Calling the program overly stringent, four Pioneer accountable care organizations are ending their experimental venture into the higher risk and reward payment agreement with Medicare. They join the nine ACOs that exited the program last year. 

Everyone involved in health care that has access to controlled substances, whether they be a doctor or medical staff, should be subject to random drug tests opines Daniel R. Levinson, the inspector general for the U.S. Department of Health and Human Services (HHS) and Erika T. Broadhurst, the OIG special agent on a 2013 case involving a fentanyl addicted technologist who infected more than 40 people with Hepatitis C by replacing fentanyl needles he stole with his own dirty needles filled with saline.