In a 12/8/16 AMGA press release:

AMGA today offered recommendations to the incoming Trump-Pence Administration and Congress to further the transition to a value-based healthcare system, based in part on a new membership survey that found significant obstacles are slowing the transition. Impediments include limited access to claims data, risk-based insurance contracts, and investment capital.

The survey of AMGA members-multispecialty medical groups and integrated systems of care that deliver care to one in three Americans-found that 58 percent are ready to embrace alternatives to fee-for-service payments, including downside risk, within two years, but that commercial payers generally are not offering risk products in their local markets. Moreover, respondents predicted that a smaller percent of future revenue will come from more advanced risk-based arrangements like shared-risk and partial- or full-capitation products, and that fee-for-service payment will account for a larger share of revenue than they anticipated in a similar 2015 survey.