Hospital Accountable care organizations get to share in money they save by keeping spending under a budget and by reaching quality targets. (Photo: Shutterstock)

MINNEAPOLIS — Sandy Dowland has been to the emergency room 10 times in the past year and was hospitalized during four of those visits. She has had a toe amputated and suffers from uncontrolled diabetes, high blood pressure, major depression, obesity and back pain.

But her health is not high on the 41-year-old woman’s priority list.

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