This conversation comes at a critical moment for rural health transformation. Funds tied to this effort are being released at a rapid pace, and ensuring their long-term sustainability and impact will require strong, strategic partnerships between MCOs and rural providers. The work of rural transformation and innovation will undoubtedly be difficult, and will require strategic, meaningful payer-provider partnerships. This forum offers a rare opportunity to convene MCO executives and hospital CEOs in the same room to focus on common ground and areas of future alignment.