Building Operating Resilience and Sustainability

HR1 and Beyond

Building Operating Resilience and Sustainability: A Practical Framework for FQHCs Navigating H.R 1

H.R. 1 — the One Big Beautiful Bill Act — is reshaping Medicaid as we know it. With over $1 trillion in projected cuts, new work requirements, semi-annual redeterminations, and reimbursement changes, FQHCs are facing unprecedented pressure on revenue, administrative capacity, and long-term sustainability.

Cost-cutting and incremental IT fixes won’t be enough — not when many centers are already operating on razor-thin margins. The organizations that come out ahead will be the ones that get proactive now.

This white paper introduces the FQHC Resilience & Profitability Model (FRPM) — a five-pillar framework built specifically for safety-net providers navigating the post-HR1 landscape. It brings together intelligent automation, quantum-ready cybersecurity, strategic vCISO partnership, revenue intelligence, and collaborative networks into one integrated approach.

Download the white paper to learn how early adopters are:

• Cutting administrative overhead
• Reducing breach and compliance risk
• Strengthening patient retention through coverage transitions
• Building a clear path to sustainable margins

Full implementation ramps up in 2027 — the time to prepare is now.