"The fundamental issue is if CMS has proposed a model which is not going to work," he says. "After the June 6 [end to the] public comment period, are they fundamentally going to change the model or is it going to be just some minor adjustments around the edges? The real answer is that without some fundamental change in CMS' current proposed model, there are not going to be many takers."
"If you were interviewing people 10 years ago and now, the difference now is those of us in healthcare are ready for change and we want to make it work. But the end goal has to be around enhanced care at a lower cost," he says. "We don't believe this is designed in a way that is necessarily going to get people there in an effective way. As it stands now we would not participate. We are hopeful that CMS and DOJ as they receive comments will morph this into something more useable."
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.