“The authors have done a wonderful job elucidating the complexities of the U.S. health system, or ‘ecosystem’ as they call it. Upon that background they explain the need for delivery system reforms and show how one-size does not fit all. Drawing upon their extensive experience, they introduce the possibilities and issues for developing ACOs and making them work. This book will be invaluable for healthcare leaders seeking to create, improve, or just understand how healthcare can become more accountable and offer greater value to all who use it.”

—Stephen C. Schoenbaum, MD, MPH , Former Executive Vice President, The Commonwealth Fund

“[This book] is highly relevant for all of us who are committed to sharing responsibility for making quality healthcare affordable. The authors describe the strategies, functions, and behaviors that will contribute to the success of hospitals and physicians in the era of healthcare reform.”

—Andrew Dreyfus, President and Chief Executive Officer, Blue Cross Blue Shield of Massachusetts

"There is no question that we need to re-examine the healthcare delivery system in our country so it is coordinated, efficient, and effective. Bard and Nugent offer a thoughtful and insightful examination of one approach, the ACO. Those organizations considering ACO development will find this book provides an in-depth road map to guide and shape their thinking."

—Gary Gottlieb, MD, MBA, Chief Executive Officer, Partners HealthCare

“America is dealing with a broken healthcare system. It’s up to us (providers, consumers, the government) to restructure the system so we can be accountable for the totality of care. [This book] takes a hard look at what it takes to design and implement an effective accountable care organization.”

—David L. Bernd, Chief Executive Officer, Sentara Healthcare