HCR Update from Mark Sanna: The final rule on the ACOs or (Accountable Care Organizations) was published. While it was determined that only an MD and DO would be able to form an ACO, It was clearly written that doctors of chiropractic should be participants and will be eligible to participate in the savings incentives of such plans. The fact that DCs cannot form one as primary care physicians is mitigated by the fact that those who form them are limited to participating in only that one. However, a DC who is a participant can join multiple ACOs. A true benefit to the doc in the field.