Most health systems adopting an accountable care organization model will lose money during the first three years, according to an report published March 24 on the New England Journal of Medicine Web site.

Authors of the report, from provider alliance VHA Inc., caution that their conclusions rest on analysis on a limited set of data from the Centers for Medicare and Medicaid Services' Physician Group Practice Demonstration Project, which was a primary model for the new Shared Savings program that Medicare will launch.

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