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Transforming Rural Healthcare: What GME Leaders Need to Know About the RHT Program
In an effort to improve healthcare access and equity, the Centers for Medicare and Medicaid Services (CMS) has launched the Rural Health Transformation (RHT) Program, authorized under Public Law 119-21, Section 71401 (also known as the One Big Beautiful Act). With $50 billion in funding allocated over five years (2026–2030), the RHT Program marks a historic investment in strengthening rural healthcare delivery and infrastructure. Program Overview Each fiscal year, $10 billi

Margot Flowers
Jan 192 min read


CMS Announces New GME Cap Increases Under Sections 126 and 4122
On December 18, 2025, the Centers for Medicare & Medicaid Services (CMS) released the latest round of GME cap increase awardees under two key initiatives (Section 126 and Section 4122) of the Consolidated Appropriations Act (HR 133). These awards represent important progress in expanding Medicare-supported residency training opportunities in alignment with national workforce needs. Section 126 Cap Increase: Round 4 Results Section 126 makes 1,000 additional Medicare-funded

Margot Flowers
Jan 122 min read


Protecting Your Rural Designation Status: Advocating for Essential Funding
At Germane Solutions, we recognize the important role your hospital plays in expanding access to care, training physicians, and supporting community health. We also understand the financial constraints you face in sustaining these efforts. Your current Rural Designation provides resources that make it possible to serve patients effectively while advancing Graduate Medical Education.

Susan Hearn-Stiffler
Sep 22, 20252 min read


National Rural Health Day 2023
Today is National Rural Health Day! While we celebrate the programs and partners focused on healthier rural communities, the Germane...

Brooke Moore
Nov 16, 20223 min read
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