CMS EHR Incentive Payments Total over $12B thru Feb 2013

Program Summary
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The CMS February EHR Incentive Program Report shows over $12B paid out to Eligible Professionals (EP’s) and Eligible Hospitals (EH’s) as of February 28, 2013.

The breakdown between the Medicare and the Medicaid EHR Incentive Programs is:

  • Over $7.4B in Medicare EHR Incentive Program Payments have been made between May 2011 and February 28, 2013.

  • Over $5B in Medicaid EHR Incentive Program Payments have been made between January 2011 and February 28, 2013.

86% of the hospitals eligible for the program have registered and 76% have received payments under the program as of February 28, 2013. Although 75% of the professionals eligible for the program have registered, their participation rate in receiving payments has not been as high as the hospitals. Just 44% of eligible professionals have received payment for demonstrating meaningful use of Certified Electronic Health Record Technology as of February 28, 2013.

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CMS is required under the HITECH act to report details of the EP’s receiving payments under the Medicare EHR Incentive Program but not those receiving payments under the Medicaid EHR Incentive Program. Specialties receiving payments are reported monthly and names and addresses of EP’s and EH’s receiving payments are reported quarterly.

The latest quarterly report with names of those EP’s and EH’s receiving Medicare EHR Incentive Payments is the 4Q 2012 report which may be downloaded at:
2,132 EH Recipients of Medicare EHR Incentive Program Payments
and
106,308 EP Recipients of Medicare EHR Incentive Program Payments

The CMS February 2013 Monthly Report shows 135,000 physicians receiving payments under the Medicare EHR Incentive Program as of February 28, 2013. Of these physicians receiving payments as of February 28, 2013, 39% are either family practitioners or internists with the next largest group being cardiologists at 8% of the total.

The monthly payout for the Medicare and Medicaid EHR programs continues to show a peak at the end of the Medicare attestation periods. To receive a 2012 Medicare EHR Incentive payment, EH’s had to attest by December 2012 which coincides with a peak in payments just as it did in December of 2011. For EP’s to receive a 2012 Medicare EHR Incentive payment, they had to attest by February of 2013.

Those eligible providers not participating in the Medicare EHR Incentive Payment Program will face a cut in Medicare reimbursements starting in 2015. This cut will start at 1% per year in 2015 and increase an additional 1% per year thereafter up to a total reduction of 5%. 2013 is the last time to start demonstration of meaningful use to avoid the 2015 cut in reimbursement. Certified technology must be employed and the 90 day reporting period started by October 3, 2013 for Eligible Professionals and by July 3, 2013 for Eligible Hospitals.
paymentsmonthlyFeb2013

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