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.