The next 12 months will be a critical time for many Federally Qualified Health Centers (FQHCs) as the healthcare industry’s shift toward value-based care accelerates. In addition to changing payment models, FQHCs struggle with extreme clinical and administrative workforce shortages. State Medicaid programs have become more complex and difficult to manage while the needs of the communities they serve continue to expand. One might say a perfect storm is brewing. Porter Research recently conducted an independent study to help FQHC leaders better understand what their peers are thinking and doing when it comes to value-based payment (VBP) strategies. More than 50 clinical, financial, and operational leaders from mid- to large-size FQHCs across the country responded to the study commissioned by NextGen Healthcare—the FQHC industry’s most widely used electronic health record (EHR) system. The research reveals that VBP strategies are still in the early stages among FQHCs, but the majority of respondents believe that this is about to change… and change quickly over the next 1–2 years. As organizations prepare to take on even more financial risks that come with a new wave of VBP models, FQHCs must seek out innovative ways to share insights and collaborate with each other to survive. It’s early, but VBP is growing.