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Stimulus Overview


 
By 2011, funds become available to all non-hospital practitioners who see Medicare patients to possibly receive $44,000 over the five year transition period.
 
 
 
Medicare Incentives
 
By 2011, funds become available to all non-hospital practitioners who see Medicare patients to possibly receive $44,000 over the five year transition period. Most importantly, those who have not adopted an EMR by January 1, 2015 will be penalized by a significant reduction in Medicare payments.
 
Medicare Incentives Schedule
Year Eligible in 2011 Eligible in 2012 Eligible in 2013 Eligible in 2014 Eligible in 2015
2011 $18,000 $0 $0 $0 $0
2012 $12,000 $18,000 $0 $0 $0
2013 $8,000 $12,000 $15,000 $0 $0
2014 $4,000 $8,000 $12,000 $12,000 $0
2015 $2,000 $4,000 $8,000 $8,000 $0
2016 $0 $2,000 $4,000 $4,000 $0
Total $44,000 $44,000 $39,000 $24,000 $0

Medicaid Incentives
 
Available to non-hospital based clinicians, such as certified midwives and PAs in rural health clinics, are Medicaid incentives ranging over $63, 000 over a five year period. Approved participation would be by those who serve 30% of Medicaid patients or 20% for pediatricians. A startup incentive includes $21,000 in state loan funds in the first year toward the purchase a certified EMR. Once startup funds are received, providers proving "meaningful use" qualify for $8,500 annually for the remaining five years. For Medicaid, these include: physicians, certified nurse midwives, NPs and PAs.
 
Medicaid Incentives Schedule
Year Eligible in 2011 Eligible in 2012 Eligible in 2013 Eligible in 2014 Eligible in 2015
2011 $21,000 $0 $0 $0 $0
2012 $8,500 $21,000 $0 $0 $0
2013 $8,500 $8,500 $21,000 $0 $0
2014 $8,500 $8,000 $8,500 $21,000 $0
2015 $8,500 $8,500 $8,500 $8,500 $21,000
2016 $8,500 $8,500 $8,500 $8,500 $8,500
2017 $0 $8,500 $8,500 $8,500 $8,500
2018 $0 $0 $8,500 $8,500 $8,500
2019 $0 $0 $0 $8,500 $8,500
2020 $0 $0 $0 $0 $8,500
Total $63,500 $63,500 $63,500 $63,500 $63,500

Penalty Box

Practices not actively using and reporting with a certified EMR will have their Medicare fee schedule reduced starting 2015: penalties apply to hospitals that are not using and reporting by October 2014. It is imperative to immediately search for and implement a certified EMR as delaying the process increases the risk that a practice will not demonstrate effective "meaningful use" of an EMR system, thus missing the incentive period starting 2011.