Connecting the dots – building data bridges for a better healthcare future.

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Tendo President, Jen Goldsmith, imagines what could be achieved if we could bring all our disparate healthcare information together to create a single, streamlined, and accurate medical view for every patient.

Read more about healthcare data sources in this latest article featured by HIT Consultant.

If you’re leading a rural or regional health system, you’re likely asking: how can we improve access and affordability in our community without putting our financial stability at risk? With Medicaid cuts projected to strain rural providers and new federal rural funding tied to “transformational” models, the answer is not temporary fixes. It is building sustainable pathways that bring more patients into your system and keep care local.

Recent reporting in Modern Healthcare highlights the uncertainty surrounding the $50 billion Rural Health Transformation Program and how states are navigating funding, transparency, and political pressure. At the same time, rural hospitals face projected reductions in Medicaid spending and ongoing margin compression. The message is clear: rural systems must evolve to remain viable.

That is where Tendo Marketplace comes in.

The Rural Healthcare Reality: Shrinking Margins and Rising Expectations

Rural hospitals are being asked to:

  • Improve access to care in underserved communities
  • Expand technology-enabled services
  • Invest in workforce and community-based models
  • Align with value-based care
  • Absorb Medicaid reimbursement pressure

At the same time, many rural markets rely heavily on:

  • Self-pay and uninsured patients
  • High-deductible health plan (HDHP) populations
  • Patients who delay care due to affordability concerns
  • Leakage to urban systems offering digital convenience and price clarity

Federal guidance has emphasized transformation, not simply stabilizing struggling facilities. Rural systems cannot rely on temporary funding alone. They need durable access models that improve affordability while generating incremental volume.

How Can Rural Hospitals Improve Access and Affordability Without New Infrastructure?

The answer is not building more facilities or adding costly service lines. It is making existing services easier to access, easier to shop for, and easier to pay for.

Tendo Marketplace was built to support exactly that shift.

What Is Tendo Marketplace?

Tendo Marketplace is a connected ecosystem that makes health system services shoppable and accessible across consumer and employer touchpoints.

It includes:

  • MDsave, a public consumer marketplace, designed for uninsured, self-pay, denied coverage, and HDHP patients.
  • Care Connect, a private employer marketplace enabling self-funded employers and care navigators to purchase bundled services for employee members.
  • A unified provider portal connecting your system to every access point and providing facility point-of-sale tools for health system staff at scheduling.

This creates one connected infrastructure across employer, consumer, and facility entry points, making your current services easier to find, purchase, and access—while reducing operational complexity.

How Tendo Marketplace Helps Rural Health Systems Stay Competitive

1. Extend Access With Clear, Upfront Pricing

Rural communities often have a higher concentration of patients who face significant out-of-pocket exposure. Many delay care not because the need is low, but because the financial risk feels unpredictable. When pricing is unclear, patients postpone procedures, leading to more complex and costly interventions later.

Through transparent, all-inclusive bundled pricing through Tendo Marketplace, rural health systems can offer predictable costs that remove hesitation at the point of decision.

Clear pricing supports earlier intervention, reduces avoidable downstream utilization, and aligns with value-based care objectives. In this model, affordability becomes a proactive access strategy that strengthens both community health and financial sustainability.

2. Capture Volume That Typically Leaves the Market

When patients search online for affordable procedures, they often encounter urban competitors with strong digital visibility and transparent pricing. Without comparable access pathways, rural systems risk losing commercially viable cases beyond their market.

Tendo Marketplace makes your procedures digitally shoppable and accessible through both consumer and employer channels. By strengthening your digital front door and enabling bundled purchasing, rural hospitals can capture local cash-pay demand and reduce unnecessary outmigration.

The result is incremental volume drawn from populations already in your community, achieved through better distribution rather than additional infrastructure.

3. Open New Referral Channels

Referral dynamics are changing. Purchasing decisions are increasingly influenced by care navigators, self-funded employers, and value-based care organizations seeking predictable, affordable options for their members.

Care Connect enables rural health systems to position bundled services directly within these purchasing pathways.

The result is an expanded referral ecosystem, stronger care continuity, and consistent volume from employers and navigators who are actively directing patients toward cost-effective, transparent providers.

4. Align With the Transformation Mandate

Tendo Marketplace operationalizes those priorities by making services digitally shoppable, supporting community affordability strategies, and strengthening value-based alignment. Instead of depending exclusively on public funding cycles, rural health systems can deploy a scalable access infrastructure that drives measurable volume and community impact.

From Survival to Sustainability

State leaders have acknowledged the difficulty of translating aspirational goals into functioning programs. The difference between aspiration and execution is infrastructure.

Tendo Marketplace provides rural systems with deployable infrastructure that:

  • Improves access in underserved communities
  • Makes care affordable and predictable
  • Expands employer and navigator channels
  • Generates incremental patient volume
  • Keeps care and revenue in the community

The result is steady, incremental volume from populations where affordability, convenience, and transparency matter most, delivered through a platform designed for rural realities.

Why This Matters Now

Between projected Medicaid reductions and heightened scrutiny of rural funding distribution, rural health leaders cannot afford to wait. Access and affordability are no longer just mission-driven goals; they are directly connected to financial sustainability, employer alignment, population health performance, and long-term competitiveness.

Rural hospitals that modernize how patients find, evaluate, and access care will be better positioned no matter how federal funding shifts.

See How Tendo Marketplace Works for Rural Systems

If your leadership team is evaluating how to improve access, capture new volume, and protect your system from reimbursement volatility, Tendo Marketplace offers a scalable path forward.

See how Tendo Marketplace works for rural systems and explore how your organization can expand access, strengthen affordability, and keep care local without building new infrastructure.

Learn more about how we’re driving better healthcare experiences through connected care solutions.

Sophie Gray

Sophie Gray

Provider Partnerships, Principal

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