Duke׳s physician leadership is committed to improving CHF delivery and had interest in exploring new payment models. Ultimately, the Duke care redesign team and senior leaders elected to enroll in the ACO MSSP. Launched in January 2014, Duke Connected Care, is a community-based, physician-led MSSP ACO that includes 1700 doctors from Duke, the Lincoln Community Health Center, and three other practices to care for a population of over 45,000 Medicare beneficiaries.