Building an ACO has multiple challenges, including responding to market pressures and changes that could impact the successful outcome of a new ACO. This session reviews the planning and development of an ACO, including the key organizational building blocks. It also covers the development of a new ACO along with physician leadership challenges and competing market forces. You will learn how to navigate challenges while developing a governance structure, guiding the clinical leadership, planning provider networks, evaluating financial models, and assessing IT connectivity. This is a case study with a very positive outcome!