ObamaCare’s Personal Health Assessment

My 81 year old mom received a letter from her doctor, four days before the Affordable Care Act took effect. It was a two page questionnaire titled Personal Health Assessment (PHA) from the Accountable Care Organization (ACO) that her doctor chose to voluntarily participate in, thus enrolling all his patients onto this LLC (Limited Liability Company), a mixture of partnership and corporation. How was the group formed and why?
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