Rural healthcare: a national shortage with local consequences.

Over 86,000,000
+25,000,000
14,000+
The Collaborative for Healthy Rural America: powering modern care to go the distance.
Primary care, connected and close to home.
CHRA brings shared infrastructure, unified data, and modern technology together as Primary Care as a Service (PCaaS). It expands access, strengthens prevention, improves chronic condition management, and coordinates care—while reducing administrative burden and supporting the rural workforce.


National scale, delivered locally.
Built to fit each state and community, CHRA creates a flywheel of rising quality and lower costs. The model is designed for long-term economic sustainability—delivering real value to providers and better outcomes for patients, with the goal of moving beyond ongoing subsidies.
One Network.
Orchestrated by Tom™.
The CHRA unites local providers, virtual services, and advanced technology through a single network. At the center is Tom™, Lumeris’ Primary Care as a Service (PCaaS) platform that orchestrates care using agentic AI—combining intelligence, personalization, and the human touch.
As enrollment and connectivity grow, impact compounds across access, experience, and outcomes.
Day-one access. Tom™ plus virtual primary and behavioral health for Medicare and Medicaid populations.
Next-best-action intelligence. Evidence-based prompts for patients and care teams to drive timely, proactive care.
Open data fabric. Secure, FHIR-based integration of claims, EHR, lab, pharmacy, HIE, and consumer data to power personalized insights.
patients supported, including ~1.5M in value-based arrangement
in medical expenses under management
total cost-of-care reduction across leading partnerships
years operating at scale with 63+ EHR integrations and 75 payer pipelines


