Community Care Cooperative (C3), the only Accountable Care Organization (ACO) in Massachusetts founded and governed by Federally Qualified Health Centers (FQHCs), is thrilled to announce its selection by the Centers for Medicare & Medicaid Services (CMS) to participate in the Medicare Shared Savings Program (MSSP) Enhanced Track, and the ACO Primary Care (PC) Flex Model.

C3 is one of 24 ACOs participating in the ACO PC Flex model in performance year 2025. C3 shares in the risk and reward across 43 FQHCs’ value-based agreements, representing more than 45,000 Medicare beneficiaries.

C3's recently awarded MSSP Enhanced and ACO PC Flex participation agreements extend its network to approximately 6,000 Medicare beneficiaries, allowing it to further its mission of uniting FQHCs at scale to strengthen primary care and improve the health and wellness of the individuals served.

FQHCs are known for delivering high-quality, person-centered care that reduces total medical expenditures. C3 aims to support their success by incentivizing participating health centers to maintain lofty standards of care while managing costs.

With its selection for participation in the MSSP Enhanced Track + ACO PC Flex programs, C3 is adding six FQHCS to its participation agreements. These strategic partnerships reflect the organization’s unwavering commitment to empowering healthcare providers on their journey to value-based care.

The new participating FQHCs are:

• Community Health Center of Cape Cod, MA
• Holyoke Health Center, MA
• Island Health Care, MA
• Lynn Community Health Center, MA
• Mosaic Community Health, OR
• North Shore Community Health, MA

“We are enthusiastic about the opportunities the new Medicare participation agreements present and remain steadfast in our mission to deliver accessible, comprehensive, and compassionate care nationwide,” said Christina Severin, CEO of C3. “The MSSP and ACO PC Flex model create a robust framework for expanding access to high-quality primary care and addressing health disparities, particularly in underserved communities. FQHCs are an integral part of the healthcare system, and it is an honor to serve as an ACO partner for our participating FQHCs.”

C3’s growing Medicare ACOs include approximately 1,500 primary care physicians and more than over 3,200 clinicians operating across communities in the District of Columbia, California, Connecticut, Louisiana, Massachusetts, North Carolina, Oregon, and Washington. C3 represents 240,000 Medicaid and Medicare beneficiaries in a value-based risk arrangement and has earned over $84 million as an ACO since 2018.

About The MSSP Enhanced Track and ACO PC Flex Model:

The Medicare Shared Savings Program (MSSP) is CMS’s flagship value-based payment program designed to award value and outcomes, promoting accountability for the quality, total cost of care, and experience of an assigned Medicare fee-for-service population. The MSSP Enhanced Track offers advanced opportunities for shared savings and accountability, while the ACO PC Flex Model focuses on enhancing primary care delivery through prospective payments and increased funding. This approach encourages providers to deliver high-quality coordinated care, improve outcomes, and manage costs. For questions about the MSSP or ACO PC Flex Model call 1-800-MEDICARE (1-800-633-4227), TTY 877-486-2048. For questions about C3’s ACOs, call 866-676-9226, 8am – 5pm EST.

About Community Care Cooperative (C3):

Community Care Cooperative (C3) is a 501(c)(3) Accountable Care Organization (ACO) and the only ACO in Massachusetts founded and governed by Federally Qualified Health Centers (FQHCs). C3 is exclusively focused on advancing integrated and coordinated community-based care for Medicaid and Medicare beneficiaries. C3 works to strengthen health centers across the country, helping healthcare providers deliver better care to their patients and thrive in value-based care. Our proven, scalable model offers a range of services, including value-based contracting, consulting, pharmacy, practice transformation, technology, and shared services.

To learn more, visit us at http://www.c3aco.org/ or follow us on LinkedIn.

The statements contained in this document are solely those of the authors and do not necessarily reflect the views or policies of CMS. The authors assume responsibility for the accuracy and completeness of the information contained in this document.

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“The MSSP and ACO PC Flex model create a robust framework for expanding access to high-quality primary care and addressing health disparities, particularly in underserved communities," says Christina Severin, C3's President and CEO.