Health care providers and industry participants have now had an opportunity to review and digest the proposed rule. For such a highly anticipated rule, much of the reaction has not been positive. A common theme that runs through many of the reactions is that the proposed rule offers a lot of risk and investment of capital with a great possibility of little or no return, or even loss, of money.

This article reviews some of the published reactions and comments, highlighting significant concerns about the proposed rule, from major players in the health care industry and potential participants in the Shared Savings Program.

Comments from the AHA