Thanks for your reply,  There are four entities involved in this model:  Medicare, Doctors, The Middlemen, and Us.  Medicare wants less cost, Doctors want more pay, and Middlemen want to earn a good profit.  How do we think "Us" will fare?

Thanks for posting.  I found a link for this "new" program at https://innovation.cms.gov/innovation-models/aco-reach It's way too complicated for me to understand, but perhaps that's the point.

You may also have heard how some companies have been sued for padding their Advantage programs. This is one headline from the Department of Justice: "Sutter Health and Affiliates to Pay $90 Million to Settle False Claims Act Allegations of Mischargin...

A recent news article reported on a program that might start to privatize Medicare.  It was started under the former President and is for now being continued by the current President.  I wonder why I haven't seen the usual AARP activism on this topic...