Beth Haynes writes:

The PPACA [HR 3590] is “nudging” doctors out of independent practice and into working as employees of large practice groups or hospitals. This move is occurring because of the bundled payment structure of Accountable Care Organizations (ACOs) which favors “vertical integration” of doctors, hospitals and health plans.

The only problem is that bundled payments are simply capitation rewritten, and employee physicians face divided loyalties between the needs of their employers and the desires/needs of their patients.

Read the rest of her post, which includes links to other critiques of Accountable Care Organizations.

(via FIRM)