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Photo by Grant HuangAccountable care organizations (ACOs) are the talk of town at the moment, but the current proposed rule for ACOs offers little incentive for small to medium-sized physician practices to participate, according to one industry insider. 

"Only those groups that truly have the money and resources are going to play," says this source, who works as a regulatory analyst and lobbyist at a major physician advocacy group in Washington. "As the rule is set up now, it's a very tough sell for smaller groups ... and a lot of care in this country is provided by small practices, five providers or less."

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