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Solving the ACO conundrum.

Hospitals contemplating developing an accountable care organization (ACO) will be rewarded for improving quality and reducing waste, but a chief strategic concern is the fear of losing volume. Hospital financial leaders considering an ACO should conduct a detailed financial analysis that examines the net impact of both shared ACO savings and hospital volume changes. A key part of this analysis should be an assessment of the organization's prospects for using the ACO to increase market share.