Stephen Nuckolls and his colleagues at Coastal Carolina are proving that the ACO model of care can work in eastern North Carolina

It would be easy to fall into lazy thinking and imagine that most of the innovation in the development and forward evolution of accountable care organizations (ACOs) were taking place in large metropolitan markets long driven by managed care and risk-based payment. In fact, the reality is rather different, and a significant number of patient care organizations participating in the Medicare Shared Savings Program (MSSP) for accountable care are in markets that do not have such histories.

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