According to Donald Berwick in a recent Wall Street Journal article, “…the formula for ACO success is clear: keep quality high, save money by improving - not by restricting - care, and remain attractive to beneficiaries, who could go anywhere for care. That's an edgy and promising design. It will work because it is set up to reward the right combination of goals for our time: transparency, coordination, consumer power and intolerance of waste. Smart entrants, focused on seamless care, outcomes and beneficiary satisfaction, will both reduce Medicare's expenditures and reap financial rewards for themselves.”