Rhode Island FQHC Transformation Investments

Federally qualified health centers (FQHCs) serve as the primary care home for nearly 30 million patients, including 1 in 5 Medicaid beneficiaries.1 In recognition of the valuable role they play in our health care system, UnitedHealthcare is partnering with FQHCs in new ways to expand access to care and improves outcomes.

COVID-19 is an unprecedented public health emergency that has amplified existing health disparities and significantly affected the nation’s safety net. In response, UnitedHealthcare launched the FQHC Transformation Investment Program to address decreased cash flow at FQHCs and the need to invest in capacity building efforts as a result of the historic shift in utilization caused by this public health emergency. The program has invested $20 million in over 300 health centers in 22 states, including nearly $500,000 invested in eight Rhode Island FQHCs.

Investment overview

The FQHC Transformation Investment Program is a one-time investment based on a portion of the individual FQHC’s 2019 utilization. With these investments, FQHCs can choose to dedicate the funds to one of the following five pathways based on the needs of their patient population:

  • Healthy Children
  • Healthy Pregnancy
  • People Living with Chronic Conditions
  • Integrating Behavioral and Physical Health
  • Addressing the Pandemic

The FQHCs then commit to specific process measures aligned with their selected pathways to demonstrate that they have translated the payment into targeted transformation efforts. 


With the Transformation Investments, FQHCs have pursued community-based solutions to expand access and improve outcomes. Most Rhode Island FQHCs have used the investments to focus on Addressing the Pandemic and Healthy Children, the majority of which are building their Telemedicine and Digital Engagement capacity to meet those needs.


62.5%  Addressing the Pandemic            
12.5%  Living with Chronic Conditions
25%     Healthy Children

Capacity building/process measure focus

50%    Telemedicine & Digital Engagement   
25%    COVID-19 Testing Expansion
12.5%  Addressing Social Needs
12.5%  Contact Tracing


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