ACOs Led by Doctors Seek to Manage Costs, Quality and Hospital Relationships

Medicare is expanding and diversifying its experiment with accountable care.

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The latest crop of hospitals, medical groups and clinics that agreed to try out the payment model known as accountable care—the third group to date—was dominated by doctors without any formal ties to hospitals, some with as few as 30 to 50 physicians. That's in contrast to early participants in different programs, announced late last year, which included prominent health systems and major medical groups such as Geisinger Health System and Monarch HealthCare.