A new study published in Health Affairs argues much of the analysis of accountable care organizations has neglected a crucial question: Who are the doctors participating in them?

Focusing on one ACO in the Medicare Pioneer program, a team of academic researchers discovered a high rate of turnover, a trend they argued likely undermined the intended effect of the coordinated care model.

Forty-one percent of the doctors that were part of the ACO during the two-year period examined joined during that time. Another 18 percent left during the period.

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