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In response to rising healthcare costs, providers have been pushed to take on responsibility for the health of their patients and be rewarded for outcomes rather than volume through the creation of accountable care organizations (ACOs). As Medicare forces ACOs to speed up this transition, researchers writing in the October issue of The American Journal of Managed Care® suggest that it might be helpful to examine the capabilities of physician practices that intended to join Medicare ACOs early on, discovering that these practices had greater capabilities and experience to manage risk than practices that decided not to join.