A survey of 115 C-level hospital executives across 35 states shows that about 18 percent of them currently participate in an accountable care organization, up from almost five percent in the spring of 2012. But half of respondents expect to be in an ACO by the end of 2014.

Whether that lofty figure can be reached remains to be seen. Provider alliance Premier Inc. conducted the new survey in August but only recently released results. The spring 2012 survey found that nearly 52 percent of respondents expected to be in the ACO arena by the end of 2013. Now, Premier estimates only 23.5 percent will reach that goal.

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