As an NYC FQHC administrator, I’ve seen a lot—but the latest Medicaid cuts hit differently. We’ve always stretched every dollar, but this time, we’re not just trimming—we’re redesigning the whole playbook.
First, we’re getting serious about diversifying. Medicaid can’t be our only lifeline. We’re doubling down on value-based care models that reward us for keeping patients well, not just churning visits. That means smarter prevention, tighter care coordination, and real upside when we cut costs and improve outcomes.
Medicare is another focus—we’ve let too many patients age out without a plan. Now we’re building services for seniors that are worthy of their trust (and their Part B card). We’re also beefing up billing know-how to make sure we’re not leaving money on the table—especially for behavioral health.
We’re pushing hard on grants, shared services, and every 340B dollar we can protect. Cuts or no cuts, sustainability is now part of care.
What’s your clinic doing to weather the storm? Are you shifting your revenue model too?