Challenges Facing Pediatricians Participating in Electronic Health Records Incentive Programs
Pediatricians seeking MU payments for using EHRs must exceed a 20% patient threshold of Medicaid-insured children, whereas adult providers can participate through the Medicare EHR incentive program, which has no patient threshold.
Qualifying for the MU program through Medicaid is more difficult than through Medicare because 1) Medicaid participation is based in part on each state’s reimbursement rates and policies; 2) children enrolled in a state’s separate Children’s Health Insurance Program (CHIP) are excluded from the patient threshold calculation; and 3) a lack of centralized reporting for pediatricians interested in receiving incentives creates a cumbersome process compared to Medicare’s single central federal repository.
Pediatrician participation in the MU program can be increased through several policy solutions including: 1) universally allowing providers to include CHIP patients in their patient threshold; 2) no longer requiring a patient threshold for pediatricians’ MU participation; and 3) collaborating with private payers and health systems to offer tax credits or payment incentives to pediatricians who do not meet the patient threshold.
Learning Areas:Public health or related laws, regulations, standards, or guidelines
Public health or related public policy
Describe the main obstacles pediatricians face to participate in the Meaningful Use program. Identify three solutions for increasing pediatrician participation in the meaningful use program across the country.
Keyword(s): Medicaid, Public Health Policy
Qualified on the content I am responsible for because: Communications and policy associate at PolicyLab at The Childrenâs Hospital of Philadelphia (CHOP) and a member of the PolicyLab leadership team. I provide strategic policy and planning support for research projects throughout PolicyLab, and oversee all of PolicyLabâs external communications, including a comprehensive redesign of PolicyLabâs web site. I am focused on understanding the larger policy environment and using both traditional media and social media to ensure that PolicyLab research informs program and policy decisions.
Any relevant financial relationships? No
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