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Accountable Care Corporation ‘pioneers’ feeling skittish on the subject of next stage of program’s implementation The providers who are participating in this health rules effort to regulate costs and improve quality are anxious about the second year's emphasis on accountability rx pharmacy . The Washington Post: Hospitals Want To Delay A Key Obamacare Program In 2011, the Obama administration settled on 32 health care systems, scattered across the country, to lead the Inexpensive Care Work's the majority of ambitious cost-control effort. For days gone by year, the Pioneer ACOs have received payments simply for reporting data on the 33 metrics, which contains data on what many sufferers receive mammograms or end up back in the hospital 30 days after their discharge.