I interviewed Allen Nissenson for eAJKD. He wrote a great review of his knowledge and experience with accountable care organizations and how they will affect nephrology. The best part of his article was when he discussed his experience working on a pilot project for CMS demonstrating benefits to dialysis patients using an integrated care model. This project showed a survival benefit not by changing the dose of dialysis, or giving additional drugs. The improved outcomes came simply from better communication and organized, systematic care. Eye-opening stuff.