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Surviving on PB&J (Patients, Billing & Justification): One FQHC’s Guide to Medicaid Mayhem

Surviving on PB&J (Patients, Billing & Justification): One FQHC’s Guide to Medicaid Mayhem

by James | Jul 23, 2025 | For Hiring Managers

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...
Paging Dr. Budget Cut: Surviving Medicaid Mayhem in Primary Care

Paging Dr. Budget Cut: Surviving Medicaid Mayhem in Primary Care

by James | Jul 11, 2025 | For Hiring Managers

When you’re trained in internal medicine, you’re not expecting your next “complex case” to be Medicaid policy. Yet here I am—staring down a 7% cut to New York’s Medicaid budget for 2025–2026 and wondering how we keep our clinic standing, let...
The Best Worst Interview Advice: “Just Be Yourself”

The Best Worst Interview Advice: “Just Be Yourself”

by James | Jun 11, 2025 | For Job Seekers

“Just be yourself” sounds comforting. But in an interview? It can sabotage you. First, *which* self? The one who thrives in a code? Vents to friends after 12s? Spends Sundays doomscrolling? You’re a whole human—but not every part belongs in the room. When you lead...
Surviving the “Big, Beautiful Bill”: A Leader’s Guide to Austerity Chic

Surviving the “Big, Beautiful Bill”: A Leader’s Guide to Austerity Chic

by James | Jun 3, 2025 | For Job Seekers

Alright, healthcare heroes and C-suite stalwarts, gather ’round. The whispers of the Big, Beautiful Bill and its potentially draconian budget cuts (said with a theatrical shudder, of course) have begun circulating through our hallowed halls like the e. Coli...
The Impact of Retail Clinics on Family Medicine & Internal Medicine Practices

The Impact of Retail Clinics on Family Medicine & Internal Medicine Practices

by James | May 16, 2025 | For Hiring Managers

Retail clinics: the land of quick strep tests, convenient flu shots, and patients who still list “Dr. CVS” as their primary care provider. While they’re great for access, they’ve definitely stirred the primary care pot. For family and internal medicine docs, the...
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