Open City Labs

States are about to receive up to $200M/year for rural health. The question is:

Will they buy more of the same tools?

The Rural Health Transformation (RHT) program is a once-in-a-generation inflection point.

We have the capital to modernize infrastructure. But if we use it to build more siloed "snapshot" tools, we fail. We need to invest in infrastructure that supports Thriving—connecting healthcare, social care, and government agencies into a unified, longitudinal view of the person.

This isn't just philosophy. Technology innovation is central to solving the workforce retention and population health crisis.

In this article, I map out:

1. Why a Thriving Agenda could orient and align government agencies around metrics of success.
2. How we need more holistic, aspirational, longitudinal and data driven measurements to align policy success.
3. Open City Labs' vision for a cross sector infrastructure where prevention is like time travel.
4. How defining and advancing a Thriving Agenda could be essential for aligning AI with human values.
👇 Read the full edition here and share: What thriving means to you?

https://champ.ly/2LAXDBWU

The Thriving Agenda: A New Operating System for Unifying Policy and Aligning AI Health Policy is drowning in changing language and AI has an alignment problem. What if a Thriving Agenda was the missing architecture for both? In 1967, Dr.

The era of "one-off" social care contracts is ending. The era of the Revenue Ecosystem has begun.

Sophisticated CBOs and AAAs have been contracting with healthcare for years. You know the value of your work. You don't need to be convinced that "Social Determinants matter."

But the game has changed.

With the $50 Billion Rural Health Transformation awards and the new CMS ACCESS Model, we aren't just seeing more funding. We are seeing complex, overlapping funding streams that require a new level of infrastructure.

The challenge for 2026 isn't "getting a contract." It is Program Alignment.

* How does your organization align strategy and beneficiary navigation to Medicare Community Health Integration, Personal Illness Navigation and new CMS Innovation models ACCESS, and MAHA ELEVATE?
* Can you "stack" investment in BOLD Alzheimer's infrastructure with payment models that focus on chronic disease management?
* Can you generate the compliant Care Plans required to unlock these payments, or are you just sending referrals?

If you are trying to manage $50B in new opportunity with spreadsheets and siloed referral tools, you are leaving millions on the table.

It’s time to align your infrastructure with the opportunity.

On Tuesday, Jan 27, Open City Labs' CEO Matt Bishop will host a technical briefing on the Infrastructure for Whole Person Health. We will decode exactly how to stack these funding streams into a single, sustainable revenue engine and model health and human thriving..

Reserve your spot here:

https://champ.ly/JUlnAS2C

Infrastructure for Whole Person Health: How States & CBOs Can Stack Funding Sources (Rural Health Transformation, CMS Elevate + ACCESS) · Zoom · Luma Whole Person Health is Finally Funded. But Referrals Won't Get You Paid. In 2026, a historic wave of federal funding is hitting the market to address the…

Our CEO Matt Bishop was a recent co-author of this HIMSS white paper, "Measuring Digital Health Equity for Impact: A Proposed Framework for Using Digital Determinants of Health (DDOH) To Measure the Impact of Digital Health Services."

Measuring Digital Health Equity for Impact A Proposed Framework for Using Digital Determinants of Health (DDOH) to Measure the Impact of Digital Health Services

HIMSS and Open City Labs are thrilled to announce our upcoming free webinar on how New York State is tackling health equity and the social determinants of health (SDOH). With a $500M investment in SDOH infrastructure and the processing of claims for $3.1B in social services, Social Care Networks will play a crucial role in this effort. Join us to learn more about leveraging the NYS Medicaid waiver for Social Care Network success!

Register now:

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Matt Bishop will be presenting later today at the 211 San Diego
Community Information Exchange Summit with 211 San Diego's Director of Interoperability and Social Impact Alana Kalinowski. Their session is titled, "Better Care At Lower Costs: ​Open Data Standards that Drive Scalable Interoperability."