Evolent Health and Community Care Cooperative to Transform Value-Based Care in Massachusetts
May 09, 2017

WASHINGTON, D.C., May 9, 2017Evolent Health, a company providing an integrated value-based care platform to the nation's leading health systems and physician organizations, today announced its partnership with Community Care Cooperative (C3). C3 is currently serving as a pilot Accountable Care Organization (ACO) comprised of Federally Qualified Health Centers (FQHCs) and serving communities across Massachusetts. The partnership will bring together the best practices from both organizations to promote high-quality, cost-effective care for adults and children enrolled in the state’s MassHealth Medicaid program and assigned to the C3 ACO.

Evolent will bring to the partnership its proven predictive analytics, technology infrastructure and clinical models implemented across the country, while C3 will bring years of market-leading experience delivering integrated physical and behavioral health in diverse local communities. Together, the organizations aim to successfully build a value-based care delivery system that could serve a significant number of MassHealth beneficiaries. 

“We are thrilled to partner with C3 in this innovative partnership that is closely connected to our mission as it will change the way care is delivered in Massachusetts,” said Evolent Chief Executive Officer Frank Williams. “By leveraging the best practices, knowledge and expertise of both sides, we believe we can impact the health and well-being of underserved populations by applying data-driven, population health approaches in the trusted, high-value settings of C3’s FQHCs. We are excited to be working with C3 as our first FQHC-centric partner.”

The Evolent-C3 partnership will initially focus on building a model of care and associated systems and processes that integrate social determinants of health and behavioral health services with primary care to optimize health outcomes. The companies will also deploy a common technology platform across C3 health centers with a goal of unifying data aggregation, clinical stratification, and coding and documentation workflows across C3’s FQHCs, which leverage a variety of electronic medical record platforms and instances.  

The Commonwealth of Massachusetts has long been a leader in health care, passing universal coverage in 2006. It is once again a model for innovative care by enabling organizations like C3 to serve beneficiaries in a Medicaid ACO. In November 2016, CMS and the Commonwealth announced the renewal of the Commonwealth’s 1115 waiver, paving the way for work to restructure Medicaid delivery to support the move to ACOs and allow for innovative ways of addressing the social determinants of health. Massachusetts is the first and only state embedding social determinants of health into risk scores, ensuring that health-related social needs are recognized for the true impact that they have on an individual’s cost of care.

“This is the first model of its kind in our state, and we couldn’t be more thrilled to be collaborating with Evolent,” said Community Care Cooperative Chief Executive Officer Christina Severin. “By collaborating with a flexible and responsive company like Evolent, we are able to bring the best of what Evolent does to foster the incredible work at the FQHCs to create a high-value, high-discipline and data-driven model and embed that within the FQHCs to be as close to the patient experience as possible.”

According to a November 2016 study in the American Journal of Public Health, FQHCs provided a more cost-efficient setting for primary care for Medicaid patients. Those who received the majority of their primary care from FQHCs had lower use and spending than non-health center patients across all services, including 22 percent fewer visits and 24 percent lower total spending. 

“Federally Qualified Health Centers don’t always get recognition for the work they do in providing high quality, lower-cost care to individuals and supporting the health of communities,” said East Boston Neighborhood Health Center Chief Executive Officer and C3 Chair of the Board Manny Lopes. “They are high-performing organizations and provide high quality care at 20 to 25 percent lower cost on the same set of services nationally. The C3-Evolent partnership is exciting because the quality of care and value can exceed that of other national models.”

About Evolent Health 
Evolent Health partners with leading provider organizations to achieve superior clinical and financial results in value-based care. With a provider heritage and over 20 years of health plan administration experience, Evolent operates in more than 30 U.S. health care markets, actively managing care across Medicare, Medicaid, commercial and self-funded adult and pediatric populations. With the experience to drive change, Evolent confidently stands by a commitment to achieve results. For more information, visit evolenthealth.com.  

About Community Care Cooperative
Community Care Cooperative (C3) is a newly formed, not-for-profit health care corporation organized to take responsibility for managing the cost and quality of health care for its members.  Unlike other large-scale Accountable Care Organizations (ACOs) in Massachusetts, CCC is built entirely on a foundation of community-based primary care providers. As such, the organization is uniquely positioned to be a true innovator in successfully achieving cost and quality goals. For more information visit communitycarecooperative.org