There’s no question—Federally Qualified Health Centers (FQHCs) play a vital role in our nation’s healthcare delivery system. They provide care and services to more than 28 million patients annually, many of whom are uninsured, struggling with poverty, or located in rural areas, according to the National Association of Community Health Centers (NACHC). However, many questions surround FQHCs’ ability to navigate the industry’s shift toward value-based payment (VBP) models successfully. Understanding where FQHC leaders are in their planning and strategies related to VBP was the purpose behind a recent Porter Research survey of more than 50 FQHC clinical, operational, and financial leaders. According to the CEO of a large FQHC in Ohio, “Value-based payment models are shifting. We used to get paid on the quality indicators submitted on the claim. We either met the measure and got a bonus payment, or we didn’t. Things are shifting now, and payers are setting participation criteria that forces us to assume a portion of the risk. The formulas are crazy complicated, and the game is definitely changing.” How can FQHCs work closely together to do more to improve their likelihood of building successful VBP strategies?