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Rural communities face some of the most persistent health challenges in the country—provider shortages, long travel distances for care, limited broadband, higher rates of chronic illness, and underfunded local health systems. Yet, across these same regions, practitioners, employers, health systems, nonprofits, and local leaders are piloting innovative approaches: mobile and telehealth models, community health workers, cross-sector care networks, and employer-backed wellness programs that meet people where they are.
During a March 24 virtual Leader Roundtable, leaders from the NationSwell community came together to discuss the real-world models working on the ground, the operational and financial barriers to scaling them, and the opportunities for multi-sector collaboration that can create more reliable, equitable access to care. Some of the most salient takeaways from that discussion appear below:
Key takeaways
Recognize Community Health Workers as the connective tissue. CHWs are most effective when embedded within communities and linked to broader care systems, bridging social services, clinical care, and local resources. Sustaining and expanding this impact requires flexible funding that meets CHWs where they are by unlocking early-stage innovation, reducing unnecessary restrictions, and resourcing the work already happening on the ground.
Anchor care in community infrastructure to expand access at scale. Care is most effective when it flows through familiar structures, such as churches and local organizations that have long served as anchors in their communities, rather than relying solely on traditional clinical settings. From faith-based health navigation to in-home support for high-risk populations, training and deploying workers from within these networks strengthens engagement and increases the likelihood that care is sustained.
Leverage technology to unlock reimbursement and coordination. Purpose-built platforms, hub models, and shared infrastructure are enabling community-based organizations to track outcomes, meet compliance requirements, and access reimbursement. When paired with technical support, these tools reduce administrative burden and make it possible to scale impact while maintaining quality.
Use data to prove value and secure sustainable funding. Demonstrating outcomes like increased primary care engagement, reduced emergency utilization, and cost savings is critical to making the case for continued investment. Data not only validates the impact of community-based models but also translates that impact into language that funders and policymakers act on.
Invest in training that is locally relevant and role-specific. Expanding the workforce requires equipping CHWs with training that reflects the populations they serve, from maternal health to behavioral health to chronic disease. Tailored, community-informed curricula ensure that workers are prepared to meet the specific needs of their communities.
Close the gap by aligning systems, funding, and community needs. Persistent barriers like fragmented data systems, limited interoperability, and short-term funding continue to slow progress. Closing the rural health access gap requires deeper coordination, sustained investment in community-based infrastructure, and policies that reflect how care is actually delivered on the ground.