C3 ACO Expands to California: FQHC-Governed Value-Based Care Network Adds 10 Health Centers
Community Care Cooperative (C3), the largest non-profit FQHC-governed ACO in the country, expanded to California with the addition of 10 FQHCs across multiple states effective January 1, 2026. C3 is accountable for 240,000+ Medicaid and Medicare beneficiaries in value-based arrangements and has earned $152M+ in shared savings since 2018.
The expansion signals growing FQHC interest in ACO participation as a revenue diversification strategy amid Medicaid cuts.
Key takeaways
- C3 = largest non-profit FQHC-governed ACO in the country — expanded to California Jan 1, 2026
- Accountable for 240,000+ Medicaid and Medicare beneficiaries in value-based arrangements
- $152M+ in shared savings earned since 2018
- ACO participation = key revenue diversification strategy as Medicaid cuts loom
Primary source
Business WireFQHC Talent. (2026, February 3). C3 ACO Expands to California: FQHC-Governed Value-Based Care Network Adds 10 Health Centers. Primary source: Business Wire. Retrieved June 12, 2026, from https://www.fqhctalent.com/intel/c3-aco-expands-california-fqhcs
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