Medicare & Medicaid EHR Incentive Programs

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

Medicare & Medicaid EHR Incentive Programs

HIT Policy CommitteeJune 6, 2012



Registration and Payment Data

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Active registrations – 2012

Active Registrations – April 2012

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Active registrations - 2012

Active Registrations – 2012

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Medicare incentive payments

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Medicare Incentive Payments – April 2012 Meaningful Use (MU)




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Medicare Incentive Payments – April 2012 Meaningful Use

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


http://www.cms.gov/EHRIncentivePrograms/56_DataAndReports.asp



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Medicare Incentive Payments – April 2012 Meaningful Use



Medicaid incentive payments April 2012

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

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


http://www.cms.gov/EHRIncentivePrograms/56_DataAndReports.asp


Medicaid incentive payments 2012

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Medicaid Incentive Payments – 2012



EHR incentive programs – April 2012 totals

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EHR Incentive Programs – April 2012 Totals



April – by the numbers

April – By the Numbers

• 45% of all eligible hospitals have received an EHR incentive payment for either MU or AIU • 45% have made a financial commitment to put an EHR in

place

• Approximately 1 out of every 7 Medicare EPs are meaningful users of EHRs

• Approximately 1 out of every 5 Medicare and Medicaid EPs have made a financial commitment to an EHR

• 57% of Medicare EPs receiving incentives are specialists (non primary care)

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Medicare & medicaid payments for may 2012

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Medicare & Medicaid Payments for May 2012DRAFT ESTIMATES ONLY

Providers Paid May-12 LTD

Medicare EPs – [ESTIMATED] 900 58,500

MAO EPs [ESTIMATED] 11,000 11,000Medicaid EPs [ESTIMATED] 4,300 38,700

Medicaid/Medicare Hospitals** [ESTIMATED] 200 2,450

Total Number of Providers Paid 16,400 110,650



Draft estimates

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Medicare & Medicaid Payments for May 2012DRAFT ESTIMATES ONLY

Payments May-12 LTD

Medicare EPs [ESTIMATED] $16,000,000 $969,000,000

MAO EPs [ESTIMATED] $180,000,000 $180,000,000Medicaid EPs [ESTIMATED] $88,000,000 $823,000,000Medicaid/Medicare Hospitals(Medicare Pymt) [ESTIMATED] $150,000,000 $1,884,000,000Medicaid/Medicare Hospitals (Medicaid Pymt) [ESTIMATED] $117,000,000 $1,722,000,000

Total $551,000,000 $5,578,000,000



EHR Incentive Programs Attestation Data

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Providers Included

At the time of the analysis:• 68,894 EPs had attested

• 68,617 Successfully• 277 Unsuccessfully (167 EPs have resubmitted

successfully)

• 1,292 Hospitals had attested• All successfully• All Medicare

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Highlights• Very little Medicaid MU data• On average all thresholds were greatly

exceeded, but every threshold had some providers on the borderline

• Little difference between EP and hospitals• Little difference among specialties in

performance, but differences in exclusions and deferrals

• Data will be available on the CMS EHR Incentive Programs website, under the “Data and Reports” tab

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Most Popular Menu Objs

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EPs

• Immunization registry Drug formulary

• Incorporate clinical lab test results

Eligible Hospitals

• Advance directives• Drug formulary

• Incorporate clinical lab test results



Least Popular Menu Objs

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EPs

• Transitions of care• Patient reminders

Eligible Hospitals

• Transitions of care• Syndromic surveillance



EP Quality, Safety, Efficiency, and Reduce Health Disparities

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Objective Performance Exclusion DeferralProblem List 96% N/A N/AMedication List 97% N/A N/AMedication Allergy List 96% N/A N/ADemographics 91% N/A N/AVital Signs 90% 8% N/ASmoking Status 90% 0.5% N/A



EP Quality, Safety, Efficiency, and Reduce Health Disparities

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Objective Performance Exclusion DeferralCPOE 84% 18% N/AElectronic prescribing 80% 22% N/AIncorporate lab results 91% 4% 37%Drug-formulary checks N/A 14% 15%Patient lists N/A N/A 24%Send reminders to patients 61% 0.5% 78%



EP Engage Patients and Their Families

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Objective Performance Exclusion DeferralE – Copy of Health Information 96% 69% N/AOffice visit summaries 79% 2% N/APatient Education Resources 49% N/A 50%Timely electronic access 71% 2% 67%



EP Improve Care Coordination

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Objective Performance Exclusion DeferralMedication reconciliation 90% 3% 55%Summary of care at transitions 89% 3% 84%



EP Improve Population and Public Health

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Objective Performance* Exclusion Deferral

Immunizations 37% 42% 21%Syndromic Surveillance 6% 26% 68%

*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 97% N/A N/AMedication Allergy List 98% N/A N/ADemographics 96% N/A N/AVital Signs 93% N/A N/ASmoking Status 93% 0.5% N/A



EH Quality, Safety, Efficiency, and Reduce Health Disparities

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Objective Performance Exclusion DeferralCPOE 85% N/A N/AAdvance directives 95% 0.2% 11%Incorporate lab results 95% N/A 16%Drug-formulary checks N/A N/A 14%Patient lists N/A N/A 38%



EH Engage Patients and Their Families

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Objective Performance Exclusion DeferralE – copy of health information 95% 66% N/AE – copy of discharge Instructions 95% 61% N/A

Patient education resources 71% N/A 62%



EH Improve Care Coordination

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Objective Performance Deferral

Medication reconciliation 83% 74%Summary of care at transitions 82% 93%



EH Improve Population and Public Health

Objective Performance* Exclusion Deferral

Immunizations 47% 15% 38%Reportable Lab Results 18% 6% 76%Syndromic Surveillance 18% 4% 78%

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*Performance is percentage of attesting providers who conducted test


Medicare & Medicaid EHR Incentive Programs

Documents

Transcript of Medicare & Medicaid EHR Incentive Programs