Medicare & Medicaid EHR Incentive Programs

http://www.cms.gov/EHRIncentivePrograms/

Medicare & Medicaid EHR Incentive Programs

HIT Policy CommitteeOctober 2012


Registration and Payment Data

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http://www.cms.gov/EHRIncentivePrograms/Active Registrations – September 2012

Active Registrations – September 2012

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Medicare Incentive Payments

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Medicare Incentive Payments – September 2012 Meaningful Use (MU)

http://www.cms.gov/EHRIncentivePrograms/6

Medicare Incentive Payments – September 2012 Meaningful Use

For final CMS reports, please visit: http://www.cms.gov/EHRIncentivePrograms/56_DataAndReports.asp



Medicare Incentive Payments – September 2012 Meaningful Use



Medicaid Incentive Payments

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Medicaid Incentive Payments – September 2012 (Both MU and AIU)

For final CMS reports, please visit: http://www.cms.gov/EHRIncentivePrograms/56_DataAndReports.asp


Medicaid Incentive Payments – September 2012Medicaid Incentive Payments


EHR Incentive Programs

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EHR Incentive Programs – September 2012 Totals


September – by the NumbersSeptember – By the Numbers

0.1904

0.19040.6075

Eligible Hospitals

5,011 Total

4,057 Total Registered

3,044 Paid

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September – By the Numbers

41.90%

39.94%

18.16%

Registered Eligible Professionals

521,600 Total EPsRegistered Medicare EPs (208,331)Registered Medicaid EPs (94,741)

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September – by the Numbers



72.63%

15.82%

11.54%

Paid Eligible Professionals

521,600 Total EPsMedicare EPs (82,535)Medicaid EPs (60,208)

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• Over 60% of all eligible hospitals have received an EHR incentive payment for either MU or AIU • Over 60% have made a financial commitment to put an EHR in

place

• Approximately 22% or 1 out of every 5 Medicare EPs are meaningful users of EHRs

• Approximately 1 out of every 4 Medicare and Medicaid EPs have made a financial commitment to an EHR

• 58% of Medicare EPs receiving incentives are specialists (non primary care)

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Medicare & Medicaid Payments

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Medicare & Medicaid Payments for October 2012

DRAFT ESTIMATES ONLYProviders Paid Oct-12 LTD

Medicare EPs – [ESTIMATED] 5,250 87,750

Medicaid EPs (AIU + MU) [ESTIMATED] 3,800 64,000Medicaid/Medicare Hospitals** [ESTIMATED] 400 4,600

Total Number of Providers Paid 9,450 156,350


Medicare & Medicaid Payments for October 2012

DRAFT ESTIMATES ONLYPayments Oct-12 LTD

Medicare EPs [ESTIMATED] $95,000,000 $1,509,000,000Medicaid EPs [ESTIMATED] $70,000,000 $1,313,000,000Medicaid/Medicare Hospitals(Medicare Pymt) [ESTIMATED] $340,000,000 $2,905,000,000Medicaid/Medicare Hospitals (Medicaid Pymt) [ESTIMATED] $140,000,000 $2,442,000,000

Total $645,000,000 $8,358,000,000

Medicare & Medicaid Payments


EHR Incentive Programs Attestation Data

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Highlights• On average all thresholds were greatly exceeded, but

every threshold had some providers on the borderline• Drug formulary, immunization registries and patient list

are the most popular menu objectives for EPs• Advance Directives, Drug Formulary, and Clinical Lab Test

Results for hospitals• Transition of care summary and patient reminders were

the least popular menu objectives for EPs• Transition of Care and Reportable Lab Results for hospitals

• Little difference between EP and hospitals• Little difference among specialties in performance, but

differences in exclusions and deferrals

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Providers Included

This data-only analysis shows our earliest adopters who have attested, but does not inform us on barriers to attestation.

At the time of the analysis• 105,750 EPs had attested

• 105,514 Successfully• 236 Unsuccessfully (208 EPs have resubmitted

successfully)• 2,238 Hospital had attested

• All successfully

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EP Quality, Safety, Efficiency, and Reduce Health Disparities

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Objective Performance Exclusion DeferralProblem List 97% N/A N/AMedication List 97% N/A N/AMedication Allergy List 97% N/A N/ADemographics 91% N/A N/AVital Signs 91% 9% N/ASmoking Status 90% 0.4% N/A


EP Quality, Safety, Efficiency, and Reduce Health Disparities

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Objective Performance Exclusion DeferralCPOE 83% 17% N/AElectronic prescribing 81% 21% N/AIncorporate lab results 92% 4% 36%Drug-formulary checks N/A 14% 15%Patient lists N/A N/A 25%Send reminders to patients 61% 0.5% 81%


EP Engage Patients and Their Families

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Objective Performance Exclusion DeferralE – Copy of Health Information 97% 70% N/AOffice visit summaries 79% 2% N/APatient Education Resources 49% N/A 50%Timely electronic access 72% 1% 67%


EP Improve Care Coordination

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Objective Performance Exclusion DeferralMedication reconciliation 90% 3% 54%Summary of care at transitions 90% 3% 84%


EP Improve Population and Public Health

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Objective Performance* Exclusion DeferralImmunizations 35% 44% 20%Syndromic Surveillance 6% 26% 69%

*Performance is percentage of attesting providers who conducted test


EH Quality, Safety, Efficiency, and Reduce Health Disparities

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Objective Performance Exclusion DeferralProblem List 95% N/A N/AMedication List 98% N/A N/AMedication Allergy List 98% N/A N/ADemographics 96% N/A N/AVital Signs 92% N/A N/ASmoking Status 93% 0.4% N/A


EH Quality, Safety, Efficiency, and Reduce Health Disparities

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Objective Performance Exclusion DeferralCPOE 85% N/A N/AAdvance directives 96% 0.3% 9%Incorporate lab results 95% N/A 16%Drug-formulary checks N/A N/A 16%Patient lists N/A N/A 40%


EH Engage Patients and Their Families

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Objective Performance Exclusion DeferralE – copy of health information 96% 69% N/AE – copy of discharge Instructions 95% 65% N/A

Patient education resources 73% N/A 58%


EH Improve Care Coordination

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Objective Performance DeferralMedication reconciliation 85% 72%Summary of care at transitions 83% 91%


EH Improve Population and Public Health

Objective Performance* Exclusion DeferralImmunizations 49% 14% 37%Reportable Lab Results 16% 6% 78%Syndromic Surveillance 21% 3% 76%

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*Performance is percentage of attesting providers who conducted test

Medicare & Medicaid EHR Incentive Programs

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