Connected care for over 60 million rural Americans. 

Collaborative for Healthy Rural America (CHRA) brings together national leaders in healthcare to help state leaders accelerate their efforts in the Rural Health Transformation Program (RHT) administered by CMS. CHRA will deliver an AI-enabled, interoperable operating platform—anchored in Primary Care as a Service (PCaaS)—that connects patients and clinicians and brings national economies of scale to the local delivery of care in rural communities.

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Rural healthcare: a national shortage with local consequences.

Over 86,000,000

people live in primary care shortage areas

+25,000,000

of them live in rural communities

14,000+

additional primary care clinicians are needed to close the gap
The Rural Health Transformation Program makes possible a new paradigm for healthcare access and delivery for all rural Americans. We formed this collaborative to give states an immediate execution path towards their visions, with an AI-driven operating platform of class-leading technologies.

John Doerr

Chairman of Kleiner Perkins & Board Member of Lumeris.

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.

Tom by Lumeris logo trademark

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.

Core capabilities 

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. 

Proven platform, real results 
The CHRA builds on Lumeris’ national infrastructure:
8M+

patients supported, including ~1.5M in value-based arrangement

>$10B

in medical expenses under management 

20–25%

total cost-of-care reduction across leading partnerships

15+

years operating at scale with 63+ EHR integrations and 75 payer pipelines

Principles that power progress 


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

Meet Tom

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