More medical practices are willing to take on financial risk under an alternative pay models, but they say they can’t find insurance companies to partner up with.

Nearly 60% of American Medical Group Association members say they are ready to embrace alternatives to fee-for-service payments within two years. More than 450 multispecialty medical groups and integrated delivery systems and 177,000 physicians are members of the group.

But while Medicare is eager to participate in new payment models, few other payers are, even though the Medicare Access and CHIP Reauthorization Act (MACRA) offers incentives for those signing up to receive performance bonuses.

18% of respondents said they can’t find any local insurance company that offers risk-based products. Another 46% reported that only 1% to 19% of plans were offering risk products in their markets.

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