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Re:Why conventional wisdom on health care is wrong (a primer... by nradov on Saturday October 19, 2024 @12:30PM (#41888789)
For Medicare ACOs you can read about monitoring and enforcement here.

https://www.cms.gov/priorities/innovation/innovation-models/...

For ACO agreements between provider organizations and commercial payers, the parties can negotiate any contract terms they like. The agreements are usually confidential but payers aren't naive about this stuff and are fully aware of how to protect their financial interests against cherry picking by providers.

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