113). From what I understand, this program works with private payers by offering incentives to providers that will improve quality and patient health throughout the ACO. Which in turn will result in cost savings for Medicare, patients and employers. Their payment model was tested in the first two years it came out and the results were very interesting. So essentially, for the first two years a shared savings payment policy was in place for higher levels of savings and risk for Pioneer ACOs than the current Medicare shared savings program. In year three, participating ACOs that had reported a specific level of savings over the past two years will be eligible to receive a substantial portion of their payments under a population-based model. So you may want to know why suppliers choose to be part of a