Strategy: Maintaining Sliding Fee Scale Access During Funding-Cliff Planning
As FQHCs plan around the national Community Health Center Fund cliff and state-level payer-rate uncertainty, the access question is practical: how much loss can the center absorb while maintaining sliding-fee access? Scenario tactics include maximizing 340B drug-pricing savings, renegotiating managed-care contracts to cross-subsidize, applying for HRSA New Access Points or expanded-scope grants, and partnering with county indigent-care programs for supplemental funding.
Key takeaways
- Funding-cliff and payer-rate scenarios force FQHCs to decide how much loss they can absorb while protecting sliding-fee access
- Maximize 340B drug pricing savings to cross-subsidize reduced PPS revenue
- Renegotiate managed care contracts and apply for HRSA New Access Points or expanded scope grants
- Partner with county indigent care programs for supplemental funding to maintain sliding fee access
Primary source
NACHC (funding context)Source packet
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FQHC Talent. (2026, February 27). Strategy: Maintaining Sliding Fee Scale Access During Funding-Cliff Planning. Primary source: NACHC (funding context). Retrieved July 28, 2026, from https://www.fqhctalent.com/intel/strategy-sliding-fee-pps-cuts
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