Policy Shifts: What They Mean for FQHCs and Why RCM Is Still Non-Negotiable
The tide is finally turning in favor of FQHCs, which have long been fighting red tape and tight reimbursement structures to keep themselves financially afloat.
2025 might just be the year that changes the game for them. New legislations, aimed at closing systemic gaps, are reflecting a positive outlook for FQHCs. While these reforms are necessary to mitigate their urgent administrative and regulatory challenges, revenue cycle optimization remains non-negotiable for their long-term sustenance.
Let’s first explore why FQHC stakeholders have reason for optimism and then examine three key legislative initiatives that are poised to transform community care.
Among the many legislations under discussion, we have identified three that stand out for their scope, alignment with community needs, and strong focus on addressing critical care delivery and revenue cycle gaps.
Objective
Despite serving a large patient pool (over 30 million in 2023 alone), FQHCs struggle financially amid rising operational costs.
Evolving reimbursement structures will ensure fairer payments but navigating them will require a strong focus on RCM.
Objective
To expand telehealth by making it accessible and financially viable for providers
Telehealth utilization by FQHCs increased drastically during the pandemic, but they still face reimbursement and access challenges.
While more visits translate into more revenue, it is only possible when new reimbursement models and documentation are understood well and streamlined efficiently with effective RCM.
Objective
To attract and retain professionals in FQHCs to ensure continuity of care
FQHCs face significant workforce shortages, with many struggling to recruit primary care providers, mental health professionals, and support staff.
The legislation incentivizes careers in FQHCs, helping to retain talent and improve care access.
While these measures provide a roadmap for addressing most of the administrative and operational challenges faced by FQHCs, their success also depends on effective RCM and how well they adapt to new reimbursement models.
This presents a unique opportunity for revenue cycle leaders to take charge and implement strategies that enable their systems to navigate this transition smoothly while reaping maximum benefits.
By staying ahead of regulatory changes and shifts in the payer behavior and optimizing their revenue cycle workflows with tech-enabled expertise and a robust, KPI-focused governance system, revenue cycle leaders can accelerate revenue capture, maximize reimbursements, and empower their healthcare facilities to thrive.
Jindal Healthcare is committed to helping FQHCs close their financial gaps and optimize revenue. With strategic RCM that is data-backed and tech-enabled, we help drive their sustainable growth, empowering them to serve their communities without any financial strain.
New legislations translate into new laws, and navigating these waters requires expertise for absolute compliance
Tech-enabled RCM reduces errors contributing to revenue leaks and admin burden, letting you focus on patients
Streamlined RCM maximizes revenue realization with process improvements based on root cause analysis and feedback
KPI-focused governance allows for data-driven decisions to tap into missed revenue opportunities
Reduction in
RCM Costs
Increase in
Average Revenue
Reduction in 90+
Days Aging
The 2025 legislative changes offer immense promise for FQHCs, but their financial success also depends on how well they adapt.
With Jindal Healthcare as your RCM partner, you can confidently navigate the evolving landscape and thrive financially while staying committed to community care.
Don’t miss our insightful expert take on the challenges affecting the financial sustainability of FQHCs and how they can be mitigated with tech-enabled RCM.
