Day-one access.
Tom™ plus virtual primary and behavioral health for Medicare and Medicaid populations.
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.
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
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
