Could I ask who's calling? usa medical supply A Medicare beneficiary, Conway noted that his care changed when his primary care physician agreed to participate in an ACO sponsored by Steward Health Care System, a Boston-based integrated delivery network of 11 hospitals, 2,900 doctors and other health care providers caring for 1.2 million patients a year. Medicare pays Steward hospitals and doctors based on how successfully they treat 47,000 beneficiaries in Steward's ACO, with an eye toward keeping them out of the hospital in the first place.