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I love the commentary and the strong view on ACOs. It is a terrible sign that the major integrated health systems aren't participating in the government ACO.

I love your points about the risks that doctors currently take are an issue and get worse with an ACO. I wrote about this before: http://www.emrandhipaa.com/emr-and-hipaa/2012/02/29/aco-model-risks-and-rewards/ I'm from Vegas and participating in an ACO is very much like gambling.

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