According to a recent survey of physicians:

• 78% said they are not optimistic about independent/small groups surviving • Nearly 75% have either only "heard of" or are "somewhat familiar with" an ACO • 26% said that they "don't know" if they are participating in any "pay-for-performance" programs • More than 50% do not believe government's involvement in health care will lower costs or improve outcomes Source: "athenahealth Physician Sentiment Index(TM) Shows Industry Confusion, Grim Outlook on Future, a Failing Among EHRs, and Struggles for Independent Doctors," athenahealth Press Release, August 12, 2013, http://investors.athenahealth.com/phoenix.zhtml?c=213592&p=irol-newsArticle&ID=1846875&highlight=