The drum beat is deafening. Dr. Delos Cosgrove, CEO of the Cleveland Clinic, one of the delivery models upon which the ACO concept was purportedly based, blasts the ACO Proposed Rule in a blunt but important letter to Don Berwick.
Is CMS listening, we wonder? No way they keep riding this broken horse. The concept is good, the execution is flawed, and CMS must go back to the drawing board to a certain extent if ACOs are to survive as a viable reform model.