United States Government Accountability Office Report. GAO Report: Care Coordination Programs Used in Demonstration Show Promise, but Wider Use of Payment Approach May be Limited.http://www.gao.gov/new.items/d0865.pdf. Published February 2008. Accessed December 11, 2014. All 10 participating physician groups implemented care coordination programs to generate cost savings for patients with certain conditions, such as congestive heart failure, and initiated processes to better identify and manage diabetes patients in PY1. However, only 2 of the 10 participants earned a bonus payment in PY1 for achieving cost savings and meeting diabetes quality-of-care targets. The remaining 8 participants met most of the quality targets, but did not achieve the required level of cost savings to earn a bonus. Many of the participants’ care coordination programs were not in place for all of PY1