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September 1, 2010

Complex Reimbursement Real Driver in EHR Adoption

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A recent Information Week article on EHR adoption had the following quote:

“I think the number one driver [of ambulatory EHR adoption] is the change in reimbursement, the fact that it is becoming so complicated to document the process of care to get paid by the government as well as commercial payers,” said Nancy Fabozzi, a senior industry analyst at Frost & Sullivan and the report’s author. “Everybody thinks that fee-for-service is doomed and we have to have a new system of reimbursing physicians for the quality of care instead of the quantity of care because costs are exploding.”

In an interview with InformationWeek, Fabozzi said another reason for the adoption of ambulatory EHRs is that many providers have practice management systems that are old and need to be updated as they move to ICD-10 and HIPAA 5010 requirements.

It won’t be news to most of you that it’s not government incentive that is driving adoption of EHR software. The market forces are much stronger than any sort of stimulus. Although, the retarding forces of an unknown stimulus are starting to wear off and we should see EHR adoption pick up again soon.

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    4 responses to "Complex Reimbursement Real Driver in EHR Adoption"

    1. # Don B commented on September 1st, 2010:

      My reaction to the study was surprise that Frost & Sullivan project a doubling of Ambulatory EHR revenue from $1.3bil in 2009 to $2.6bil in 2012 then peaking at $3.0bil in 2013 before returning to $1.4bil in 2016 following full saturation.

      If those numbers are in line with other projections for the Ambulatory EHR submarket … I wonder how much of the $18bil is targeted to the PCP market to incentivize acquisition by the providers … when the overall revenue projection appears that they could far easier have just bought the dang things for everybody with their ARRA budget.

    2. # John commented on September 1st, 2010:

      I’ve been thinking about posting about that. $3 billion market where the government is planning to spend $18 billion on it. Something’s off there.

    3. # Dave W commented on September 2nd, 2010:

      I had a similar reaction to the article and posted on our blog (blog.readyconsultant.com). I agree it is the reimbursement change that is driving this, but doubt it is newer models. I think it is more simple… it is the stick of reduced fees. People have seen strategies for ending fee-for-service come and go. While the current environment may give it a better chance, I doubt organizations are jumping into the EHRs for the hope of an undeveloped potential model.

    4. # $3 Billion Ambulatory EHR Market | EMR and HIPAA pingbacked on September 2nd, 2010:

      [...] salient points from the study I wrote about in my posts about Complex Reimbursement as the Real Driver in EHR Adoption and the reshuffling of providers favoring Large EHR vendors. Related ArticlesReshuffling of [...]

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