The American Medical Group Association warned this week that proposed rules governing accountable care organizations are "overly prescriptive" and "too burdensome," and will discourage physician participation.
In a letter to Centers for Medicare and Medicaid Services Administrator Donald Berwick, MD, AMGA President/CEO Donald W. Fisher warned that a survey of its members found that 93% would not enroll as an ACO under the proposed regulations.
According to the HealthLeaders Media Industry Survey 2011, more than half, (52%) of physicians surveyed said they expect to be part of an ACO within the next five years. That survey, however, was completed months before the proposed rules were released in April.
"Our membership's concerns were many and focused on issues such as the risk sharing requirement, static risk adjustment, retrospective attribution, quality measurement requirements, the Minimum Savings requirements and others," Fisher said in the letter. "Without substantial changes in the Final Rule, we fear that very few providers will enroll as ACOs and that CMS and the provider community will miss the best opportunity to inject value and accountability into the delivery system."