Basically we'd have a lot of Kaiser-like entities, but likely headed-up by hospital systems, rather than MDs or a foundation. Scary.

In this bureaucrat's dream we'd all be employees of the hospital cause they'd run all the ACOs and only contract with employed physicians.

It'd be easy for all the big insurance companies to sign contracts with them and cut us independents out.

We should be lobbying to make sure ACOs are MD controlled and not hospital controlled. Also limit the ability of ACOs to cut out independent docs.

Maybe it'll die like capitation did, but maybe not...

L Wang
Solo Internist

Larry
Solo IM
Midwest