The Center for Medicare and Medicaid Services(CMS) has issued final regualations which will enable providers to coordinate their services with each other. This is not ... FOR MORE CLICK TITLE...  a  requirement but is an effort  to encourage providers to work together as they provide  services for their patients.  The  thinking  is that health care outcomes  will improve and costs will decrease. Providers will develop  Accountable Care  Organizations(ACO). If successful and widespread then independent sole practices will continue to decrease.