What Would Happen If EMR Incentive Program Was Halted?

Posted on October 11, 2012 I Written By

Anne Zieger is a healthcare journalist who has written about the industry for 30 years. Her work has appeared in all of the leading healthcare industry publications, and she's served as editor in chief of several healthcare B2B sites.

Particularly over the next few months, with the presidential election looming and the aftermath underway, I doubt we’ll see any changes to the Meaningful Use program. But it’s worth asking nonetheless, given the recent request by some Congressmen that HHS halt the MU program, what would happen if MU incentive payments suddenly came to a halt.

Here’s a few observations based on what we know or can easily guess right now:

1. The effects would be very widespread.

As HIMSS notes in its press release opposing the cut:

Recently-released CMS data show that over 2,700 Eligible Hospitals and 73,000 Eligible Professionals have attested to Meaningful Use Stage 1 requirements since the incentive program began in 2011.”

I don’t know what percentage of EPs that represents, but that’s approaching roughly half of all U.S. hospitals, depending on which ones you count. Pulling back incentives would slam the other half.

2. Efforts to bring rural/critical access hospitals on board would stall.

ONC is just kicking off a program to have all 1,000 critical access/small rural hospitals meaningfully using health IT by 2014.  (More to follow on this on our sister site HospitalEMRandEHR.com.) While big hospitals might move ahead on their efforts for other reasons, these smaller hospitals probably wouldn’t have the means to do so.

According to HIMSS data, such hospitals are already way behind when it comes to health IT adoption. A halt in incentive payments could only make this worse.

3. Future incentives would be viewed with suspicion.

I don’t know about you, but if I was promised incentives for taking on a very, very expensive and rigorous process, had them pulled back, then had them restored, I’d lose trust in the Meaningful Use program. ‘Nuff said.

4. EMR adoption would lose momentum.

Hospitals and eligible providers have taken on big expenses and risks to bring on EMRs and supporting health IT, but if they don’t see the promised incentives as being completely predictable, they might slow or stop their efforts. How much so would depend on how committed they already were, of course, but the EMR adoption process would lose momentum.

Incentives are giving many hospitals and EPs an excuse to move forward, and without that many might sit on their hands for a while.

What other effects do you think it would have if the incentive payments stopped flowing for a while?