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"The current payments system is so convoluted," said Dawn Sweeney, the association's president and chief executive.
An option to stick with current payments could reduce the final payout to nearer half a worker's final salary.
But lending requirements are strict even for people with an existing mortgage who have no problem making their current payments.
Such PFI investments are paid back in the form of current payments for services delivered under the contracts.
But farmers and their representatives say current payments do not cover their production costs and will force many out of business this winter.
The current "payments by results" tariff rewards episodic, hospital-based activity, whereas the ACO model will need a budget based around a total programme of care.
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"Your current payment terms with us do not match the new payment terms.
At current payment rates, he said, "Medicare is almost charity care".
Your membership will run until the end of your current payment term.
But many cancer specialists acknowledge that the current payment system is unsustainable.
This allows unemployed workers to receive benefits, which they will overwhelmingly spend, without an offsetting current payment from other workers.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com