Link. From a fan of the ACO/HMO idea: ““I hope I’m wrong about this, but I believe that with some exceptions, ACOs will not succeed,” she says. “ACOs will implode just as capitated HMOs imploded in the 1990s. People say that won’t happen because we have better data now. Wish it were true, but we don’t have better data now. The electronic medical record systems don’t talk to each other and the public health insurance exchanges are largely a dream waiting to happen, rather than a reality.”