Top 5 Most Interesting Moves
March 8, 2026—Top 5 Insights
1. CINs could be expanding in Texas
🛑Texas Rural Health Push: Next Steps for CINs & Prevention Focus
Key moves look to be coming on clinically integrated networks (CINs), including safety-net expansion, pilot learnings, and shifting toward prevention via alternative payment models (APMs).
🚀CIN Performance & Expansion Prominent Texas CINs show strong data-sharing, value-based contracting, and outcomes for Medicaid/Medicare patients. Evaluations highlight better quality metrics, reduced admin burden, and leveraged payer negotiations. The presentation linked above reveals an expansion of CIN participation among safety-net providers to boost integration, chronic care coordination, and sustainability and possibly participate in the RHTP funding for Initiatives 2 and 3.
2027 RHTP RFPs & CIN Opportunities Look for competitive RFPs/RFAs in 2027 from Texas. Key options: Multi-CIN collaborations for initiatives like Rural Texas Patients in the Driver’s Seat and Lone Star Advanced AI/Telehealth.
CINs are gearing up. Are you?
What to watch:
- Will they bid in Texas?
- Who needs access to a specialty network? 🧑‍⚕️
- Who will build a Co-Op/Service Org to bid and control the đź’°?
2. HB 18 rolls out funding.
Eyes are on funding rolling out under HB 18.

