National Rural Health Resource Center: The decision to engage in the ACO movement is a significant one. The first decision is the overall decision to join and embrace the ACO model. As in the case in all major decisions, one needs to ensure the organization understands and embraces the goals and vision of an ACO. The next decision is related to selecting which ACO to participate with. There are large ACOs and there are small ACOs. Some are regional while others are national in scope. This session will explore the question of how to select an ACO that is right for an organization.