"Accountable care is a shift in focus from payment for units of service to payment for taking good care of patients over time," explains the Dartmouth Institute's Elliott Fisher, M.D., in this podcast about why accountable care organizations, or ACOs, are game changers. Listen to other recent podcasts on how communities can use data from The Commonwealth Fund’s Scorecard on Local Health System Performance to improve their health systems; what health reform means for safety net providers; and growth in employer-sponsored insurance premiums.