In short, Health Care will become like baseball. Scores will need to be kept. Providers will need to be compared. Data will need to be trended. Organizations will have to learn to synthesize data to make sense of it. At the end of the day, the leaders in every organization, whether they run an ACO, a Medical Home, or belong to an HMO, must be forced to form parameters to measure their performance. This trend toward utilization management brings us back to forming accountability in the system.