Elaborate more on this challenge and profer a solution to addressing it:

Challenges include the risk providers face as they try to change their care delivery model and convert their revenue streams.  Not all providers succeed at profitably doing so.  During this shift, larger ACOs such as hospitals, may find the need to resize their medical staff, including the size of each specialist department.  Excusing providers from the staff puts the ACO at risk of losing the patients as they follow their provider.  This loss of patient revenue could offset operational efficiency gains. 


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