NOSH ChartingSystem

A new open source health charting system for doctors.

Primary Care Physicians Lag in EHR Incentive Payments

1 Comment

In July, the National Center for Health Statistics came out with a report about EHR adoption in 2011.

Then, the Government Accountability Office released a report to Congress in July, 2012 about the percentage of physicians who were awarded Medicare EHR incentive payments in 2011.

So, in a nutshell, 58% of primary care physicians in the US have adopted EHR’s but only 38% of them were awarded incentive payments.

What is the discrepancy?  I have a few theories…

1.  Primary care physicians are using EHRs but are unable to get their system certified for incentives payments.  (Cost of certified products versus non-certified products, unable to afford transition?)

2.  Primary care physicians are using certified EHRs but were unable to manage and report properly to CMS to get the award.  (Overworked and not enough resources, perhaps?  Not enough staff?  All of the above?)

Also, as a interesting note, only 29% of solo doctors have adopted EHRs.  I wonder why…cost, perhaps?

If you connect the dots from the previous headlines together, the solo, primary care doctors are in a rock and a hard place.  Not only are we not getting adequate reimbursements, we’re getting squeezed by external mandates, forcing us to choose between using expensive technology versus no technology at all.  And those that want to use technology (or need to, like the micropractices)are having to choose between using technology and dropping Medicare patients (income loss), keeping Medicare patients with pending penalization (income loss yet again), or suffer net income losses by rising overhead expenditures in the form of paying for expensive, certified EHRs (income loss).  It’s a LOSE-LOSE-LOSE situation.  How often does that happen when you’re in a 3 way lose situation?!



Author: shihjay

I am a family physician and previous medical director for a child abuse assessment center. I am now promoting my new electronic health record system (NOSH ChartingSystem) that I have developed and used for myself in my private practice since 2010 and now I want to share it to the rest of the doctoring world.

One thought on “Primary Care Physicians Lag in EHR Incentive Payments

  1. Really this article contains huge amount of information. I think it would be helpful for all. Thank you for sharing with us.
    Training the next generation of providers in addiction medicine

Leave a Reply

Fill in your details below or click an icon to log in: Logo

You are commenting using your account. Log Out / Change )

Twitter picture

You are commenting using your Twitter account. Log Out / Change )

Facebook photo

You are commenting using your Facebook account. Log Out / Change )

Google+ photo

You are commenting using your Google+ account. Log Out / Change )

Connecting to %s