While the ACO concept gained momentum as a result of the healthcare reform legislation, the idea is nothing new. The Clinton health initiative included similar networks of providers, Accountable Health Partnerships, a proposal that went nowhere. So why should we worry about the current ACO model?
There are many intangibles to consider before sitting at the table with a payer to negotiate reimbursement.
A survey by the Physicians Foundation shows quite clearly that the U.S. healthcare system is in real danger of collapse and health reform may be the final blow.