Helping Small Primary Care Practices Become Part of Accountable Care Organizations

Topic Overview

Most primary care is delivered in practices of five or fewer providers (85%) and more than one-third of family physicians are still in solo practice. Lack of resources, funds, and staff can make it difficult for these practices to adopt the Patient Centered Medical Home model or to participate in Accountable Care Organizations.

Material covered in this forum included:

  • The difficulty that most small primary care practices will face in capturing and reporting the ACO quality measure requirements
  • CMS support of small practice involvement in quality improvement and accountable care
  • Support from ABFM and other organizations for quality improvement and reporting to meet ACO requirements, reduce burden, and facilitate small practice involvement in these important efforts to improve care, improve outcomes, and reduce costs 


Patrick Conway, MD

Patrick Conway serves as Chief Medical Officer for the Centers for Medicare & Medicaid Services (CMS) and Director of the Office of Clinical Standards and Quality

James Puffer, MD

James Puffer is president of the American Board of Family Medicine