Here in Massachusetts we're ahead of the curve as an ACA-like law has been in effect since 2006. As the state comes to grips with how to pay for it, they are embracing Accountable Care Organizations (ACO's) which are integrated networks of doctors and hospitals paid on a per-capita basis rather than fee-for-service. The days of the solo practitioner such as myself appear to be numbered. Meanwhile, I'll just continue taking care of patients... :-)
