You are the CEO of a large multi-specialty associate practice and are having financial problems as well as conflicts over compensation between your primary care and specialty physicians. Substantial changes have occurred over the years regarding payment structures, case mix and capital costs. Now, the Patient Protection and Affordable Care Act (ACA) has added more potential changes to the mix and raised the question of whether your practice should become an ACO. Discuss what analyzes you would undertake to evaluate the financial situation and conflicts within the associated firm. Be able to justify the rationale behind the analyzes and how you will use the findings to address financial concerns, organizational conflicts, and potential changes facing the organization. This answer to the question should explore organizational behaviors, financial and budgetary issues, people management and strategic planning. A multispecialty group practice is a practice composed of individual physicians who offer various medical and specialty services in that practice under a managed care plan. Managed care organizations are made up of insurance companies that own a provider network or create one by contracting with independent providers (Gapenski, 2009). The payment structure used to reimburse providers regardless of services provided falls into the fee-for-service or capitation-based category. Fee for service is reimbursement based on the services provided, either through reimbursement based on the cost of the services provided or reimbursement based on the fee schedule for the services provided. On the other hand, in the Capitation system, suppliers receive a fixed amount depending on the number or...... half of the card ...... R., & ... Fisher, E. S. (2010). Higher quality of healthcare and greater savings seen in large multi-specialty medical groups. Health Affairs, 29(5), 991-997.Yim, D. (2008). Logic and Mill's infamous proof in utilitarianism. British Journal for theHistory of Philosophy, 16(4), 773-788. Doi: 10.1080/09608780802407530.Yuan, J. (2013). The magic of networking: who will come out? Who will be promoted? Canadian Social Sciences, 9(4), 152-157. doi:10.3968/j.css.1923669720130904.2604Zazzali, J. L., Alexander, J. A., Shortell, S. M., & Burns, L. R. (2007). Organizational culture and physician satisfaction with group practice size. Health Services Research, 42(3P1), 1150-1176. doi:10.1111/j.1475-6773.2006.00648.xZibulewsky, J. (2001). EMTALA: what it is and what it means for doctors. BUMC Procedure, 14(4), 339-346.