November 7, 2014
Numbers released this week show that fewer than 17 percent of hospitals in the US have demonstrated Stage 2 Meaningful Use / MIPS. Additionally, the results reveal that fewer than 38 percent of hospitals and critical access hospitals have met either stage of Meaningful Use / MIPS in 2014.
These numbers have re-invigorated industry groups who are advocating more leniency for providers trying to meet Meaningful Use / MIPS requirements. Officials from AMA, CHIME, HIMSS, and MGMA made a statement via a joint press release this week. The statement reiterated the message they’ve been spreading for months — providers have faced serious challenges meeting the CMS requirements and unless steps are taken to lessen these challenges, dissatisfaction with EHR use will continue to rise.
There is a discrepancy in the progress being made toward the switch to ICD-10. It appears that larger organizations are making significantly more progress than smaller entities, according to an AHIMA survey. The survey was conducted in May and June. There are 454 healthcare organizations represented among the respondents, most of them from hospitals and physician practices.
65 percent of respondents said that they would begin end-to-end testing before the October 1, 2015 deadline. 10 percent had no plans to perform testing, and 17 percent didn’t know when their organization would be ready to test. About half of respondents not ready to test were clinics or physician practices.
With significant gains for the Republican party in the mid-term elections, Medicaid will likely see decreased support. Several Republicans who were voted into office or maintained their existing position are resistant to increases in Medicaid support. Political analysts suggest that these gains for the GOP “diminish but do not eliminate the prospects that more states will expand Medicaid to low-income adults as allowed by the healthcare reform law.” We will see in the coming months if red states begin to roll back their already limited Medicaid expansion.