\"color: #216cff;\"><strong>6.5x<\/strong><\/span><\/h2>\r\n<strong>faster<\/strong> service connections"},{"acf_fc_layout":"html_editor","acfe_layout_col":"3","html_editor":"<h2><span style=\"color: #216cff;\"><strong>89%<\/strong><\/span><\/h2>\r\n<strong>improvement<\/strong> in awareness of available services\r\n\r\n&nbsp;"},{"acf_fc_layout":"html_editor","acfe_layout_col":"12","html_editor":"<span style=\"font-weight: 400;\">These outcomes prove that data-driven care coordination can do more than connect services\u2014it can deliver <\/span><b>scalable, sustainable results.<\/b>\r\n\r\n<hr \/>\r\n\r\n&nbsp;\r\n<h2>Lessons Learned from the Field<\/h2>\r\n<span style=\"font-weight: 400;\">The ToRCH model is still evolving, but early insights are promising. <strong>Justin Clutter<\/strong> shared that the greatest win so far has been <\/span><b>breaking down silos<\/b><span style=\"font-weight: 400;\">:<\/span>"},{"acf_fc_layout":"html_editor","acfe_layout_col":"3","html_editor":"<img class=\"wp-image-9511 alignleft\" src=\"https:\/\/uniteus.com\/wp-content\/uploads\/2025\/09\/JustinClutterq.png\" alt=\"Justin Clutter\" width=\"140\" height=\"140\" \/>"},{"acf_fc_layout":"html_editor","acfe_layout_col":"auto","html_editor":"<span style=\"font-weight: 400;\">\r\n\u201cGetting hospitals, FQHCs, behavioral health providers, and public health agencies in the same room has opened up so many doors. There\u2019s been a lot of collaboration and even new friendships that didn\u2019t exist before.\u201d<\/span>"},{"acf_fc_layout":"html_editor","acfe_layout_col":"12","html_editor":"<span style=\"font-weight: 400;\">Other lessons include:<\/span>\r\n<ul style=\"margin-left: 2rem;\">\r\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Face-to-face engagement matters.<\/b><span style=\"font-weight: 400;\"> Quarterly site visits build relationships, trust, and momentum in ways virtual meetings cannot.<\/span><\/li>\r\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Every rural community is unique.<\/b><span style=\"font-weight: 400;\"> A one-size-fits-all approach won\u2019t work; local leadership boards are essential.<\/span><\/li>\r\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Problem-solving creatively.<\/b> From purchasing vans for transportation to building community kitchens, small investments can unlock big solutions.<\/li>\r\n<\/ul>\r\n\r\n<hr \/>\r\n\r\n&nbsp;\r\n<h2>Key Takeaways for States Preparing RHTF Applications<\/h2>\r\n<span style=\"font-weight: 400;\">Drawing on the ToRCH experience, the webinar surfaced several actionable insights for states and policymakers:<\/span>\r\n<ol style=\"margin-left: 2rem;\">\r\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"color: #216cff;\"><b>Start Early and Strategically<\/b><b>\r\n<\/b><\/span><span style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Begin planning now, mapping out your state\u2019s priorities and aligning them with the RHTF\u2019s approved uses.<\/span><\/span><\/li>\r\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"color: #216cff;\"><b>Build Cross-Sector Partnerships<\/b><b>\r\n<\/b><\/span><span style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Engage hospitals, primary care providers, and community-based organizations from the start. Sustainable transformation requires collaboration across silos.<\/span><\/span><\/li>\r\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"color: #216cff;\"><b>Leverage Technology and Data<\/b><b>\r\n<\/b><\/span><span style=\"font-weight: 400;\">Use digital tools not only to coordinate care but also to <\/span><b>generate insights<\/b><span style=\"font-weight: 400;\"><span style=\"font-weight: 400;\"> that guide strategy, track outcomes, and demonstrate impact.<\/span><\/span><\/li>\r\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"color: #216cff;\"><b>Design for Sustainability<\/b><b>\r\n<\/b><\/span><span style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">ToRCH\u2019s shared savings model shows how upfront investments can transition into long-term, self-sustaining impact.<\/span><\/span><\/li>\r\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><b><span style=\"color: #216cff;\">Keep Communities at the Center<\/span>\r\n<\/b>Perhaps the most repeated theme of the webinar: solutions must be <b>community-led<\/b> to succeed.<\/li>\r\n<\/ol>\r\n\r\n<hr \/>\r\n\r\n&nbsp;\r\n<h2>Looking Ahead:\r\nThe Road to Rural Health Transformation<\/h2>\r\nThe Rural Health Transformation Fund is a once-in-a-generation opportunity. While Missouri\u2019s ToRCH model is tailored to its own context, its core principles<strong>\u2014trust, technology, and community-driven design\u2014<\/strong>offer a roadmap for other states preparing their applications.\r\n\r\nAs <strong>Kelsey Hague<\/strong> put it:"},{"acf_fc_layout":"html_editor","acfe_layout_col":"3","html_editor":"<img class=\"wp-image-9512 alignleft\" src=\"https:\/\/uniteus.com\/wp-content\/uploads\/2025\/09\/KelseyHagueq.png\" alt=\"Kelsey Hague\" width=\"140\" height=\"140\" \/>"},{"acf_fc_layout":"html_editor","acfe_layout_col":"auto","html_editor":"<span style=\"font-weight: 400;\">\r\n\u201cAt the end of the day, it always comes back to the community. They need to approve it, they need to have buy-in, and it has to work for them.\u201d<\/span>"},{"acf_fc_layout":"html_editor","acfe_layout_col":"12","html_editor":"<span style=\"font-weight: 400;\">Unite Us is already working with states across the country to unlock federal funding and accelerate transformation. The message is clear: states that act quickly will be best positioned to take full advantage of the RHTF.<\/span>\r\n\r\n<hr \/>\r\n\r\n&nbsp;\r\n<h2>Turning Opportunity into Impact<\/h2>\r\n<b>The challenges facing rural healthcare are real\u2014but so are the opportunities. <\/b><span style=\"font-weight: 400;\">By blending innovative care models, digital tools, and cross-sector collaboration, states can use the RHTF to build healthier, more resilient communities.<\/span>\r\n\r\n<span style=\"font-weight: 400;\">Missouri\u2019s ToRCH initiative is proof that transformation is possible when communities lead, technology supports, and funding creates the conditions for sustainability.<\/span>\r\n\r\n<span style=\"font-weight: 400;\">\ud83d\udc49 <\/span><b>Want to dive deeper?<\/b> <a href=\"https:\/\/uniteus.com\/webinar\/rural-health-a-guide-for-digital-health-transformation\/\"><span style=\"font-weight: 400;\">Watch the full webinar replay here<\/span><\/a><span style=\"font-weight: 400;\"> or <\/span><a href=\"https:\/\/uniteus.com\/contact\/\"><span style=\"font-weight: 400;\">connect with the Unite Us team<\/span><\/a><span style=\"font-weight: 400;\"> to explore how we can support your state\u2019s rural health transformation journey.<\/span>\r\n\r\n<a class=\"button button-solid\" href=\"https:\/\/uniteus.com\/webinar\/rural-health-a-guide-for-digital-health-transformation\/\">Watch the Webinar<\/a>\u00a0 <a class=\"button button-hollow\" href=\"https:\/\/uniteus.com\/contact\/\">Let's Connect<\/a>"}],"download_page":{"document":""},"reports_component":{"components":null},"webinar_components":{"components":null,"speakers":{"speaker_heading":"Speakers","all_speakers":null},"organizations":{"organization_heading":"Organizations","all_organizations":null}}},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.0 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Rural Health Transformation: Lessons from the ToRCH 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