Rural America is set to benefit from a significant expansion of value-based healthcare as Main Street Health, the leading organization in this sector dedicated exclusively to rural communities, announces its growth into 26 states. This expansion is fueled by over $315 million in new capital, secured through investments from key strategic health plan and provider partners. This financial boost underscores the growing recognition of Main Street Health’s impactful approach to transforming healthcare in rural areas.
“There’s a unique bond of trust between rural healthcare providers and their patients,” stated Brad Smith, Chairman and CEO of Main Street Health, and former Director of the Center for Medicare and Medicaid Innovation (CMMI). “Our experience across the nation demonstrates that by collaborating with local physicians and their dedicated teams to implement high-touch, value-based care models, we can significantly enhance the quality, affordability, and overall experience of healthcare in rural America.”
The cornerstone of Main Street Health’s model is its partnership with primary care clinics in rural communities. They integrate a Health Navigator into each partner clinic, acting as a vital link in care coordination. These Health Navigators play a crucial role in proactive patient care, ensuring individuals receive necessary preventive screenings, medication reminders, and timely follow-up appointments post-hospital discharge. Furthermore, they assist patients in navigating social determinants of health, addressing factors outside of medical care that can impact well-being.
The impact of Main Street Health’s approach is evident in their early results:
- A remarkable 42% improvement in healthcare quality Star scores, a widely recognized metric of healthcare excellence.
- A significant 23% decrease in hospitalizations, indicating more effective preventative and proactive care management.
- A noteworthy 9% reduction in overall medical costs, demonstrating the efficiency and value-driven nature of their model.
Dr. Thomas Borgstedte, owner of Family Health Center in La Grange, Texas, attests to this transformation: “Main Street Health has been instrumental in reshaping the care we provide at our clinic. The Health Navigator and the data-driven insights from Main Street empower us to coordinate patient care in ways previously unattainable.”
Currently, Main Street Health collaborates with over 900 clinics across 18 states and is poised to extend its reach into an additional eight states in 2024. The typical clinic they partner with features around 2.5 providers and is located within a town of approximately 3,000 to 5,000 residents, highlighting their focus on serving smaller, underserved rural communities.
Annie Lamont, lead investor in this funding round and Managing Partner at Oak HC/FT, emphasized the company’s rapid success: “In my three decades of investment experience, I’ve rarely witnessed a company scale so rapidly while achieving such robust outcomes. This speaks volumes about the immense potential to revolutionize healthcare in rural America and the exceptional operational capabilities of the Main Street Health team.”
The investor consortium in this round, beyond Oak HC/FT, includes the five largest national Medicare Advantage plans, collectively covering over 74% of Medicare Advantage members nationwide. Notably, investments also stem from Main Street’s provider partners, encompassing large health systems, regional hospitals, and independent primary care physicians, showcasing a broad endorsement from within the healthcare community.
About Main Street Health
Main Street Health is a value-based healthcare organization uniquely focused on the healthcare needs of rural America. They partner with local primary care physicians, facilitating their transition to value-based care models. At the heart of their approach is the deployment of a Health Navigator within each partner clinic, coupled with providing clinics with essential data and resources to thrive in a value-based care environment. For further information, please visit www.mainstreetruralhealth.com.
SOURCE Main Street Health
