In the latest Commonwealth Fund/Modern Healthcare Health Care Opinion Leaders Survey, respondents weigh in on the provisions of the Affordable Care Act that promote coordination and accountability in the health care delivery system. A strong majority say the proposed payment arrangements and incentives to providers will be effective strategies for fostering coordination and integration in health care delivery. More than eight of 10 leaders feel that developing performance metrics, implementing provisions to increase transparency and public reporting, and establishing an Innovation Center within the Centers for Medicare and Medicaid Services should receive high priority from the Secretary of Health and Human Services.