ACOs Generate High Interest, But Is Bar Set Too High?

Aric Sharp has more than 15 years of experience running large multispecialty physician groups in the Midwest, and though he and his physicians are excited about the possibility of becoming an accountable care organization, they are probably not going to undertake the time and investment necessary to achieve it.

Why not? Sharp says as the proposed rules are written now, making the jump to an ACO model as defined by The Centers for Medicare & Medicaid Services represents a bridge too far. "We have a strong interest in being a part of an ACO and yet with the way the rules were set, our interest is diminished," he says.

Let's look at this a little further, because if Quincy Medical Group, a 130-physician multispecialty clinic in Illinois isn't interested, the government might have a problem on its hands as it tries to reshape how healthcare is provided and paid for.

QMG, an American Medical Group Association member, seems a perfect candidate to implement an ACO. It is independent, has a catchment area of about 300,000 patients (at least 5,000 are required for ACO participation), and from Quincy--about two hours north of St. Louis--reaching anything other than a critical access hospital requires a couple hours' journey in any direction.

Sharp is QMG's CEO, and he admits to having read—skimmed in some places—all 429 pages of the regulations. I report on healthcare, and even I haven't yet made it all the way through.

 But Sharp was very interested in participating until he started thinking about risk and when his organization will be ready to take on that puzzling part of the ACO equation. That's what's giving him pause.

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