1. Clearly defined boundaries
Individuals or households who have rights to withdraw resource units from the CPR must be clearly defined, as must the boundaries of the CPR itself.
Defined populations are required for ACOs. The issue is the concept of “clearly” which I believe means clear to all others. And this clarity is not just a list but the ability to monitor usage of the common pool resources. With the requirement of privacy of personally identified health information we have a manageable but significant hurdle for Rule 1.