Good point on the ACO's. People do not seem to realize that the so called quality metrics that the insurance companies and Medicare are touting often are only measures of how much money the doctor can save them and make for them. Where is the Attorney General screaming "conflict of interest", Where is the AMA on this? They obviously have no care for the best interest of patients. Only themselves. How many brain tumors will be missed because Ct scans were never ordered, so the doctor would be able to make ends meet by getting a "bonus" from an ACO for not doing his job?