Want to Increase Docs’ ACO Participation? Start With an ‘Upside Only’ Arrangement

Want doctors to get into alternative payment model arrangements like accountable care organizations (ACOs)? Start with “baby steps” like giving them only upside risk, Greg Griggs, executive vice president and CEO of the North Carolina Academy of Family Physicians, in Raleigh, said here at the National Health Policy Conference.

“I think there is becoming more a threshold for risk, but I think you’ve got to get to shared savings first before you get to risk because it gets practices used to looking at things differently,” Griggs said at a panel discussion on Wednesday. “I also think you’ve got to have help — you’ve got to have somebody help the practices learn to share risk. A small independent practice is not going to be able to do it alone … They’ve just got to have a little more help transforming, a little more help with capital and some of those other things.”

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