Over the past two decades, the Health Resources and Services Administration (HRSA), the Federal agency that oversees and manages the CHC program, has emphasized the need for CHCs to improve their financial viability. HRSA provides extensive technical assistance to CHCs specifically to improve their financial viability, especially to those CHCs that experience chronic financial difficulties. HRSA understands that continuing to put scarce resources into financially fragile CHCs is not sustainable. As a result, with HRSA’s
encouragement, CHCs have been broadening their patient population base beyond the Medicare, Medicaid and self-pay patients, and increasingly compete for the commercial patient populations. In addition, CHCs are expanding their scope of service to include non-FQHC reimbursed services.
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