Rural Health Transformation Program

The records layer every state plan is already funding — just not by name.

Across all 50 States RHTP implementation plans, the same three problems surface: workforce burned out on paperwork, data that doesn't travel with patients, and telehealth visits that defer diagnosis because the chart hasn't arrived. Predoc is the infrastructure that fixes all three, and it maps directly onto the CMS permitted-use categories states are already spending against.

A $50B program. A 5-year window. One missing layer.

~$50
B
Federal RHTP program across 50+ state plans
2.5
days
Average record delivery vs. 14+ days for legacy vendors
95
%
patient coverage digital exchanges + last-mile ops

The curated data layer

Where rural health data becomes infrastructure.

Seven source types (including the fax-based, direct-outreach, and non-connected facility flows that define rural ingestion) converge into one queryable longitudinal record.

01 Clinical Data Sources
Multi-format, unstructured
02 AI / ML Parsing Engine
Extraction, normalization, curation
03 Curated Data Layer
Structured, aggregated, indexed
Digital sources
HIE Networks
Pharmacy Records
EHR Connections
Imaging Networks
Direct outreach (PDFs)
Direct Provider Requests
Fax-Based Providers
Non-Connected Facilities
02AI / ML Parsing Engine
Extraction, normalization, curation
Extraction
OCR and clinical parsing across PDFs, imaging, exchange feeds, and handwritten notes.
Normalization
Codes, units, and concepts mapped to standard medical vocabularies.
Curation
Resolved, deduplicated, clinically organized into the Predoc patient model.
03Curated Data Layer
Structured, aggregated, indexed
Lab Results
{ "loinc": "718-7" }
Medications
{ "rxnorm": "861009" }
Problems
{ "icd10": "I10" }
Provider Facility Notes
{ "type": "progress_note" }
Pathology
{ "snomed": "M-87200" }
Imaging Notes
{ "cpt": "71250" }
Procedures
{ "cpt": "45378" }
Family History
{ "icd10": "E11" }

The Predoc Data Layer works with the rest of your stack

EHRs
HIEs
Telehealth platforms
Analytics warehouses
Imaging networks
Patient portals

CMS RHTP fit

Three of the five CMS pillars depend on a curated data layer.

The Rural Health Transformation Program targets five outcomes: Make Rural America Healthy Again, Sustainable Access, Workforce Development, Innovative Care, and Tech Innovation. Predoc maps directly to three of them.

Tech Innovation

Predoc is core technology infrastructure for the program: a curated medical-record data layer underneath every AI and analytics initiative.

Primary fit

Telehealth enablement

Virtual specialty clinics depend on the specialist seeing the full record before the visit begins. The curated data layer brings rural providers into connected, modern data and telehealth systems, so telehealth, remote monitoring, and virtual consults run on the same evidence base as an in-person visit.

Every funded innovation benefits from the same curated longitudinal record, so funding allocated to Predoc compounds across every downstream tool rather than each vendor rebuilding rural-health ingestion from scratch.

Predoc's role

Tech Innovation directly funds, in CMS's own framing, "improving data sharing" and "investing in emerging technologies." This is the wedge Predoc fills. The Curated Data Layer modernizes health IT infrastructure by unifying patient data across HIEs, EHRs, fax-based provisions, and non-connected facilities into a clean, structured record. Lab results, medications, imaging, provider notes, and discharge summaries all flow through the same ingestion pipeline.

Sustainable Access

Shared data infrastructure across rural facilities reduces duplicated investment and keeps services viable as facilities consolidate or partner.

Secondary fit

Predoc's role

Rural facility consolidation is a one-way trend. Solo practices close, regional hospitals absorb their patients, telehealth fills gaps. Each transition fragments records further.

A shared data layer maintains patient continuity through those transitions. When a closing rural clinic transfers patients to a regional hospital, the new provider's first encounter starts with the full record, not a paper binder. Infrastructure decoupled from facility-level volatility is what makes "sustainable" sustainable.

Innovative Care

Virtual specialty clinics, telehealth-enabled chronic care, and AI-assisted screening all share the same dependency: a complete, unified patient record. Predoc is that dependency.

Tertiary fit

Predoc's role

Innovative Care funds new care models that move services closer to patients. Virtual specialty clinics, telehealth-enabled chronic disease management, and remote monitoring all depend on a clean, unified patient record. Without that shared record, each new care model rebuilds its own ingestion layer, and the patient experience fragments across the very services meant to integrate it.

The curated data layer is the precondition that makes specialty care at distance clinically real, not just logistically possible.

How this fits depends on where you sit.

You're with a state team

Authoring an RHT plan or vendor strategy. Plug-and-play with the telehealth and remote-monitoring platforms your RHT plan already specifies.

Data Drives Outcomes

States with stronger underlying data infrastructure will deliver more measurable RHT outcomes, and a clearer audit story when CMS reviews outcomes against the program's five pillars.

Unified Data Foundation

Predoc gives state teams a curated, vendor-neutral medical-record data layer that every downstream initiative (population analysis, workforce routing, AI-assisted care, risk adjustment) can build on.

You're a technology partner

Integrating a curated data layer under your product. Curated records integrate cleanly into the telehealth platforms, EHRs, and analytics pipelines you are standing up, no bespoke parsing layer required.

The Integration Bottleneck

If you're shipping an AI clinical product, a value-based care platform, or a population analytics tool into rural markets, the bottleneck isn't your model. It's rural EHR integration and the underlying medical-record data.

Seamless Data Aggregation

Predoc plugs in underneath. We handle HIE, EHR, pharmacy, imaging, direct provider outreach, fax, and non-connected facility ingestion; you get a curated, longitudinal record back through a single API.

You're at a rural hospital

Operating a rural facility or health system. Specialists consulting remotely on your patients see the full record before the visit. Virtual specialty clinics actually work, not just exist.

Solving Data Fragmentation

Rural facilities don't lack data. They lack a usable, longitudinal record across the mix of HIE-connected and non-connected providers your patients move through.

Curated EHR Delivery

Predoc returns a curated record to your EHR, regardless of how fragmented the upstream source mix looks. Same architecture we run for specialty practices managing similar source-mix patterns at scale.

The architecture transfers.

The same source mix that defines rural ingestion (Non-Connected Facilities, Fax-Based Providers) is what the architecture already handles end-to-end at a major specialty practice.

Care Provider

The Oncology Institute Saves ~$2M Annually with Predoc

~$2M

Annual Savings

75%

Faster Record Retrieval

90%+

Record Retrieval Rate

I've never seen anything that matches the quality of Predoc. One of the cofounders comes from the medical field; they really understand what we're up against.

— Kiran Annavarapu, Regional President, The Oncology Institute

Read the full case study →

Let's talk about your RHT plan.

Predoc partners with state teams, technology integrators, and rural health systems to build the curated data layer underneath every RHT initiative.