ONC/CMS Dataset Analyzed for Radiology Centric View of EHR Incentive Program

The Office of the National Coordinator (ONC) and the Center for Medicare Medicaid Services (CMS) have updated the dataset showing the EHR products and vendors used for attestation of Meaningful Use of a Certified Electronic Health Record Technology (CERT). It also identifiers the types of providers using these EHR’s as described in the technical datasheet.

The dataset contains information from April of 2011 through January 31, 2013 identifying the type of provider attesting to meaningful use of an EHR and the incentive program that the provider attested in, either Medicare or Medicare/Medicaid. The Medicare/Medicaid program category only applies to Eligible Hospitals. Medicaid statistics are not reported in this dataset.

The total Eligible Professionals (EP’s) are estimated by the Department of Health and Human Services to be at 521,600. Unique providers receiving payments under the Medicare EHR Incentive Program are 32% of the total eligible. The American College of Radiology estimates that approximately 27,000 radiologists are eligible for the Medicare EHR Incentive Program. Radiologists are lagging behind the whole group of EP’s with just 7.8% of unique providers receiving payments under the Medicare EHR program.

2011 was the first year that payments were made under the Medicare EHR Incentive Program and payments did not start until May of 2011. Radiologists hardly participated in that first year with just 236 (<1% of those eligible) receiving payments in 2011. The EP group as a whole had  6.4% receiving funds in that first year.

The first full year under the Medicare EHR Incentive Program had much higher participation from the whole group of EP’s but radiologists still had a small showing of 3.6%. The 2013 payment data is for just the month of January but the showing for radiologists was just about equal to the entire prior year which is a good sign. The attestations for EP’s tend to peak in the February of each year since February is the last time to attest to receive payment for the prior program year.

A large number of vendors are represented in providing Certified EHR Technology (CERT) employed by radiologists to attest to meaningful use (MU). Many radiologists utilized multiple systems. Four vendors (Medinformatix, Epic, Merge, and GE) accounted for 47% of the systems used by radiologists to demonstrate MU.

14 vendors accounted for 75% of the systems used by radiologists to attest to meaningful use of CERT.  Several health systems certified their own systems to be used for Meaningful Use of an EHR. These inclulded Partners Halthcare System, UT MD Anderson Cancer Center, Center for Diagnostic Imaging, Lahey Clinic Foundation, Marshfield Clinic, UNC Health Care, and Northwestern University. A complete list of vendors of CERT employed by radiologists is below.

CMS EHR Incentive Payments Total over $12B thru Feb 2013

The CMS February EHR Incentive Program Report shows over $12B paid out to Eligible Professionals (EP’s) and Eligible Hospitals (EH’s) as of February 28, 2013.

The breakdown between the Medicare and the Medicaid EHR Incentive Programs is:

  • Over $7.4B in Medicare EHR Incentive Program Payments have been made between May 2011 and February 28, 2013.
  • Over $5B in Medicaid EHR Incentive Program Payments have been made between January 2011 and February 28, 2013.

86% of the hospitals eligible for the program have registered and 76% have received payments under the program as of February 28, 2013. Although 75% of the professionals eligible for the program have registered, their participation rate in receiving payments has not been as high as the hospitals. Just 44% of eligible professionals have received payment for demonstrating meaningful use of Certified Electronic Health Record Technology as of February 28, 2013.

CMS is required under the HITECH act to report details of the EP’s receiving payments under the Medicare EHR Incentive Program but not those receiving payments under the Medicaid EHR Incentive Program. Specialties receiving payments are reported monthly and names and addresses of EP’s and EH’s receiving payments are reported quarterly.

The latest quarterly report with names of those EP’s and EH’s receiving Medicare EHR Incentive Payments is the 4Q 2012 report which may be downloaded at:
2,132 EH Recipients of Medicare EHR Incentive Program Payments
and
106,308 EP Recipients of Medicare EHR Incentive Program Payments

The CMS February 2013 Monthly Report shows 135,000 physicians receiving payments under the Medicare EHR Incentive Program as of February 28, 2013. Of these physicians receiving payments as of February 28, 2013, 39% are either family practitioners or internists with the next largest group being cardiologists at 8% of the total.

The monthly payout for the Medicare and Medicaid EHR programs continues to show a peak at the end of the Medicare attestation periods. To receive a 2012 Medicare EHR Incentive payment, EH’s had to attest by December 2012 which coincides with a peak in payments just as it did in December of 2011. For EP’s to receive a 2012 Medicare EHR Incentive payment, they had to attest by February of 2013.

Those eligible providers not participating in the Medicare EHR Incentive Payment Program will face a cut in Medicare reimbursements starting in 2015. This cut will start at 1% per year in 2015 and increase an additional 1% per year thereafter up to a total reduction of 5%. 2013 is the last time to start demonstration of meaningful use to avoid the 2015 cut in reimbursement. Certified technology must be employed and the 90 day reporting period started by October 3, 2013 for Eligible Professionals and by July 3, 2013 for Eligible Hospitals.

CMS Publishes Names of EH & EP Recipients of Medicare EHR Incentive Program

CMS has published data through December 2012 on incentive payments made under the Medicare and Medicaid EHR Incentive Programs. CMS is required under the HITECH act to report the details of the Eligible Hospitals (EH’s) and the Eligible Professionals (EP’s) receiving payments under Medicare EHR Incentive Program but not the Medicaid EHR Incentive Program. EP’s include Doctors of Medicine of Medicine or Osteopathy, dentists, optometrists, podiatrists, and chiropractors.

The names of the hospitals and professionals are reported quarterly and the latest quarterly report is through 4Q 2012 and may be downloaded at:
2,132 EH Recipients of Medicare EHR Incentive Program Payments
106,308 EP Recipients of Medicare EHR Incentive Program Payments

Additional data from the CMS December 2012 EHR Incentive Programs Report on the $10B paid out through last year may be found here.

CMS Reports over $10B Paid thru 2012 Under EHR Incentive Program

CMS reports that over $10B of Incentive Program Payments have been paid through 2012 under the Medicare and Medicaid programs to hospitals and professionals demonstrating Meaningful Use of a certified EHR system.

Hospitals continue to lead professionals in both registration and in those paid under the program. Most professionals have received payments under the Medicare program. Hospitals, which may participate in both the Medicare and Medicaid programs, have received the majority of their payments under both programs.


Of the 106,445 professionals receiving payments under the Medicare EHR Incentive Program, 96,102 are physicians. CMS is required under the HITECH act to report the details of those receiving payments under Medicare EHR Incentive Program. Specialties are reported monthly and names of the hospitals and professionals are reported quarterly.

The latest quarterly report of those receiving payments is through 3Q 2012 and may be downloaded at:
EP Recipents of medicare EHR Incentive Program Payments
EH Recipients of Medicare EHR Incentive Program Payments


The December 2012 report breaks out the physician specialties receiving payments under the Medicare EHR Incentive Program. Family practitioners, internists, and cardiologists comprise almost half of all the recipients.

Monthly payments for hospitals and professionals receiving payments under the EHR incentive programs continued to increase in December 2012. The end of the attestation period to receive payments for calendar 2012 was December 2012 for Eligible Hospitals (EH’s) and will be February 2013 for Eligible Professionals (EP’s).

CMS 3rd Quarter Report ID’s Hospitals & Physicians Receiving EHR Incentive Payments & More

CMS is required by the HITECH act to publish the Eligible Hospitals (EH’s) and Eligible Professionals (EP’s) that have received EHR Incentive Payments by demonstrating Meaningful Use of a certified EHR system. EP’s receiving payments under the Medicare EHR Incentive Program include Doctors of Medicine or Osteopathy, dentists, optometrists, podiatrists, and chiropractors. Recipients are published quarterly and spreadsheets for those receiving payments as of the 3rd quarter of 2012 may be downloaded at:

EP Recipents of medicare EHR Incentive Program Payments
EH Recipients of Medicare EHR Incentive Program Payments

The CMS November 2012 EHR Incentive Program Report has also been released. As of November 30, 2012 over $9.3B dollars in incentive payments have been distributed under the Medicare and Medicare programs.

EH’s paid under the program are now reported as “Unique Providers Paid”. EH’s may be paid under both the Medicare and Medicaid program. Previous reports had double counted hospitals receiving payments under both programs. Now with hospitals being reported once, there is an apparent decrease in hospitals receiving payments but it is a more accurate representation of participation.

EP participation continues to lag EH participation, both in registration and in payments. Those EP’s not demonstrating Meaningful Use in calendar year 2013 will be subject to penalties starting in 2015.

Of the 96,426 EP’s receiving payments under the Medicare EHR Incentive Program, 86,859 are physicians. CMS also reports the physician specialties being paid under the Medicare programs. Family practitioners and internists continue to be the most predominate specialties with almost 26,000 participants.

The monthly payments under the Medicare and Medicaid EHR Incentive Programs has been updated. These increase towards the end of the attestation periods which is December 2012 for EH’s and February 2013 for EP’s. This is the last opportunity to receive the full inventive payment which will drop for those demonstrating meaningful use next year.