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As yet undecided, the incentives may take the form of increased reimbursements, lump-sum payments, in-kind services, or some combination of these.
You can view the entire text of Maryland’s HB 706 here.
As yet undecided, the incentives may take the form of increased reimbursements, lump-sum payments, in-kind services, or some combination of these.
You can view the entire text of Maryland’s HB 706 here.
Business is slow for EMR/EHR software providers at a time when business should be booming. With over $20 billion of funding available in the form of reimbursements, we would expect healthcare providers to be waiting in line for their EMR/EHR implementations. Ironically, the very legislation that created this generous funding also included provisions that have given doc’s and hospitals pause. Actually, it’s more than just pause. It’s outright paralysis.
The eligibility for federal dollars is tied to “meaningful use” of “qualified” EHR sytems, which sounds simple enough. But now–nearly four months after passage of the American Recovery and Reinvestment Act (ARRA)–no one knows what meaningful use is, and no one knows what a qualified EHR system is. We have some clues, but we have no official declaration.
If the Obabma adminstration is serious about HIT and EHRs, and it wants to see the economy benefit from this category of HIT spending (a secondary, but nonetheless important, objective of the funding), then the federal government needs to act quickly and decisively to define the eligibility criteria. If this cannot be accomplished quickly, then we’ll lose the economic stimulus feature of the plan–the economy is already starting to improve because of other measures taken and not taken. And if we miss the economic stimulus train, we might as well wait until a more considered approach can be taken with respect to HIT, including EHRs, in the broader scheme of healthcare reform.
What do you think? Is the lack of certainty with respect to EHR system eligibility criteria the main reason the rate of EHR adoption has not increased after passage of ARRA? What can the feds do to expedite development and promulgation of the eligibility criteria?
View the February 20, 2009 UPDATE to this post here.
Despite a vote to occur within the Senate in less than 24 hours, the text of consolidated Senate revisions to HR1 is not yet available. However, this from the United States Senate website, updated February 9, 2009. Presumably, this is the most recent (current) version of the Senate amendment affecting incentives available to EHR adopters.
Senate Amendment 570 to HR1 (scroll down to S.A.570) still contains the following language, verbatim, from HR1 regarding incentives for provider adoption of EHR:
“(B) LIMITATIONS ON AMOUNTS OF INCENTIVE PAYMENTS.–
“(i) IN GENERAL.–In no case shall the amount of the incentive payment provided under this paragraph for an eligible professional for a payment year exceed the applicable amount specified under this subparagraph with respect to such eligible professional and such year.
“(ii) AMOUNT.–Subject to clauses (iii) through (v), the applicable amount specified in this subparagraph for an eligible professional is as follows:
“(I) For the first payment year for such professional, $15,000 (or, if the first payment year for such eligible professional is 2011 or 2012, $18,000).
“(II) For the second payment year for such professional, $12,000.
“(III) For the third payment year for such professional, $8,000.
“(IV) For the fourth payment year for such professional, $4,000.
“(V) For the fifth payment year for such professional, $2,000.
“(VI) For any succeeding payment year for such professional, $0.
So, despite the headlines depicting broad HIT spending cuts by the Senate, it appears this little chunk of spending will be carried forward into the compromise bill.