Geriatricians Involvement in Healthcare Changes -- Quality Improvement Organizations.-Leadership Opportunities for Physicians -- The ABCs of ACOs -- Our Failing System: A Reasoned Approach Toward Single Payer -- Geriatric and Primary Care Workforce Development -- Medicare and Medicaid Coordination - Special Case of the Dual Eligible Beneficiary -- Care Management: From Channeling to Grace -- Program Evaluation: Defining and Measuring Appropriate Outcomes -- Targeting Interventions and Populations -- Accountable Care Organizations--A Case Study in the Use of Care Coordination: Montefiore Medical Center -- University of Michigan Case Study:  The Physician Group Practice Demonstration.