APA's comments hew closely to those submitted last month by the AMA, but also include comments related to aspects of the government's
rules for ACOs that are especially relevant to psychiatry. The APA comments cover beneficiary assignment, quality-measure
reporting requirements, start-up and maintenance costs associated with ACOs, the role of specialists, treatment of "at-risk"
beneficiaries, the risk structure of ACOs, electronic health records, and the handling of patient data. (For excerpts of APA's
comments, see ACO Rule Modifications Suggested).