Who we serve

The rural patients who fall through the gaps — and the partners who care for them.

We focus on the high-barrier rural patients who are hardest to engage, and we work alongside the providers, payers, and community organizations who already serve them.

Patients

  • Seniors aging in place
  • Medicare and Medicaid members
  • Rural residents with limited access to care
  • Patients with hypertension
  • Patients with diabetes
  • Patients with heart failure
  • Patients with COPD or asthma
  • Recently discharged patients
  • Patients with repeat emergency-room use
  • Patients with transportation barriers
  • Patients with food insecurity
  • Patients with medication adherence challenges
  • Maternal and child health populations (planned)

Maternal and child health is a planned future service area as we expand — not a service we deliver today.

Partners

  • Rural hospitals
  • Federally Qualified Health Centers (FQHCs)
  • Rural Health Clinics
  • Physician groups and primary care practices
  • Medicaid managed care organizations
  • Medicare Advantage plans
  • Public health agencies
  • Councils on aging
  • Local pharmacies
  • Churches and faith-based organizations
  • Community-based organizations

Do you serve patients like these?

Let's talk about how we can help your team reach the patients who are hardest to engage.