When Helen Hunt riffed about bleeping HMO bastard pieces of shit in the 1997 movie As Good As It Gets, audiences cheered! (You can see the segment on YouTube here.) Prior to talking with a group of physicians, insurers, and other stakeholders involved in a pilot ACO program, I reviewed literature about trust to see how managed care 2.0 could avoid the backlash that felled managed care 1.0 in t