I'm trying to get back to the main purpose of the thread. In an ACO based system, the PCP's will be doing a majority of the legwork and decision making for patients, treatment options, where they will allocate the funding (which will be an average dollar amount per patient and decreasing spending will increase their year end bonus). PCPs will try to handle a majority of ailments which will ultimately leads to decreased referrals to specialists, especially since specialists cost more. In this system, specialists are pushed to the side.
Do podiatrists even have a role in ACOs?