We welcome guest posts from others including patients, providers, suppliers or consultants active in or interested in learning more about this nascent industry on steroids, with a point of view on ACOs, their prospects, limitations and general suitability to serve in the material transformation of health care delivery and financing sectors.


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  1. Our organization, the Cancer Center Business Summit ( is conducting our annual industry survey on the positioning and payment for oncology/cancer services within ACO organizations. We are finding that despite the accelerated costs associated with oncology/cancer services, this specialty discipline does not appear to be a priority within ACO and payment reform planning. Why is this so? Thank you. R. Barkley, MS, JD,

    1. Thanks for your comment. My sense if the watching and waiting routine speaks to the seeming lack of interest and progress in the oncology community. Though at least two considerations may change that status: 1. as hospitals become more aware of the care impact as well as deep revenue tentacles associated with earnest analysis of the source of ACO svaings, oncology will no doubt surface as a high cost/high return service from a savings and best practice point of view;, and 2. as the rule remains ‘proposed’, earlier definitions which held that ‘primary care’ was the plurality of services provided to the patient, clearly many oncologists provide primary care for their patient population. So, just a matter of time….?

      1. Nice piece and good context reminder Matt. I agree. The ACO or triple aim run in the aggregate may just be the last private/public ‘kiss at the apple’ before the feds step in and impose a top down single payer solution.

  2. Hi, I’m trying to find a complete list of the 154 ACOs but can’t seem to locate it anywhere. I have the 89, 27, and 32 but can’t find the missing 6. Could you please provide the names and locations of these last 6 (Physician Group Practice (PGP) Demonstration)


  3. New ACOs have so much to consider, that often communications (the oil that makes the ACO engine run smoothly) are many times overlooked in the strategic planning phase. But it’s never too late to address this… contact me to receive our recently released white paper: “ACO Success Factors: Communications that Connect” (

  4. A brilliantly innovative and successful program to slash Medicare hospital readmissions (from 20% nationally, to our stunning 6%) by hiring otherwise unemployable combat medics to care for discharged elderly patients like beloved grandparents, to help them transition home with health.

    Feds say unnecessary readmissions cost $17 billion annually. There are 20,000+ combat medics and corpsmen returning from Iraq and Afghanistan where they installed chest tubes in wounded soldiers, but who can’t get health jobs in the U.S. because they’re not legally qualified to put a bandaid on a civilian.

    Our John C. Lincoln Health Network’s Transition Coach program solves both problems, and can be – should be! – replicated by hospitals everywhere in the country.

  5. Hello ACO Watch readers. I want to share some information about an exciting project I am working on. My college children and I are on a mission to help improve the lives of our seniors through the organization and accessibility of resources.

    We launched a completely free directory site called and would like to inform healthcare professionals, companies, and community leaders of the useful resource.


    Thank you,

    The Jasers: Jay, Lauryn, Bryan, and Austin
    Senior Help Desk

  6. With healthcare being such a hot topic nowadays, and healthcare reform having such a negative connotation because people aren’t seeing any impact… my team and I put together a quick minute long video in a hasty 24 hours about the detrimental path of the healthcare industry right now. I was wondering if you could review the video and possibly give us some feedback on it. Our message was sort of focused on progress, and how just like previous generations had the civil rights movement, etc as their legacy, the basic human right to healthcare should be the millennial legacy.
    Here is the video link:
    It took over two centuries for many of our friends and families to be considered a whole person, to be allowed access to the same standards of living as white Americans. Our sisters, mothers, and our close female friends can tell a similar story. Radical change did not happen overnight. Chaos occurred with the civil rights movements, and even more recently, the acceptance of the LGBT community. Unhappiness is inevitable. Progress does not happen without turmoil. That is the dialectic.

    It took centuries to make this much progress and we are finished. Our less fiscally fortunate friends, family members, and neighbors are denied access to the basic right of good health simply because it is outside of their means. Classism should not prohibit citizens from their basic right to health, to life. Every life matters.
    The current state of healthcare reform is not working. Healthcare costs are rising, not because the idea is bad or that we do not have the means, but because we are still in the stage of turmoil. Not everyone is in agreement and because of that, we will not have radical change. It will not be perfected until more and more people are in support. It is the independent organizations and individuals that are causing the reform not to perform the way it should. It is the lack of support. And that is normal, just like with previous generations’ battles. There is not a single time in history where everyone is happy. America is based on progressive change, not radical change.

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