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Casey Dills O'Donnell of State of Colorado Department of Health says:
January 17, 2012

The narrative synthesis published for this study, as a simple case study, is informative but lacks refutation. Expand it to show differences in ACOs or ACO like models of care to improve the message of what a move to accountable care should look like.

Narrative Synthesis and systematic reviews are an approved method for health services research and of clinical operations improvement as noted by the Cochrane Collaboration.