Podcast Episode

What the “Big Beautiful Bill” Means for Rural Healthcare

April 7th, 2026 | S1E1 | 7:24

What does leadership look like when shaping the future of rural healthcare? In this episode of Virtual Health Connections, host Jessica Gaikowski is joined by Mark Johnston, Vice President of Government Affairs at Avel eCare, to break down one of the largest federal healthcare investments in decades and what it means for rural communities. Mark shares insight into the $50 billion Rural Health Transformation Fund, how it came to be, and how different states are approaching strategy, funding, and implementation. From policy decisions around Medicaid to real-world execution at the state level, this conversation highlights the leadership, collaboration, and urgency required to drive meaningful change in healthcare. If you are a healthcare leader, policymaker, or hospital administrator, this is a must-watch conversation on how strategy turns into action.

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Meet the Host

Jessica Gaikowski, MBA, brings both heart and strategic insight to her role as host of Avel eCare: Virtual Health Connections. with a background in healthcare administration and business, she understands the complexities of healthcare delivery and now leads conversations shaping where the industry is headed.

As Executive Director of Marketing and Sales Operations at Avel eCare, Jessica has been part of the organization’s journey from its early foundation within a large South Dakota health system to its growth as a national virtual care leader. On the podcast, she connects with industry experts to explore how telemedicine is redefining access, supporting care teams, and strengthening communities.

When she’s not talking healthcare, you’ll find her spending time with her family or cheering on the Ohio State Buckeyes.

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