An innovative health care model that contributes in health care delivery process and beneficial to patents outcomes is the Accountable Care Organizations (ACO) model, which is a payment and care delivery model. The ACO is a new model for sustainability innovation that provides performance and raises coordination of health care. Also, ACO is a technique that integrating or collaborating between the hospital, primary care clinic, health care professionals and other members of health care system for improving quality of care and controlling cost (Marcinko & Hetico, 2012). The success of the ACO model is shown by reducing the clinical expenses and improving care excellence that contributes to enhance patient outcomes. Under the 2010 PPACA (Patient
