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MACRA Challenges and Predictions

Posted on October 11, 2016 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

On Thursday, October 13, 2016 at 3:00 PM ET (Noon PT) I’ll be hosting a live video interview with three MACRA experts. We’ll be discussing the challenges associated with MACRA and predictions on what will be included in the MACRA final rule. If you’re interested in learning more about MACRA, you’ll really enjoy this discussion.

The great part is that you can join my conversation with this panel of experts live and even add your own comments to the discussion or ask them questions. All you need to do to watch live is visit this blog post on Thursday, October 13, 2016 at 3:00 PM ET (Noon PT) and watch the video embed at the bottom of this post or you can watch on YouTube directly. The conversation will be recorded as well and available on this post after the interview.

Here are a few details about our panelists:

2016-october-macra-challenges-and-predictions

We hope you’ll join us live or enjoy the recorded version of our conversation. The MACRA legislation is an extremely important one for healthcare. Making sure you understand it is going to position you well for all the changes that are coming to healthcare.


(To Ask Questions, visit the YouTube page)

If you’d like to see the archives of Healthcare Scene’s past interviews, you can find and subscribe to all of Healthcare Scene’s interviews on YouTube.

Finally, be sure to check out our MACRA Monday series of blog posts where we dive into the details of the MACRA rules.

Meaningful Use Stage 2 Commentary and Resources – Meaningful Use Monday

Posted on March 5, 2012 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

For this week’s Meaningful Use Monday, I decided I’d go through the large list of meaningful use stage 2 commentary that’s been put out over the past week. I’ll do my best to link to some of the most interesting commentary, summaries, etc of meaningful use stage 2 and point out some resources that I’ve found useful.

John Halamka on Meaningful Use Stage 2
First up is the blog post by John Halamka about MU stage 2. I really like his recommendation to read pages 156-163 of the MU rule (PDF here). Sure, the rule is 455 pages, but many of those pages are a recap of things we already know or legalese that is required in a government document. Halamka also created a meaningful use stage 2 powerpoint that people can reuse without attribution. Worth looking at if you’re not familiar with MU stage 2 or if you have to make a presentation on it.

Health Affairs on MU Stage 2
Health Affairs has a nice blog post covering meaningful use stage 2. They offer “3 highlights that seem particularly important:”

  1. The bar for meeting use requirements for computerized provider order entry (CPOE), arguably the most difficult but potentially the most important EHR functionality, has been raised: now a majority of the orders that providers write will have to be done electronically.
  2. There is a major move to tie quality reporting to Meaningful Use. We knew this was coming, but CMS has laid out a host of quality measures that may become requirements for reporting through the EHR.
  3. Health Information Exchange moves from the “can do it” to the “did do it” phase. In Stage 1, providers had to show that they were capable of electronically exchanging clinical data. As expected, in Stage 2, providers have to demonstrate that they have done it.

Health Affairs also talks about the timeline for this rule and the feedback that CMS is likely to get on MU stage 2. I’m sure they’re going to get a lot of feedback and while they suggest that the rule will look quite similar to the proposed rule, I expect CMS will make a couple strong changes to the rule. If nothing else to show that they listened (and I think they really do listen).

Stage 2 Meaningful Use by The Advisory Board Company
The Advisory Board Company has a good blog post listing the 10 key takeaways on stage 2 of meaningful use. Below you’ll find the 10 points, but it’s worth visiting the link to read their descriptions as well.
1. Centers for Medicare & Medicaid Services (CMS) affirms a delay for 2011 attesters.
2. Stage 1 requirements will be updated come 2013.
3. Medicaid definitions are loosened; more providers are eligible.
4. While the total number of objectives does not grow, Stage 2 measure complexity increases significantly.
5. Information exchange will be key, but a health information exchange (HIE) will not be necessary.
6. Patients will need to act for providers to succeed.
7. Sharing of health data will force real-time, high-quality data capture.
8. More quality measures; CMS’ long term goals—electronic reporting and alignment with other reporting programs—remain intact.
9. The Office of the National Coordinator’s (ONC) sister rule proposes a more flexible certification process and greater utilization of standards.
10. Payment adjustments begin in 2015.

AMA MU Stage 2
The American Medical News (done by the AMA) has a blog post up which does a good job doing an overall summary of where meaningful use is at today (post MU stage 2). Meaningful Use experts will be bored, but many doctors will appreciate it.

Justin Barnes on Meaningful Use Stage 2
Justin Barnes provides his view on meaningful use stage 2 in this HealthData Magement article. It seems that Justin (and a few other of his colleagues at other EHR vendors) have made DC their second home as they’ve been intimately involved in everything meaningful use. I found his prediction that the meaningful use stage 2 “thresholds and percentages will remain largely in place come the Final Rule targeted for August, and should not be decreased via the broader public comment phase next underway like we saw with Stage 1.” Plus, he adds that the 10 percent of patients accessing their health information online will be a widely discussed topic. Many don’t feel that a physician’s EHR incentive shouldn’t be tied to patients’ actions. Add this to the electronic exchange of care summaries for more than 10 percent of patients and the healthcare data is slowly starting flow.

Meaningful Use Stage 2 and Release of Information
Steve Emery from HealthPort has a guest post on HIT Consultant that talks about how meaningful use stage 2 affects ROI. This paragraph summarizes the changes really well:

The bottom line for providers is that Stage 2 MU changes with regards to these specific criteria will drive organizations to implement a patient portal or personal health record application; and connect their EHR systems to these systems. Through these efforts it is expected that patient requests to the HIM department for medical records will decrease; as patients will be able to obtain records themselves, online and at any time.

e-Patients and Meaningful Use Stage 2
e-Patient Dave got together with Adrian Gropper MD, to put together a post on meaningful use stage 2 from an e-Patient perspective. This line sums up Adrian Gropper MD’s perspective, “My preliminary conclusion is that Stage 2 is a huge leap toward coordinated, patient-centered care and makes unprecedented efforts toward patient engagement.”

Meaningful Use Stage 2 Standards
Those standards geeks out there will love Keith Boone’s initial review and crosswalks from this rule to the Incentives rule here.

Shahid Shah on Meaningful Use Stage 2
I like Shahid Shah’s (the Healthcare IT Guy) overview and impressions as well. He’s always great at giving a high level view of what’s happening in healthcare IT.

Are there any other meaningful use stage 2 resources out there that you’ve found particularly useful or interesting?

Weekend EHR and Meaningful Use Roundup – Justin Barnes #HIMSS12 Edition

Posted on February 19, 2012 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

It’s Sunday and the excitement to see old friends and hear interesting things at HIMSS 2012 is just around the corner. The #HIMSS12 hashtag is off the charts with people flying into Las Vegas and others talking about what they’re doing, seeing, hearing and expecting from HIMSS Las Vegas.

Most people on Twitter are quite excited for HIMSS (as am I), but a few have said that people won’t be missing much. I thought about it for a minute and realized that the thing I love most about HIMSS is meeting really smart people. With 37,000 people likely to attend HIMSS 2012, there are plenty of smart people to meet and connect with at HIMSS.

Justin Barnes, VP at Greenway Medical, is one of the smart people I like to talk with at HIMSS. Turns out that tonight he was sharing some of that wisdom, information and perspective on Twitter tonight. So, this EMR and Health IT Twitter roundup is the Justin Barnes edition.


I wish he would have broken this out into ambulatory doctors versus hospitals. $3 billion of ~$36 billion projected. I guess they’re expecting a windfall next year?


Is a billion dollars at stake in the ICD-10 delay decision? Regardless of the exact amount, it shows you the magnitude of the ICD-10 delay announcement.


Someone on Twitter asked if it could be delayed past Tuesday. Neil Versel from Meaningful Healthcare IT News answered well: “Never underestimated bureaucracy.”


That’s a little surprising to me that so many Nurses and PA’s got paid so much since they only qualify under Medicaid. I’m glad to hear it.


When the number is totally written out, that’s a lot of 000’s and that’s only millions.

Looking forward to seeing many old friends and making many new friends at HIMSS this week.

EMR ROI, Steve Jobs EMR, $1 Billion in EHR Stimulus, and EMR Data Security

Posted on December 11, 2011 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

Some really interested EMR related tweets in tonight’s round up from around the EMR twittersphere. I’m testing out the new Twitter embed function. We’ll see how it does. It’s a convenient thing, but might need some tweaking.

As always, feel free to follow me on Twitter @techguy and/or @ehrandhit. If you’re on Twitter, let me know so I can make sure I’m following you as well.

Well said! EMR ROI can’t be certified, but it can be measured and planned for.

I wrote a bit about Steve Jobs and EMR before. The icon of Steve Jobs and creating something the way Steve Jobs did is going to be around for a very long time to come.

Over 10k eligible providers and $1 billion in stimulus money. I wonder how many of those 10k providers already had an EMR and how many implemented an EMR to get the stimulus money.

Definitely much higher than I’d have thought as well. Sure, every doctor wants their systems to be secure, but very few make it any sort of priority beyond expecting it to be secure.

Jabba the Hutt EMR Vendor Perspective on ARRA

Posted on June 7, 2009 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

I just love reading what the “Jabba the Hutt EMR Vendors” (Definition of Jabba the Hutt EMR Vendors: Good in their day, but have gotten so big and bulky that they’re barely functional) offer as a perspective on what the ARRA EMR stimulus money will do. Check out a few quotes from this article which highlight what I believe is most Jabb the Hutt EMR vendors take on the ARRA stimulus money:

“We anticipate ARRA to result in widespread adoption and use of comprehensive EHRs that support interoperability, decision support, quality reporting and clinical research,” said Justin Barnes, EHR Association Chairman and Vice President of Greenway Medical Technologies. “If we continue to work together in public and private collaboration, and build on the successes of CCHIT, HITSP and NQF, along with prudence and fiscal responsibility, we will achieve our goals of healthcare transformation and the estimated $100-$200 billion of annual savings that will come with a fully-integrated and interoperable healthcare system.”

Or Justin Barnes could have easily said that adoption would make his company millions of dollars if doctors started adopting EHR. That wouldn’t be a conflict of interest with the statement he’s making would it? Ok, I’m not saying that EHR software can’t help the healthcare industry. I think it can do some great things. However, I think the above statement lives in a far rosier world than we currently enjoy when it comes to EHR and healthcare.

Here’s another nice quote from Mark Segal, Ph.D., member of the EHR Association Government Relations Workgroup and Director of Government and Industry Relations for GE Healthcare IT (biased opinion?).

“HITECH will transform our industry and the health care system,” said Segal, “We expect a substantial increase in hospital and professional adoption of comprehensive EHRs, with most of the impact occurring over the next five years. We also expect changes in the structure of our industry and in how its products are developed, priced, and deployed.”

“As businesses, and as an Association, we are laser focused on helping our customers qualify as meaningful users,” Segal went on to say. “Even before ARRA, the Association published its interoperability roadmap and supported the development of practical, meaningful CCHIT certification criteria. We understand the dedication required to implement EHRs and want to make sure that ‘meaningful use’ criteria are achievable while moving healthcare forward, especially in such critical areas as interoperability and health information exchange.”

I do agree with Mark that how EHR products are developed priced and deployed has got to change. If it doesn’t doctors will continue to not adopt them. Let’s just not be surprised if we don’t see the “substantial increase” in EHR adoption that Mark Segal suggests. Plus, it seems like their laser focus on “meaningful use” and “CCHIT certification” misplaces what we really want to accomplish with EHR. First, “meaningful use” hasn’t been defined and second shouldn’t you have been laser focused on this goal before now?