Doctor's Office The Trump administration has proposed an overhaul of the ACO program, which was designed to encourage doctors and hospitals to work together to coordinate care. (Photo: Shutterstock)

Accountable care organizations were among the key initiatives of the Affordable Care Act, designed to help control soaring Medicare costs.

ACOs were expected to save the government nearly $5 billion by 2019, according to the Congressional Budget Office.

It hasn't come anywhere close.

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