RT Journal Article SR Electronic T1 No Pipe Dream JF North Carolina Medical Journal JO N C Med J FD North Carolina Institute of Medicine SP 269 OP 275 DO 10.18043/ncm.77.4.269 VO 77 IS 4 A1 Terrell, Grace E. YR 2016 UL http://www.ncmedicaljournal.com/content/77/4/269.abstract AB The April 2015 passage of the Medicare Access and Children's Health Insurance Program Reauthorization Act is accelerating the move of the US health care industry from traditional fee-for-service provider payments to alternative payment methods that are focused on value rather than volume of services. Medicaid, private employers, and consumer groups are also developing similar payment models. Learning from the experience of the 27 early accountable care organizations in North Carolina, such as Cornerstone Health Care, will help to accelerate the transformation that will be necessary across the health care delivery ecosystem in our state.