RHTP applications open in the next 12–16 weeks · deployment begins Q3 2026
Autonomous AI Care for Rural Health
GENIE™, our agentic platform for Access, Autonomous AI Care, and Value-Based transition, helps rural hospitals win and deliver on the Rural Health Transformation Program. Autonomous pre-acute, post-acute, and monitoring at scale, without adding FTEs.
- HIPAA + SOC 2 Type II
- 30-Day Deployment Guarantee
- EHR-Native (SMART on FHIR)
- Outcomes-Based Contracting
~$200M
per state, per year
5 yrs
with annual outcome-based renewals
The opportunity · why now
A once-in-a-generation rural funding window, on a tight clock.
The RHTP is a competitive, milestone-renewed program for rural hospitals. The disease burden and care gaps are enormous, and the application window is short, so success requires a technology partner that can do the heavy lifting.
1 in 2
Americans affected by cardiovascular, obesity, diabetes, or metabolic conditions.
1 in 5
Patients readmitted within 30 days of a hospitalization.
60%+
Rural patients lack consistent follow-up after hospitalization.
Time-sensitive applications
Submission window over the next 12 to 16 weeks, with work starting in Q3 2026.
Heavy technology lift
Access, monitoring, and value-based reporting need infrastructure most rural systems lack today.
Competitive for rural hospitals
Awards favor applicants with a credible delivery partner and outcome milestones.
Renewals tied to outcomes
Funding renews annually against milestones, so measurable impact is the whole game.
RHTP priorities, answered
Every RHTP focus area maps to a GENIE capability.
Autonomous care addresses RHTP priorities through pre-acute, post-acute, and continuous monitoring at scale, without increasing headcount.
Enhance Access
GENIE Inbound answers in under 10 seconds, 24/7, across voice, web, and chat in 23 languages. It triages on your rules and routes to the right provider at the right time.
Value-Based Care
Outcomes-based contracting plus the NeXXT Clinical Graph surface and close care gaps at scale, tying spend directly to measurable readmission and access gains.
Prevention & Chronic Disease
GENIE Agentic Monitoring runs continuous chronic-disease outreach, integrates 50+ devices, drives adherence, and writes summaries straight into the note.
Technology (AI, monitoring, telehealth)
One agentic stack: GENIE voice and clinical agents, the NeXXT Clinical Graph and Data Lake, SMART on FHIR interoperability, and HIPAA + SOC 2 Type II security.
Local Workforce & Training
A Command Center upskills local health workers to supervise agents, with human-in-the-loop review, agent safety monitoring, and an LLM jury for quality.
One partner, all five.
GenServe.AI is built to carry the technology, reporting, and outcomes burden so your team can focus on patients.
The GENIE platform
Three agents that run the rural care continuum.
Pre-acute access, post-acute transitions, and continuous monitoring, unified on one EHR-native platform for autonomous AI Care
01 · Inbound
24/7 Voice, Web & Chat Access
- Auto-transfers to GENIE after a 10-second wait
- Trained on your practice rules; triages and routes
- Forwards a clean summary to human agents
- Lifts satisfaction, access, and referral intake while cutting cost
02 · Outbound
Transitions of Care & Outreach
- Procedure counseling and pre/post follow-up
- Transitions of care, including CMS ACCESS and RHTP
- Clinical-trial recruitment and care-gap closure
- Text, chat, and voice across the patient journey
03 · Monitoring
Chronic Disease at Scale
- Integrates with 50+ remote devices
- Calls patients, reminds them, and improves adherence
- Deviceless monitoring options for low-resource settings
- Auto-documents summaries into the clinical note
NeXXT Clinical Graph & Data Lake
Finds care gaps across millions of patients and connects them to GENIE navigation and monitoring agents automatically.
Command Center with safety rails
Device registry, agent action tracker, agent safety monitoring, LLM jury, and human-in-the-loop, staffed by trained local workers.
Proven at scale
A founding team that has already touched 90M lives.
Evidence from the founders' prior rule-based AI platform (Rx.Health, now Commure Engage) across cardiology, transitions of care, and population health.
90M
lives touched with digital and AI tools
35M+
total patient interactions
500+
clinical care pathways
96th
percentile system usability
50%
fewer heart-failure readmissions
85%
fewer no-shows and aborted procedures
1M
patients triaged in NYC in one week
15,000
trial enrollments in week one, no coordinator
Existing & upcoming partnerships
- VALID AI Network
- American College of Cardiology
- California Medical Association
- Mayo Clinic Health System
- Astute (monitoring)
- Deloitte
Action items · let's move
A 4-phase plan from application to outcome-based renewal.
The window is tight. Here is exactly how we get your rural health system application-ready and live, with a clear split of who does what.
Weeks 0 to 2
Discover & assess
NeXXT care-gap scan, baseline metrics, and priority service lines (cardiometabolic, transitions of care).
Weeks 2 to 6
Co-author the application
Technology-partner attestation, outcome milestones, and budget aligned to the ~$200M per-state envelope.
Q3 2026
Deploy in 30 days
GENIE Inbound access line, Outbound transitions of care, and Agentic Monitoring go live, EHR-native.
Ongoing
Report & renew
Outcomes dashboard and milestone reporting drive annual, outcome-based RHTP renewal.
Your action items
Rural hospital / health system
- Name an executive sponsor and target service lines (cardiometabolic, transitions of care)
- Confirm EHR and data access via SMART on FHIR
- Share baseline metrics: readmissions, no-shows, follow-up rates
- Sign a letter of intent naming GenServe.AI as your RHTP technology partner
What GenServe.AI delivers
We carry the heavy lift
- Care-gap assessment and a client-specific ROI proforma
- The RHTP application narrative and full technology section
- A 30-day deployment plan with a live outcomes dashboard
- Milestone and renewal reporting aligned to RHTP outcomes