The Journal of the American Medical Association published a point-counterpoint set of opinion pieces yesterday on whether ACOs, as an experiment, should be declared a failure. Massachusetts General physician Dr. Zirui Song and Dartmouth Institute for Health Policy Director Elliot Fisher argued for ACOs by pointing to the shades of grey between different types of ACOs and suggesting ways to focus future ACO efforts. But the anti-ACO contingent, Drs. Kevin Schulman and Barak Richman of Duke University Schools of Medicine and Law respectively, argued that the concept was fundamentally flawed, and that mobile and telehealth tools were central to their reason why.

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