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A few years ago, Massachusetts renewed its Medicaid Section 1115 waiver and transformed MassHealth, the state's Medicaid program, from an MCO to an ACO. Community Care Cooperative (C3), a federally qualified health center (FQHC)-owned ACO based in Boston, analyzed the opportunity to start an ACO and avoid being members of larger organizations where they would likely not have a primary care-led FQHC presence.
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