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HIT Policy Committee Recommendation One Small (CPOE) Step From Flexibility

by Louis Wenzlow, Rural Wisconsin Health Cooperative What is the 3-1-1-1-0 Recommendation? The HIT Policy Committee today created a framework for much needed flexibility within the EHR incentive program. Rather than requiring providers to meet all of the 20-plus meaningful use objectives (as is currently required in the CMS proposed rule), the Policy Committee recommended that providers be able to defer a certain portion of meaningful use objectives without jeopardizing their incentive...

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CMS Proposed Rule: How to Stretch Without Breaking

By: Louis Wenzlow, Rural Wisconsin Health Cooperative Figure 1: Hospitals (I Believe) Likely to be Excluded from IncentivesLet's Get Meaningful One thing we can all agree on: for the EHR incentive program to be meaningful, it needs to be designed to support our national goals of reducing healthcare costs and increasing healthcare quality. We're moving to electronic health records not for the technology's sake, but because we believe the technology is a means to actually help people and...

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How the CMS Proposed Rule Will Raise the Cost of Rural Healthcare

by Louis Wenzlow, Rural Wisconsin Health Cooperative Summary CMS' claims regarding the financial benefits of electronic health records (EHRs) for providers are not supported by their source reference material; and the benefits CMS predicts are not likely to materialize, especially for small rural providers. Due to their low volumes, small rural providers are much more likely to see a negative financial ROI on their EHR investments. So EHRs will in all likelihood increase the cost of...

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CMS Proposed Rule Excludes Most Provider-Based Clinics

by Louis Wenzlow, Rural Wisconsin Health Cooperative CMS Excludes Most "Provider-Based" Clinics from All EHR Incentives (1-29-10: revised to clearly indicate that RHCs are eligible for Medicaid incentives, whether or not they are provider-based) On December 30th, CMS released its proposed rule for the ARRA electronic health record incentive program. Among the issues that will impact rural providers is which physicians will qualify for the Medicare and Medicaid eligible professional...

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