Found while preparing a talk for the Internal Medicine department on Accountable Care Organizations

Eventually, effective ACOs will hand-pick specialists to become integrated into their provider networks — clinically, technologically, operationally and financially — and those specialists will participate fully in the care model, says Terry Spoleti, president of Glenridge HealthCare Solutions. Specialists working in communities dominated by ACOs will need to perform well or they will lose access to patients, she says.

“There will certainly be winners and losers as specialists compete for referrals based on cost, quality and service,” Spoleti says. “In ACO and population health organizations, utilization will decline, so a smaller pool of specialists will need to serve a broader population.”

Emphasis added,