The Issue: 'Meaningful Use' Payments for EHR Adoption
The federal electronic health record incentive programs, part of the 2009 Health Information Technology for Economic and Clinical Health (HITECH) Act, promise extra Medicare and Medicaid payments to eligible clinicians and hospitals that become “meaningful users” of certified electronic health records, or EHRs. So far, the government has paid out more than $10 billion in meaningful-use payments to some 190,000 medical professionals and hospitals. The program has led to a doubling in the proportion of U.S. physicians with basic EHRs and a tripling in the proportion of hospitals with the same.
The Debate: Should EHR Incentives Continue?
In an essay for the Annals of Internal Medicine, David Blumenthal, M.D., former National Coordinator for Health Information Technology and current Commonwealth Fund president, enters the debate over whether the federal government's investment has been justified, or whether the meaningful-use standards are too low and the program has been too slow in promoting EHR interoperability.
Blumenthal's view is that “the debate is premature.” He notes that the program is not even two years old, and that the Secretary of Health and Human Services recently put forth more advanced standards and requirements “that could lay the foundation for major advances in interoperability.” At the same time, Blumenthal acknowledges the legitimacy of calls for proof that health care providers are fulfilling all meaningful-use requirements. "Good governance requires a constant balancing of active innovation and accountability," he writes.