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Community Care Collective in Massachusetts

Community Care Collective (C3) is a Primary Care Accountable Care Organization (ACO) comprised of 15member federally qualified health centers (FQHCs) that collectively govern our organization. C3 was established for the sole purpose of participating as an ACO in the Executive Office of Health and Human Services (EOHHS) MassHealth ACO Program. C3FQHCs, listed below, are geographically dispersed and serve a diverse population with a high concentration of Medicaid patients.

Overview of Community Care Collective

Community Care Collective (C3) is a Primary Care Accountable Care Organization (ACO) in Massachusetts, serving MassHealth Members across the state. They also provide care to Medicare Members in specific areas of both Massachusetts and Louisiana. C3 is a group of doctors and other healthcare providers who collaborate to deliver comprehensive care to patients. Their mission is to help patients receive coordinated and high-quality care, while working to ensure that their primary care provider remains informed about their health journey. C3’s efforts aim to enhance the overall quality of care and ensure a smoother healthcare experience for their members.

C3 is comprised of 15 member federally qualified health centers (FQHCs) which collectively govern the organization. These FQHCs are geographically dispersed across Massachusetts, serving a diverse population with a significant concentration of Medicaid patients. Each FQHC brings unique expertise and community knowledge to the collective, allowing C3 to cater to the specific needs of diverse communities within the state. C3’s commitment to serving underserved populations and ensuring equitable access to quality healthcare is a cornerstone of their mission.

Community Care Collective and Marijuana Establishments

Community Care Collective, Inc., is involved in the marijuana industry in Massachusetts. They have applied for licenses to operate retail marijuana establishments in Littleton and Billerica. The Littleton location, at 537 Great Road, is proposed to be a 16,183 square foot space where marijuana products will be cultivated and manufactured. The Billerica location, at 4 Republic Road, is also intended to be a retail marijuana establishment. The Select Board in Littleton has approved a Host Community Agreement with Community Care Collective, Inc. for the retail adult use marijuana establishment at 537 Great Road. The agreement is subject to approval by the Cannabis Control Commission, and the facility is expected to operate under their guidelines.

The company’s involvement in the marijuana industry has been the subject of some local scrutiny. Some residents have expressed concerns about the potential for increased traffic and crime in the area, while others have welcomed the economic benefits that a marijuana establishment could bring to the community. Ultimately, the success of Community Care Collective’s marijuana ventures will depend on their ability to operate safely and responsibly, while also meeting the needs of the communities they serve.

Community Care Collective as an Accountable Care Organization (ACO)

Community Care Collective (C3) operates as an Accountable Care Organization (ACO) serving MassHealth Members across Massachusetts. They also provide care to Medicare Members in select areas of both Massachusetts and Louisiana. An ACO is a group of doctors and other healthcare providers who collaborate to coordinate and manage the care of their patients. C3’s mission is to enhance the primary care provider’s ability to effectively manage their patients’ needs. They achieve this by offering a comprehensive range of services, including care management, population health management, and data analytics, all aimed at improving patient outcomes and reducing the overall cost of care.

C3’s ACO structure allows them to participate in the Executive Office of Health and Human Services (EOHHS) MassHealth ACO Program. This program incentivizes ACOs to deliver high-quality, cost-effective care by rewarding them for achieving specific performance goals. C3’s participation in this program demonstrates their commitment to providing quality care while simultaneously managing costs effectively. The ACO structure allows C3 to leverage its network of 15member federally qualified health centers (FQHCs) to provide comprehensive and coordinated care to a diverse population across Massachusetts.

Community Care Collective’s Involvement in Community Care

Community Care Collective (C3) is deeply rooted in the community, recognizing the importance of providing accessible and culturally sensitive care. Their network of 15member federally qualified health centers (FQHCs) serves a diverse population with a high concentration of Medicaid patients, ensuring that healthcare is available to those who might otherwise lack access. C3’s commitment to community care extends beyond traditional healthcare services. They actively engage with communities through various outreach programs and initiatives aimed at addressing social determinants of health, such as food insecurity, housing instability, and lack of transportation. This holistic approach recognizes the interconnectedness of health and well-being, striving to create a healthier environment for everyone.

C3’s dedication to community care is evident in their geographical distribution. Their FQHCs are strategically located across the Commonwealth, from bustling downtown Boston to the Cape and rural areas in western Massachusetts. This widespread presence allows C3 to reach individuals in diverse communities and tailor their services to meet the unique needs of each region. C3’s commitment to community care is not simply a statement but a core principle that guides their actions and drives their mission to improve the health and well-being of all individuals in Massachusetts.

Community Care Collective’s Role in Substance Abuse Prevention

Community Care Collective (C3) recognizes the multifaceted nature of substance abuse and its impact on individual and community well-being. Their approach to substance abuse prevention is rooted in a comprehensive, multi-pronged strategy that addresses both the clinical and social determinants of substance use disorders. C3’s network of federally qualified health centers (FQHCs) provides integrated care, addressing substance use alongside physical and mental health needs. This integrated approach helps to break down silos within healthcare and ensure that individuals receive a holistic and comprehensive approach to their care. C3’s commitment to addressing substance abuse goes beyond clinical services. They actively engage in community outreach, promoting education and awareness about substance abuse prevention and treatment. This outreach aims to reduce stigma surrounding substance use disorders and encourage individuals to seek help without fear of judgment.

Furthermore, C3 collaborates with local organizations and community partners to create a network of support for individuals struggling with substance abuse. These partnerships provide access to resources, such as counseling, support groups, and job training programs, empowering individuals to navigate their recovery journey. C3’s dedication to substance abuse prevention is a testament to their commitment to creating a healthier and more supportive environment for individuals and communities in Massachusetts.

Community Care Collective’s Operations in Littleton, Massachusetts

Community Care Collective (C3) has established a presence in Littleton, Massachusetts, with a retail marijuana establishment located at 537 Great Road. This establishment signifies C3’s commitment to providing access to legal cannabis products while adhering to the regulations set forth by the Cannabis Control Commission (CCC). C3’s operations in Littleton reflect a strategic approach to diversifying its portfolio and leveraging its expertise in healthcare to address the evolving landscape of cannabis legalization.

C3’s retail operation in Littleton is designed to provide a safe and welcoming environment for consumers. The establishment adheres to strict security measures and employs knowledgeable staff trained to provide accurate information about cannabis products. C3’s involvement in the cannabis industry in Littleton underscores its commitment to responsible business practices and its dedication to serving the needs of the community while promoting public health and safety.

C3’s presence in Littleton further reinforces its commitment to community engagement and its role as a responsible corporate citizen.

Community Care Collective’s Governance Structure

Community Care Collective’s (C3) governance structure is designed to ensure accountability, transparency, and effective decision-making. C3’s governance is organized around a Board of Directors and includes six committees⁚ an Executive Committee, a Patient Family and Advisory Committee (PFAC), a Quality Committee, a Finance Committee, an Audit Committee, and a Compliance Committee. This multi-layered structure ensures that all fiduciary, clinical, quality, and compliance activities and responsibilities are thoroughly identified, implemented, and monitored.

The Board of Directors, which includes a consumer advocate, C3’s CEO, and two directors from each C3 FQHC (the FQHC chief executive officer (CEO) and chief medical officer (CMO), if the CMO is a practicing PCP), plays a critical role in setting strategic direction and overseeing the organization’s operations. The committees provide expertise and oversight in their respective areas, ensuring that C3’s operations align with its mission and values.

C3’s governance structure emphasizes collaboration and inclusivity, bringing together diverse perspectives to guide the organization’s work and ensure that its services are responsive to the needs of its members and the communities it serves.

Community Care Collective’s Reports and Resources

Community Care Collective (C3) is committed to transparency and providing valuable resources to stakeholders. C3 publishes a variety of reports that detail its performance, operations, and progress in delivering quality care to its members. These reports are available on the Mass.gov website and provide insights into C3’s activities and impact on the Massachusetts healthcare landscape.

One key report is the Annual Progress Report, which outlines C3’s performance against its goals and objectives for the year. These reports include data on quality of care, cost of care, and member satisfaction, providing a comprehensive overview of C3’s performance. C3 also makes available other reports that address specific aspects of its work, such as its financial performance and compliance with regulatory requirements.

In addition to reports, C3 provides a variety of resources to support its members and providers. These resources include provider manuals, clinical guidelines, and educational materials that support the delivery of high-quality, coordinated care. These resources are readily accessible and serve to enhance C3’s collaborative approach to healthcare delivery.

Community Care Collective’s Provider Manual

The Community Care Collective (C3) Provider Manual is a comprehensive resource designed to guide healthcare providers who participate in the C3 network. It serves as a vital tool for ensuring smooth operations and efficient communication among all stakeholders. The manual contains essential information about C3’s programs, policies, and procedures, enabling providers to effectively navigate the C3 system and deliver quality care to members.

The manual covers a wide range of topics, including C3’s governance structure, payment models, quality improvement initiatives, and member enrollment processes. It also provides details on C3’s care coordination and care management programs, helping providers understand the organization’s integrated approach to healthcare.

The C3 Provider Manual is regularly updated to reflect changes in policies, regulations, and best practices. This ensures that providers have access to the most current information and can effectively adapt to evolving healthcare landscapes. The manual is available in digital format, allowing for easy access and convenient reference by providers.

Community Care Collective’s Population Health Strategy

Community Care Collective (C3)’s population health strategy prioritizes building upon the strengths of its member Federally Qualified Health Centers (FQHCs) and their patient-centered medical homes (PCMHs). C3 recognizes that its FQHCs have a strong foundation in providing primary care services and are well-positioned to effectively manage the health of their patient populations. This strategy aims to enhance the population management capabilities of these PCMHs for the majority of members who do not have complex behavioral health (BH) or physical health needs.

For the smaller percentage of members with complex health needs, C3 has established proven care management programs and dedicated care management capacity. These programs are tailored to the specific needs of the subpopulations within this group, ensuring that they receive the most appropriate and effective care. These care management teams are strategically embedded within the FQHCs, working collaboratively with primary care and behavioral health providers. They also coordinate with Community Partners (CPs) to ensure a holistic approach to patient care.

By leveraging the strengths of its FQHCs and implementing comprehensive care management strategies, C3 aims to improve the overall health of its members and reduce the total cost of care. This multifaceted approach focuses on addressing the unique needs of its diverse population and ensuring that everyone receives the high-quality care they deserve.

Community Care Collective’s Financial Accountability

Community Care Collective (C3) emphasizes meaningful financial accountability for both cost of care and quality among all participating health centers. C3’s Internal Financial Architecture (IFA), a value-based payment arrangement, is designed to incentivize efficient and high-quality care delivery. This arrangement aims to⁚

• Promote cost-effective healthcare delivery.
• Reward health centers for achieving quality improvement goals.
• Encourage collaboration and innovation across the network.
• Provide financial transparency and accountability.

C3’s IFA uses a tiered system, with each tier representing a different level of risk sharing. The higher the risk tier, the greater the potential for shared savings or losses. The shared savings or losses are calculated based on the EOHHS Primary Care ACO, Track 2 gain and loss sharing formula outlined in the Model Contract. This formula takes into account factors such as the number of attributed enrollees, the benchmark cost of care, and the actual cost of care. C3 and its participating health centers share in both the savings and losses based on their chosen tier.

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