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Paper records are now electronic.
In 2011, the Centers for Medicare & Medicaid Services (CMS) began a program to entice doctors and hospitals to incorporate the use of Electronic Health Records or EHR. The carrot? The promise of convenience, coordinated care, fewer medical errors, more efficient office visits, improved access to medical records. Oh yeah, and they were told, “If you want to get paid, you must convert and bill electronically.”
The EHR programs were costly. The setup and implementation fees, which could be $30,000 or more, were required for each physician in a practice. Therefore, the government offered two incentive programs to encourage participation. The Medicare EHR Incentive Program offered to pay up to $44,000 over 5 years to cover the cost to implement a specific type of EHR, one that was certified to store and easily transfer structured data. The Medicaid EHR Incentive Program, offered to pay up to $63,750 over six years. In exchange, providers had to prove they were using the EHRs in a “meaningful way,” now simply referred to as “meaningful use”, or MU.
To date, at least 400,000 providers have adopted EHRs and are “meaningfully using” them. The sheer cost of the mandate, even with the incentives, forced many doctors to leave private practice and become hospital employees. They are now told how to practice medicine by administrators, insurance