Medicare & Medicaid EHR Incentive Programs

1. Medicare & Medicaid EHR Incentive Programs HIT Policy Committee June 6, 2012

2. Registration and Payment Data

3. Active registrations – 2012 Active Registrations – April 2012

4. Active registrations - 2012 Active Registrations – 2012

5. Medicare incentive payments Medicare Incentive Payments – April 2012 Meaningful Use (MU)

6. Medicare incentive payments Medicare Incentive Payments – April 2012 Meaningful Use For final CMS reports, please visit: http://www.cms.gov/EHRIncentivePrograms/56_DataAndReports.asp

7. Medicare incentive payments Medicare Incentive Payments – April 2012 Meaningful Use

8. Medicaid incentive payments April 2012 Medicaid Incentive Payments – April 2012 (Both MU and AIU) For final CMS reports, please visit: http://www.cms.gov/EHRIncentivePrograms/56_DataAndReports.asp

9. Medicaid incentive payments 2012 Medicaid Incentive Payments – 2012

10. EHR Incentive Programs – April 2012 Totals EHR incentive programs – April 2012 totals

11. April – by the numbers April – By the Numbers • 45% of all eligible hospitalshave 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 EPsare meaningful users of EHRs • Approximately 1 out of every 5 Medicare and Medicaid EPshave made a financial commitment to an EHR • 57% of Medicare EPs receiving incentives are specialists (non primary care)

12. Medicare & medicaid payments for may 2012 Medicare & Medicaid Payments for May 2012 DRAFT ESTIMATES ONLY

13. Draft estimates Medicare & Medicaid Payments for May 2012 DRAFT ESTIMATES ONLY

14. EHR Incentive Programs Attestation Data

15. 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

16. 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

17. Most Popular Menu Objs • Eligible Hospitals • Advance directives • Drug formulary • Incorporate clinical lab test results • EPs • Immunization registry Drug formulary • Incorporate clinical lab test results

18. Least Popular Menu Objs • Eligible Hospitals • Transitions of care • Syndromic surveillance • EPs • Transitions of care • Patient reminders

19. EP Quality, Safety, Efficiency, and Reduce Health Disparities

20. EP Quality, Safety, Efficiency, and Reduce Health Disparities

21. EP Engage Patients and Their Families

22. EP Improve Care Coordination

23. EP Improve Population and Public Health *Performance is percentage of attesting providers who conducted test

24. EH Quality, Safety, Efficiency, and Reduce Health Disparities

25. EH Quality, Safety, Efficiency, and Reduce Health Disparities

26. EH Engage Patients and Their Families

27. EH Improve Care Coordination

28. EH Improve Population and Public Health *Performance is percentage of attesting providers who conducted test