How has the AFA affected your health costs?

[disneysteve]

I can see how it would put even more pressure on small clinics and even small physician groups to maybe want to join forces, or become hospital based.

We've taken some baby steps with a local provider coalition and an ACO through one local hospital, but we're not yet willing to give up our independence although I'm afraid that day may come. The viability of a private practice today is extremely limited.