Getting providers in the health care delivery system to work together to coordinate patient care is a big change in our system and is being driven by the PPACA (Obama Care) in the guise of the Accountable Care Organization (ACO). “While there is overwhelming support for these lofty goals [for ACOs], there are significant challenges to creating a working model because there is no clear directive regarding ACO management and administration. This begs the question: who will assume the leadership role in aligning and managing ACO partners moving forward?

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