RT Journal
A1 Emanuel EJ
T1 WHy accountable care organizations are not 1990s managed care redux
JF JAMA
JO JAMA
YR 2012
FD June 6
VO 307
IS 21
SP 2263
OP 2264
DO 10.1001/jama.2012.4313
UL http://dx.doi.org/10.1001/jama.2012.4313
AB 
Many people are concerned that accountable care organizations (ACOs) and other delivery system reforms in the Affordable Care Act will simply bring back the managed care days of the 1990s. These skeptics suspect that payment reforms to control high and increasing costs will simply lead to gate keeping and service denial rather than the promise of care redesign and coordination that removes unnecessary cost and delivers better outcomes.