What to do with the hospital D.C. now owns? Creat an ACO?

The District could create accountable-care organizations consisting of primary-care physicians, specialists and at least one hospital. In such an ACO, providers would be responsible for achieving high-quality care based on improvements that can be measured, leading to reduced spending growth.

http://www.washingtonpost.com/wp-dyn/content/article/2010/07/10/AR2010071002539.html