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Five competing Massachusetts accountable care organizations (ACO) are working together to reduce incidences like these and other snafus that can hinder the care of, and jack up costs for, patients who require some level of post-acute care after leaving the hospital. Together, the five ACOs provide medical care to 40 percent of the state's Medicare beneficiaries; they are trying to tame a part of the health care system that has become Medicare's Achilles Heel.
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