Home Products Services About Links Privacy Contact Info Support Whitepapers Legislation
 
   

          


Subscribe to RSS feed

Bookmark and Share


PrimaryData

Office
303-204-5753

Fax
866-852-4731

Valid XHTML 1.0!

Valid CSS!

[Valid RSS]

 

American Recovery and Reinvestment Act of 2009 (ARRA)

PrimaryData is here to assist with questions you may have on the American Recovery and Reinvestment Act of 2009 (ARRA).  We will feature updated information on this page as well as links to pertinent information.

President Obama signed the 2009 American Recovery and Reinvestment Act into law February 17th in Denver, Colorado.   There is $19 billion allocated for healthcare information technology under the HITECH act which includes up to $44,000 for each physician showing meaningful use of a certified electronic health record under Medicare incentives or up to $65,000 in Medicaid incentives if you meet qualifications.

PrimaryData has been following ARRA closely to assist practices in participation decisions in this important healthcare technology opportunity.

 

 

 

 

 


 

Medicare Incentives in the HITECH Act

A Shared Roadmap and Vision for Health IT by John Halamka MD MS, Mark Leavitt MD PhD, John Tooker MD MBA
 Health Information Technology for Economic and Clinical Health Act
 Health Provisions in the American Recovery and Reinvestment Act of 2009: Frequently Asked Questions

 Analysis of American Recovery and Reinvestment Act by American Health Information Management Association (AHIMA)


Healthcare Information Technology Stimulus Funding

Physicians can choose to receive economic stimulus funding for meaningful use of a certified EHR from Medicare or Medicaid, not both. 

Medicare Incentives

Medicare incentives begin in 2011 and are available to all non-hospital physicians who see Medicare patients.  Eligible physicians can receive up to $44K over a five-year period and receive an additional 10% if they are located in a Health Shortage Area.  Physicians who have not adopted an EHR by January 1, 2015 will be penalized through reductions to their Medicare payments. 

Medicare Incentive

Year Meaningful Use of EHR Begins

  2011 2012 2013 2014 Penalty
2011 $18,000                                  
2012 $12,000 $18,000      
2013 $8,000 $12,000 $15,000    
2014 $4,000 $8,000 $12,000 $12,000  
2015 $2,000 $4,000 $8,000 $8,000 -1.0%
2016   $2,000 $4,000 $4,000 -2.0%
2017         -3.0%
Total $44,000 $44,000 $39,000 $24,000 ...
Health Shortage Area  
Additional 10%
      $48,400        $48,400        $42,900        $26,400   

 

EHR "Meaningful Use"
A meaningful user is a physician using software that supports e-Prescribing, submits information to HHS on clinical quality measures, and demonstrates to HHS that they are using certified EHR technology.  Discussion of "EHR meaningful use" from twelve EHR vendor executives here.

Above, an 8-minute video overview of the first draft of the meaningful use criteria that was published in June 2009 by the Meaningful Use Workgroup of the Health Information Technology Policy Committee by The Fox Group.

 

Certified EHR Software
• Provide clinical decision support;
• Capture and query information relevant to healthcare quality;
• Exchange and integrate electronic health information with other sources

Discussion of "certified EHR" from twelve EHR vendor executives here.


Medicaid Incentives

Medicaid incentives range up to $65K over a five-year period and are available only to non-hospital based clinicians, including dentists, certified nurse midwives, and physician assistants practicing in rural health clinics or FQHCs.   Requirements are that 30% of a provider's patients must use Medicaid, with the exception of pediatricians, who are required to have 20% of their patients using Medicaid.  The Medicaid startup incentive is up to $25,000 in state loan funds available in year one toward the  purchase a certified EHR and providers who prove "meaningful use" can receive up to $10,000 annually for an additional four years.  There are no penalities by Medicaid for lack of EHR adoption.

Eligible Medicaid Providers

Payment Amounts

Payment Limits

Eligible provider

• Not hospital-based
• Minimum 30% Medicaid volume

85% of net average allowable costs (NAAC)

1st year payment - Lower of 1st year NAAC or $25,000
• Must be paid by 2016

Subsequent year payments – Lower of subsequent year NAAC or $10,000/year
• May not be paid after 2021
• May not be paid for more than 5 years

Eligible provider

• Practices predominantly in FQHC or RHC
• Minimum 30% needy individuals volume
85% of net average allowable costs (NAAC) 1st year payment - Lower of 1st year NAAC or $25,000

• Must be paid by 2016

Subsequent year payments – Lower of subsequent year NAAC or $10,000/year
• May not be paid after 2021
• May not be paid for more than 5 years

Pediatrician eligible provider

• Not hospital-based

• Minimum 20% Medicaid volume
85% of net average allowable costs (NAAC)

Reimbursement limits are 2/3 of amounts specified above for other types of eligible providers

 

Medicaid Incentive

Year Meaningful Use of EHR Begins

  2011201220132014 2015 2016
2011$25,000         
2012$10,000$25,000       
2013$10,000$10,000$25,000     
2014$10,000$10,000$10,000$25,000   
2015$10,000$10,000$10,000 $10,000 $25,000 
2016  $10,000$10,000 $10,000 $10,000 $25,000
2017    $10,000 $10,000 $10,000 $10,000
2018      $10,000 $10,000 $10,000
Total$65,000$65,000 $65,000 $65,000 $55,000 $45,000

 

Provided for informational purposes only.  These pages should not be used without professional advice. You should seek such advice solely from attorneys, accountants, compliance or other professionals you retain to advise you on these types of matters.

 


ARRA Information

- Economic Stimulus Bill
- Healthcare Information Technology Standards Panel (HITSP)
- Certification Commission for Healthcare Information Technology (CCHIT)
- Agency for Healthcare Research and Quality
- American Medical Association
- National Association of Community Health Centers
- American Academy of Family Physicians
- American College of Cardiology FAQs

- Indian Health Services Information Technology Resources
- Indian Health Service 30-Day Report to Congress
- HHS Grants and Cooperative Agreements
- HHS Community Health Center Grants
- Medicaid Relief Headed To States ($140 million to Colorado)

- Congressional Budget Office: Evidence on the Costs and Benefits of Health Information Technology
- 30,000 Americans Participate in Health Care Community Discussions

- 2008 Survey on Health Information Exchange
- Colorado Regional Health Information Organization (CORHIO)
- Colorado Rural Health Center
- Colorado Community Health Network
- HealthTrack Colorado Springs
- Colorado Health Information Exchange (COHIE) Denver
- Quality Health Network Grand Junction
- Integrated Physician Network Avista Superior

 

Home   Products   Services   Support   Stimulus 2009   e-Prescribing   PQRI   Whitepapers   Legislation   Links   Info Request   Privacy   About   Contact 

2008-2010 PrimaryData Corporation.  All rights reserved.

.