The clock is ticking for new Medicare Shared Savings Program (MSSP) Pathways to Success Accountable Care Organizations (ACOs)—downside risk is coming in one to two years. ACO leaders need to identify and focus attention and resources on the key initiatives required to build organizational readiness. Heather Trafton, PA-C, MBA, has built downside risk programs from the ground up and led network performance at one of the largest ACOs in the country. She will explain: Why you need a detailed and methodical way to think about executing against your contract How to use data and technology to identify and act on opportunities How to build programs with the premise of ROI for sustained success under downside risk Key strategies for driving financial outcomes, from risk adjustment to post-acute care coordination The views and opinions expressed in this blog or by commenters are those of the author and do not necessarily reflect the official policy or position of HIMSS or its affiliates.