Modern care for rural America.

The Collaborative for Healthy Rural America (CHRA) is a collaboration among leaders in health care, technology, and consulting working to leverage modern technology to address the challenges of rural health. By improving infrastructure, expanding connectivity, and supporting models such as Primary Care as a Service, CHRA aims to make high-quality, sustainable healthcare accessible to every American.

Latest press release

  • Washington, DC — May 12, 2026

    Instacart joins Collaborative for Healthy Rural America (CHRA) to expand access to nutrition and essential goods

    The collaboration supports states advancing CMS Rural Health Transformation initiatives with technology-enabled implementation, AI-driven virtual primary care, and integrated access to food and community-based services

    WASHINGTON, D.C., May 12, 2026 — The Collaborative for Healthy Rural America (CHRA) today announced that Instacart has joined the collaborative, expanding its ability to help states address chronic disease and improve health outcomes by integrating access to nutritious food and essential goods into coordinated care delivery models. The addition of Instacart further enhances the collective approach to longitudinal, AI-enabled primary care and community engagement advanced by Deloitte Consulting LLP, Lumeris, Nuna, Teladoc Health, and Unite Us.

    The addition of Instacart comes as states begin implementing new Rural Health Transformation (RHT) initiatives with funding from the Centers for Medicare & Medicaid Services (CMS). State teams are pivoting from outlining five-year plans to operationalizing…

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The Rural Health Transformation Program makes possible a new paradigm for healthcare access and delivery for all rural Americans.

John Doerr
Chairman, Kleiner Perkins

CHRA was founded to leverage the government’s catalytic Rural Health Transformation investment as seed capital for a strategic, private-sector–funded solution to rural healthcare.

Mike Long
CEO, Lumeris

More than 60 million people, including 26 million covered by Medicare and Medicaid programs, live in rural America.1

The nation faces a shortfall of more than 87,000 primary care physicians over the next decade, a gap especially acute in rural and underserved communities. Nearly 190 rural hospitals have closed since 2005 and more than 600 remain financially at risk. These challenges have left millions of Americans without consistent access to basic care: more than 100 million Americans lack access to primary care or receive care that is fragmented or suboptimal.

CHRA aims to address these challenges through shared infrastructure, unified data, and modern technology. At the center is Primary Care as a Service (PCaaS)—a scalable platform to expand access, strengthen preventive care, improve chronic disease management, and coordinate care—while reducing administrative burden and stabilizing the rural workforce.

[1] https://www.hrsa.gov/rural-health/about-us/what-is-rural

About the CHRA

The Collaborative for Healthy Rural America (CHRA) is a collaboration among leaders in health care, technology, and consulting working to leverage modern technology to address the challenges of rural health. By improving infrastructure, expanding connectivity, and supporting models such as Primary Care as a Service, CHRA aims to make high-quality, sustainable healthcare accessible to every American.

Founding members include Lumeris, Teladoc Health, Deloitte, Nuna, and UniteUs.

Guiding principles

Provide comprehensive, scalable, technology-driven healthcare solutions to serve rural Americans

Share benefits of national economies of scale to serve rural community needs

Track sustainability metrics such as reduced preventable hospitalizations, higher patient satisfaction, higher patient self-sufficiency, stabilized provider finances and reduced administrative burden 

Offer increased access nationwide within six months, and enhanced capabilities within 18 months, recognizing this goal may be limited by data access approvals and available infrastructure

Fully leverage and extend the capabilities of local care delivery resources