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Physicians have about a 5-10% chance of being audited by CMS before receiving EHR incentive payments.

CMS conducting pre-payment audits before releasing 2013 EHR Incentive Program bonuses
Florida Medical Association's insight:

Be sure to check out FMA's Health Information Technology (HIT) Resource Center for all your HealthIT questions. http://www.flmedical.org/HIT.aspx

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Texas Medical Association's curator insight, April 2, 2013 7:30 PM

Many times, government agencies and payers put demands on physicians that disrupt workflow. These demands come on top of the already extensive disruptions and intrusions physicians experience.

 

As physicians decide or are required to move from a paper to an electronic health record, Texas must carefully consider the impact of any new regulatory burdens placed on the physician practice, especially when many of these burdens do nothing to improve care quality.

 

For instance, to achieve the goals of “meaningful use,” the federal government requires that physicians have a system that tracks patients’ height, weight, and blood pressure as part of “structured data.” This is required even if the physician practices a specialty where height and weight play little or no role in the medical care they provide to patients. Do patients really want to be weighed at the ophthalmologist when updating their eyeglass prescription? According to the federal government, if a physician “believes that one or two of these vital signs are relevant to their scope of practice, then they must record all three vital signs in order to meet the measure of this objective and successfully demonstrate meaningful use.” Texas should not repeat the mistakes of the federal government.

 

Texas must recognize that not every medical practice will benefit from an EHR. In fact, it could be disruptive to some and could hurt patient care. Requiring a physician to rely on a system that is counter-intuitive to his or her clinical training could result in adverse outcomes for the patient. Even expert users find that EHRs require more physician time than paper records and can interrupt the patient-physician interaction in the exam room. A sizeable portion of patients are concerned about the security of their electronic medical records. A July 2012 survey found "roughly half of Americans still say that they are concerned that their digitized health data could be lost, damaged, or corrupted."

 

In some cases, EHRs are cost-prohibitive regardless of federal incentives. Not all physicians are eligible for the Medicare or Medicaid EHR incentives. The average EHR purchase cost is about $40,000 per physician, not including productivity dips that hurt practice revenues. Some medical practices operate on such thin profit margins that the capital investment of an EHR could lead to bankruptcy.

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Tenn. gov. won't expand Medicaid to cover uninsured

Tenn. gov. won't expand Medicaid to cover uninsured | Healthy Floridians | Scoop.it
Tennessee Gov. Bill Haslam announced Wednesday that he won't pursue expanding the state's Medicaid program to help cover the uninsured as part of the federal Affordable Care Act. (Tenn. gov.
Florida Medical Association's insight:

Florida lawmakers have soundly rejected the idea of expanding Florida's existing Medicaid program. However, leaders in both chambers have also committed to exploring other proposals that would expand coverage outside of Medicaid. Governor Scott continues to support an expansion of Medicaid for the three year period that is funded entirely by the federal government, but has indicated that he may support other alternatives.

 

Consequently, the Florida Legislature is currently fielding multiple proposals that would provide healthcare to the estimated 900,000 Floridians that would be covered under Medicaid expansion. While lawmakers are still in the early stages of evaluating their options, the Florida Medical Association is closely monitoring the situation and will ensure that Florida's physicians have a voice in any legislation that is considered. 

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Physician business degrees aim to prep docs to lead in times of change

Physician business degrees aim to prep docs to lead in times of change | Healthy Floridians | Scoop.it
Florida Medical Association's insight:

You might not need a business degree to run a medical practice successfully, but it certainly wouldn't hurt in today's fast-evolving health care world. After all, medical practices are businesses. In Indianapolis, the Kelley School of Business is offering a medical MBA designed specifically to give physicians the skills they need in this post-PPACA practice environment. 

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