ACOs must appropriately utilize services necessary for their beneficiaries. Overutilization can drive up costs unnecessarily, while underutilization can have the same effect. Primary care physicians and all healthcare facilities traditionally have siloed practices but with the insight into claims and other important clinical information, the user is able to gain insights into how other services are being accessed outside of their facility perimeters. Control utilization: analyzing metrics per 1000 as well as the relative change compared to prior performance is how the ACO can move towards utilization goals.