CMS to Purchase Software for Docs

Doctors to be Paid for EMR Adoption

Staff Reporters 

The CMS recently reported that it wants 1,200 small physician practices to participate in a new government pilot project that will give higher Medicare payments to doctors who adopt electronic medical records.

The agency has not determined how it will choose the practices or its incentive payments.  

The AMA emphasized the financial challenges health information technology poses for physician practices and noted that, while HIT will save money for the health care system, only 11 percent of the return on investment will go to the physicians who are expected to pay for it.

The AMA urged Congress to consider financial help, such as grants, loans, increased reimbursement for HIT use, as well as tax credits for doctors purchasing EMR technology.  

Is this fair? In what other industry does the government pay for IT investments; any thoughts?

Pay-for-Performance Blunders

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P4P Confusion Reigns

[By Staff Writers] 

dhimc-book1The Minnesota Medical Association recently reported that its P4P initiatives create confusion and unnecessary administrative work for medical providers.

The association looked at programs by Blue Cross and Blue Shield, Bridges to Excellence, HealthPartners, Medica, PreferredOne, UCare and the CMS; complaining that the nine pay-for-performance programs used by state insurers each have subtle differences and often measure performance differently.

The study also found that the programs seldom adjust for variations in patients’ condition, and don’t take into account economic or demographic differences among patient groups. 

Assessment

And so, will P4P initiatives be just another administrative nightmare, or promote real medical quality improvements.

Conclusion

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