Explore the implications and impact of ACO experience in Medicare ACO performance, in the Avalere study considering the tenure of ACO services in performance, and as a predictor of success; examine the Dobson DaVanzo & Associates study that found MSSP ACOs generated gross savings of $1.84 billion for Medicare in 2013–2015, nearly double the $954 million estimated by CMS; and consider the opportunities and issues involved from CMS proposed regulations regarding telehealth and other non-face-to-face services.