first asto offer aco's a choice and after three years, payment share with the aco's some of the risks. we give them the option of saying it -- taking some of their payments in a lump sum rather than a fee-for-service to give them up front support to invest in technology, staff, and other mechanisms to truly to be able to manage the care they provide. so why a share of risks as well as savings? evidence suggests simply allowing rewards to lower savings without some responsibility in our over- spending is likely to be too limited of an incentive to overcome the benefit of providing more and more services under the fee-for-service system and is unlikely to be as effective as we help in changing provider behavior. from the get go, we want providers to not only participate in the arrangements aimed at better delivery, but we want to make sure the arrangements will achieve the delivery reforms that we want to produce which requires an alternative payment arrangement simultaneous and on the same scale as the shared savings approach. also is the role of consumers. the emphasis in aco developm

first asto offer aco's a choice and after three years, payment share with the aco's some of the risks give them the option of saying it -- taking some of their payments in a lump sum rather than a fee-for-service to give them up front support to invest in technology, staff, and other mechanisms to truly to be able to manage the care they provide. so why a share of risks as well as savings? evidence suggests simply allowing rewards to lower savings without some responsibility in our over- spending is likely to be too limited of an incentive to overcome the benefit of providing more and more services under the fee-for-service system and is unlikely to be as effective as we help in changing provider behavior. from the get go, we want providers to not only participate in the arrangements aimed at better delivery, but we want to make sure the arrangements will achieve the delivery reforms that we want to produce which requires an alternative payment arrangement simultaneous and on the same scale as the shared savings approach. also is the role of consumers. the emphasis in aco development

first asto offer aco's a choice and after three years, payment share with the aco's some of the risks. we give them the option of saying it -- taking some of their payments in a lump sum rather than a fee-for-service to give them up front support to invest in technology, staff, and other mechanisms to truly to be able to manage the care they provide. so why a share of risks as well as savings? evidence suggests simply allowing rewards to lower savings without some responsibility in our over- spending is likely to be too limited of an incentive to overcome the benefit of providing more and more services under the fee-for-service system and is unlikely to be as effective as we help in changing provider behavior. from the get go, we want providers to not only participate in the arrangements aimed at better delivery, but we want to make sure the arrangements will achieve the delivery reforms that we want to produce which requires an alternative payment arrangement simultaneous and on the same scale as the shared savings approach. also is the role of consumers. the emphasis in aco developm

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caner the new law, aco's deliver all the care beneficiaries need in a court did way to provide value the medicare program and deliver improved quality of care to the patients. another aspect of the reform implementation efforts of interest to the people here today is a national pilot program on payment bundling. the law calls for a national volunteer pilot program that will encourage providers and