title: Balkanization Makes It Unclear Just What the Doctor Ordered.
abstract: Divided into many different pressure groups, physicians mostly can live with the ACA. But now they have MACRA, MIPs, APM, and other puzzles to figure out.
authors.forename: Richard Mark
authors.initials: RM
authors.lastname: Kirkner
mesh_terms: D033161:Government Regulation; D017048:Health Care Costs / Q000639:trends; D006291:Health Policy; D006801:Humans; D008119:Lobbying; D006278:Medicare / Q000191:economics; D000072641:Medicare Access and CHIP Reauthorization Act of 2015; D058991:Patient Protection and Affordable Care Act; D011057:Politics; D012955:Societies, Medical / Q000191:economics*; D014481:United States; D062505:Value-Based Purchasing / Q000191:economics