Revenue Leakage Often Starts Where Leadership Is Not Looking For many Federally Qualified Health Centers, financial pressure is no longer temporary. Margins are tightening, staffing remains difficult, reimbursement complexity continues to increase, and leadership teams are being asked to improve...

Consistency Beats Perfection in HRSA Reviews HRSA site visits are one of those moments where years of operational behavior get compressed into a few days of scrutiny. For FQHC leadership teams, the pressure can feel intense—but preparation is not about binders, late-night document hunts, or...

Medicaid Work Requirements Are Coming: What It Means for FQHC Revenue—and What to Do Now Medicaid policy is once again shifting, and the implications for Federally Qualified Health Centers are significant. A recent analysis from the Urban Institute projects that Medicaid work requirements and more...

When Your Board Doesn’t Speak “Finance”: A Practical Guide for FQHC Leaders FQHC boards are different by design. At least 51% of members must be patients of the health center. That’s a strength. It keeps the organization grounded in mission and community. But it also means something very real. Many...