You thought running a community health center was hard before? Now with pending Medicaid cuts from the One Big Beautiful Bill Act (OBBBA), rural providers say they’re prepping for more financial strain. Fairview Community Health Center in Bowling Green, Kentucky, is no different. The federally qualified health center (FQHC) serves about 15,000 patients a year in a city with 79,076 residents, according to Census data, though there are other providers like the Medical Center at Bowling Green nearby. That care is solely medical (no dental or vision) and includes a prenatal care unit, a pediatric department, a family practice, and behavioral health services. Patients vary from Medicare and Medicaid members to commercial insurance policyholders and cash-only customers. CEO John Lillybridge is far from new to rural healthcare’s challenges. Before leading the C-suite, he was CFO of the health center from 2011 to 2021, meaning he knows how to deal with operational costs and reimbursements. But with these changes coming from the OBBBA, the now CEO took us through a day in his life at the clinic and how he’s planning to prevent it from falling off a potential “fiscal cliff.” Read more about Lillybridge’s day to day here.—CM |