Medicare & Medicaid EHR Incentive Programs

1. Medicare & Medicaid EHR Incentive Programs HIT Policy Committee October 2012

2. Registration and Payment Data

3. Active Registrations – September 2012 Active Registrations – September 2012

4. Active Registrations – September 2012 Active Registrations – September 2012

5. Medicare Incentive Payments Medicare Incentive Payments – September 2012 Meaningful Use (MU)

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

7. Medicare Incentive Payments Medicare Incentive Payments – September 2012 Meaningful Use

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

9. Medicaid Incentive Payments Medicaid Incentive Payments – September 2012

10. EHR Incentive Programs – September 2012 Totals EHR Incentive Programs

11. September – by the Numbers September – By the Numbers

12. September – by the Numbers September – By the Numbers

13. September – by the Numbers September – By the Numbers

14. September – by the Numbers September – By the Numbers • Over 60% of all eligible hospitalshave received an EHR incentive payment for either MU or AIU • Over 60% have made a financial commitment to put an EHR in place • Approximately 22% or 1 out of every 5 Medicare EPsare meaningful users of EHRs • Approximately 1 out of every 4 Medicare and Medicaid EPshave made a financial commitment to an EHR • 58% of Medicare EPs receiving incentives are specialists (non primary care)

15. Medicare & Medicaid Payments Medicare & Medicaid Payments for October 2012 DRAFT ESTIMATES ONLY

16. Medicare & Medicaid Payments Medicare & Medicaid Payments for October 2012 DRAFT ESTIMATES ONLY

17. EHR Incentive Programs Attestation Data

18. Highlights • On average all thresholds were greatly exceeded, but every threshold had some providers on the borderline • Drug formulary, immunization registries and patient list are the most popular menu objectives for EPs • Advance Directives, Drug Formulary, and Clinical Lab Test Results for hospitals • Transition of care summary and patient reminders were the least popular menu objectives for EPs • Transition of Care and Reportable Lab Results for hospitals • Little difference between EP and hospitals • Little difference among specialties in performance, but differences in exclusions and deferrals

19. Providers Included • This data-only analysis shows our earliest adopters who have attested, but does not inform us on barriers to attestation. • At the time of the analysis • 105,750 EPs had attested • 105,514 Successfully • 236 Unsuccessfully (208 EPs have resubmitted successfully) • 2,238 Hospital had attested • All successfully

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

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

22. EP Engage Patients and Their Families

23. EP Improve Care Coordination

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

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

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

27. EH Engage Patients and Their Families

28. EH Improve Care Coordination

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