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Jeff Goldsmith, PhD, President, Health Futures, Inc, Associate Professor of Public Health Sciences, University of Virginia, says that the biggest barrier that accountable care organizations (ACOs) face is the lack of collaboration between physician communities and hospitals.

The former nurse and hospital company executive, Marilyn Tavenner, has been confirmed as administrator for the Centers for Medicare & Medicaid Services (CMS). Tavenner has been serving as the interim administrator for the CMS since 2010. Her appointment, which has officially been vacant since Dr Mark B. McClellan stepped down in October 2006, came after much debate as to whether or not she should officially lead the organization.

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