Are ACOs ‘SMART’ or STUPID’? A Conversation with Jeffrey L. Cohen, Esq.

By Gregg A. Masters, MPH

Some time ago a fellow healthtweep and colleague authored a post on his blog titled ACOs are STUPID.

When I saw the title, I snickered thinking to myself here’s another cute sound byte in the then emerging chorus of ideological snipers taking aim at the Patient Protection and Affordable Care Act. Yet upon further review, and positioning oneself in the frame of reference in which the post was authored, i.e., counselor Jeff was commenting on the NPRM, Jeff made some legitimate points abeit via a tad bit of sarcasm.

Fast forward to today, post release of the final rule by CMS on October 20th, 2011, and we’ll re-engage Jeff in his original assessment and see if anything has changed.

My sense is the answer is yes, and do note that earlier this week, some 32 brave healthcare entities stepped forward to receive the blessing of CMS and now constitute the first class of ACO Pioneers. For details, see CMS press release here.

Please join us today either live or via archived replay of the sedate pre-holiday broadcast, here.


Join the Conversation


  1. Anyone who thinks ACOs or ACO-like constructs are not here to stay…feel free to join Borders, Blockbuster, and Kodak on the scrap heap of (Internet) history. Transparency of quality and price will destroy the medical monopolies in most regions within 3-5 years.

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