#055: Rural Health Transformation in Washington State and Beyond episode artwork

EPISODE · May 6, 2026 · 44 MIN

#055: Rural Health Transformation in Washington State and Beyond

from The Atrómitos Way · host Atrómitos, LLC

The Rural Health Transformation Program (RHTP) is the largest federal investment in rural health in a generation: $50 billion over five years, distributed to all 50 states. Washington State received $181 million in year-one funding, with $5.43 million designated for The Rural Collaborative. In this conversation, Michealle Gady sits down with The Rural Collaborative Executive Director, Elya Prystowsky, to cut through the noise about one of the most consequential rural health investments in years. They cover the stakes, the strategy and what comes next: How has The Rural Collaborative helped Washington hold on to its rural hospital footprint while hospitals elsewhere have closed at alarming rates? What are Washington state’s specific goals for these funds, and how were they chosen? What do rural providers need to do before the 2030 deadline to ensure lasting impact?Elya Prystowsky has led The Rural Collaborative — a nonprofit serving 31 rural, independent hospitals in Washington State — for seven years. She brings 11 years of applied epidemiology and biostatistics and 15 years in healthcare, with a track record of translating research into practice.Key TakeawaysShared ownership over maintaining access. The RHTP’s $50 billion does not offset the loss of $137 billion in Medicaid funding — but organizations like The Rural Collaborative are pursuing every available avenue to help people maintain coverage and get the care they need. In Elya’s own words, “If one rural hospital closes in Washington, then we all collectively fail.”Collaboration takes energy and effort. Washington’s rural hospitals are already making strides: leveraging shared services, strengthening networks, and focusing on sustainability. Their principle— “Independence Through Interdependence” — is both the method and the proof of concept.Atrómitos Knowledge Hub Promo--This podcast is a production of Atrómitos, a woman-owned boutique consulting firm creating a better way for our health and human services provider clients to achieve their goals by strengthening internal operations, enhancing financial stability and evaluating public policies.Want to know more about the firm behind the podcast?Atrómitos, LLC Website: https://atromitosconsulting.comFollow us on LinkedIn: https://www.linkedin.com/company/atromitos-llc/Subscribe on YouTube: https://www.youtube.com/@atromitosllcGet Emails: https://atromitosconsulting.com/atromitos-way/#subscriberIn addition to our podcast, we've developed additional resources to improve your understanding of both long-standing and emerging issues important to leaders in the health and human service provider, government and philanthropic sectors.Our articles, policy briefs and infographics provide you with information you can use to reach your organization’s goals. Atrómitos Way Podcast Website: www.atromitosconsulting.com/atromitos-wayFollow us on LinkedIn: www.linkedin.com/showcase/the-atrómitos-wayArticles: https://atromitosconsulting.com/atromitos-way/progress/White Papers: https://atromitosconsulting.com/atromitos-way/unlocking/

The Rural Health Transformation Program (RHTP) is the largest federal investment in rural health in a generation: $50 billion over five years, distributed to all 50 states. Washington State received $181 million in year-one funding, with $5.43 million designated for The Rural Collaborative. In this conversation, Michealle Gady sits down with The Rural Collaborative Executive Director, Elya Prystowsky, to cut through the noise about one of the most consequential rural health investments ...

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#055: Rural Health Transformation in Washington State and Beyond

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The Rural Health Transformation Program (RHTP) is the largest federal investment in rural health in a generation: $50 billion over five years, distributed to all 50 states. Washington State received $181 million in year-one funding, with $5.43...

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