Navigation Links
ACP says Medicare should increase payments for physicians that use HIT to improve quality

(Washington) "The benefits of widespread adoption of interoperable Health Information Technology (HIT) will be significant, leading to a higher standard of quality in the U.S. healthcare system," Yul D. Ejnes, MD, FACP, told the House Ways and Means Committee subcommittee on Health today. "Unfortunately, without adequate financial incentives, small practices and their patients will be left behind the technological curve." Dr. Ejnes, a member of the Board of Regents of the American College of Physicians (ACP) and chairman of ACP's Medical Service Committee, testified at a subcommittee hearing, Promoting the Adoption and Use of Health Information Technology. "My 50-physician group practice has an electronic health record (EHR)," Dr. Ejnes, a general internist in private practice in Cranston, R.I., told the subcommittee as he cited personal experience. "Our practice leadership is tech-savvy, and we are fortunate to have received some support from a forward-looking private payer.

"With these favorable factors, you would think our decision to implement an EHR was simple. On the contrary, it took us 10 years. We have been using our EHR for two years now and have found that the challenges associatedespecially the cost and impact on workflow and the lack of true interoperabilityto be very substantial. Yet our challenges are not nearly as great as they are for physicians in smaller practices.

"Of the ACP members involved in direct patient care after training, approximately 20 percent are in solo practice and 50 percent are in practices of 5 or fewer physicians," Dr. Ejnes continued as he spoke from a more global perspective. "Three-fourths of all Medicare recipients receive their outpatient care from smaller physician practices. These are the physicians who already lag in HIT adoption and are least likely to have the necessary capital on-hand to invest in technology.

"Acquisition costs can average up to $44,000 per physician. The average annual ongoing costs are about $8,500 per physician. For many of these practices, the 'business case' for making such a large investment simply doesn't exist. Public and private payers -- not the physicians -- realize much of the savings from physician investment in acquiring the necessary HIT. Mandating use of HIT, especially in the absence of positive financial incentives and lack of uniform standards of interoperability and functionality, will likely drive the physician practices we need the most out of business. Positive incentives are the answer."

ACP specific recommendations to Congress included:

  • Build into the Medicare physician payment system an add-on code for office visits and other services when supported by certified HIT.
  • Continue to support the establishment of the standards needed to allow true interoperability.
  • Continue to advance the Patient Centered Medical Home, or PCMH, model as a means of rapidly driving primary care practices to acquire the information systems and other capabilities needed to provide patient-centered and coordinated care.
  • Require that Medicare cover specific services associated with patient-centered care, such as secure email consultations and remote monitoring.

"The College is the largest medical specialty society in the U.S., representing 126,000 internal medicine physicians and medical students," Dr. Ejnes concluded. "We share your optimism that health information technology can improve quality and decrease costs. Many studies have found that full adoption and utilization of HIT can improve quality and reduce high medical costs."


Contact: David Kinsman
American College of Physicians

Related medicine news :

1. Mercy Health Plans Announces New Name for Their Medicare Advantage Plans: Mercy Medicare Advantage
2. Medicare Fraud: How Many Dead Doctors Does it Take to Prescribe $90 Million in Medical Equipment for Medicare Patients?
3. APHA Applauds Congressional Override of Medicare Veto
4. AARP NY Thanks Congress for Keeping Medicare Fair, Overriding White House Veto
5. American Optometric Association Applauds Override of Medicare Cuts
6. AARP Thanks Congress for Keeping Medicare Fair, Overriding White House Veto
7. Netsmart Technologies Web Seminar Helps Behavioral Health Organizations Understand Electronic Prescribing And The Importance Of New Medicare-Related E-Prescribing Legislation
8. Florida Physicians Press Sen. Martinez to Support Reform of Medicare Bidding Program after Hospital Discharge Problems Emerge
9. All-Med Services of Florida Awarded Medicare Competitive Bidding Contract
10. ACP implores President Bush to sign Medicare bill today to avert cut scheduled for Tuesday
11. Florida Seniors Medicare Advantage Benefits at Risk
Post Your Comments:
(Date:11/25/2015)... , ... November 25, 2015 , ... ... has been recognized once again for its stellar workplace culture with the company’s ... , Medical Solutions’ Cincinnati office was named a finalist in Cincinnati ...
(Date:11/25/2015)... (PRWEB) , ... November 26, 2015 , ... ... Union Commission (AUC), European Union (EU), ANDI Pan African Centres of Excellence, and ... Office in Nairobi (UNON) for the opening of the 5th African Network for ...
(Date:11/25/2015)... , ... November 25, 2015 , ... According to an ... robot is being more and more widely heralded as a breakthrough for performing hernia ... method has over traditional laparoscopic surgery is that it can greatly reduce the pain ...
(Date:11/25/2015)... ... November 25, 2015 , ... On November 25, 2015, ... for the Narconon network, announced the release of a new cutting edge recovery program ... organization has been working with drug- and alcohol-addicted individuals with the purpose to free ...
(Date:11/25/2015)... ... , ... On November 23rd 2015 Cozy Products, a division of ... Cozy Products explains what this means for business moving forward. , The Tri Lite ... business model: to sell personal heaters that reduce energy consumption, are economical and keep ...
Breaking Medicine News(10 mins):
(Date:11/25/2015)... , November 25, 2015 ... KTOV ) (TASE: KTOV), a biopharmaceutical company focused on ... of various clinical conditions, today announced the closing of ... Depository Shares ( ADSs ), each representing 20 ordinary ... to 3,158,900 ADSs. The ADSs and warrants were issued ...
(Date:11/25/2015)...  Trovagene, Inc. (NASDAQ: TROV ), a developer ... Officer Antonius Schuh, Ph.D., is scheduled to present a ... Jaffray Healthcare Conference. th Annual Piper ... in New York on Tuesday, ... will be available for one-on-one meetings during the conference. ...
(Date:11/25/2015)... Nov. 25, 2015 Allergan plc (NYSE: ... and Rugen Therapeutics, a start-up  biotechnology company focused ... CNS disorders and funded by the F-Prime Biomedical ... entered into an exclusive collaboration to support the ... Spectrum Disorders (ASD) and Obsessive Compulsive disorders (OCD). ...
Breaking Medicine Technology: