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Top 5 Most Interesting Moves

Aug 21, 2026
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August 21, 2026 - Top 5 Insights

💻 South Dakota invests $90M in rural health tech

South Dakota is channeling $90 million in RHTP funding into 82 rural health technology projects.

Why it matters: This initiative modernizes digital infrastructure, enhancing rural health care delivery.

  • Projects include EHR upgrades, cybersecurity, remote monitoring, and tech for aging in place.

The bigger play: The state is establishing Regional Innovation Centers to foster collaborations with community groups and tech firms.

Between the lines: This funding leapfrogs single products, building infrastructure and partnerships for digital tool integration.

The takeaway: RHTP enables states to tackle rural tech deficits, though demand outstrips supply.


📡 Dartmouth telehealth faces sustainability hurdles

Dartmouth Health plans to end its Tele-ICU and Tele-ED services, raising concerns about the continuity of rural virtual care without long-term funding.

Why it matters: Rural hospitals rely on telehealth to supplement limited clinical resources, but sustainable funding is crucial beyond initial investments.

  • The model must evolve to ensure ongoing support.

What stands out: Dartmouth’s services connect rural hospitals with critical care expertise, reducing patient transfers and supporting local medical teams.

  • Current financial structures make maintaining these services without external support unfeasible.

On the ground: Grace Cottage Hospital’s emergency department, staffed by physician assistants and nurse practitioners, heavily depends on Tele-ED for emergency physician access.

  • Yes, but: The facility faces challenges in sustaining this independently.

Between the lines: The question remains: Who will fund these initiatives when RHTP grants expire?

The takeaway: While telehealth addresses rural access challenges, its financial viability is threatened without supportive reimbursement models.


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