This IDC Health Insights Perspective discusses Xerox's recent acquisition of ACS and the likely impact of the acquisition on the U.S. healthcare market and healthcare organization solutions options. The Xerox acquisition of ACS is one of several large recent services and solutions mergers with ITO/BPO companies. ACS has a prominent foothold in healthcare transaction BPO (for transaction, contact center, and cost avoidance services) in the United States and some worldwide markets.