Forming an Accountable Care Organization

What do you think about accountable care organizations?

The federal government has offered to form an accountable care organization in your community that could accept a capitated annual payment for each person eligible for Medicare. How would you go about deciding whether to accept the government’s offer? Would you want to lead the ACO or just be part of it? Would you argue for or against accepting the federal offer? If you wanted to proceed and lead the effort to form an ACO, how would you coordinate with the other local hospitals and providers?