The 2016 Survey of America’s Physicians, compiled by the Physicians Foundation, surveyed more than 17,000 doctors to gauge their opinions on everything from morale to the Accountable Care Act.

When it came to ACOs, slightly under 11% of physicians agreed that the organizations are likely to improve care quality and bring down costs. That number falls short of the 12.7% who responded positively in 2014. Nearly 39% responded that they believed the organizations were unlikely to improve care or cut costs, while around 28% said they were unsure.

Doubts about the program were prevalent among the physicians who already participate in an ACO, the survey found. Around 38% said they believed the organizations were unlikely to enhance quality or decreases costs. Just under 16% of ACO-involved physicians reported that they were still unsure about the structure and the purpose of the program.

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