Accountable Care Organizations (ACOs) are composed of physician groups, hospitals, and other professions that provide health care to provide quality, systematic care to Medicare patients. ACOs tend to reduce health care costs through the coordination of care that eliminates overlapping or duplicated methods of care. All members must collaborate to create a smooth transition in care to achieve maximum reimbursement. ACO members are driven to create innovations that improve care and reduce costs to receive full reimbursement from Medicare. Within this idea, many programs have been created to provide optimal patient outcomes. The total joint replacement initiative seeks to optimize patients, reduce the recovery period, minimize complications, and decrease health care costs. The joint replacement center addresses areas of nutrition, wound healing, deep vein thrombosis prophylaxis, pain control, medications for nausea, early ambulation, and physical and occupational therapy. These areas are addressed to prevent complications and hospital readmissions. Perioperative service at the hospital I work at has established clinical pathways that utilize evidence-based practices for optimal care. This is a beneficial scenario for patients. The nation’s health care personnel must collaborate to develop innovative ideas to maximize patient outcomes while reducing costs. D\u2019Aunno et al. (2018) identify several factors of high-performing ACOs. These components are physician collaboration with hospitals, optimal physician group practice before ACO adoption, effective physician leaders focused on high-quality care, adept use of information systems, constructive feedback to physicians, and care coordinators (D’Aunno et al., 2018). Addressing these areas in an ACO will assist in providing optimal care with resultant reimbursement.<\/p>\n