Based on feedback from physicians and health care providers, the final federal e-prescribing regulations are more flexible and contain more exemptions, the Centers for Medicare and Medicaid Services announced.
The changes come after concern that the program criteria should be more aligned with the Medicaid incentive program for electronic health records, according to CMS officials.
“[The changes] will encourage more doctors and other health care professionals to adopt this technology and give them the added flexibility to help them succeed,” Dr. Patrick Conway, chief medical officer at CMS and director of the agency's Office of Clinical Standards and Quality, wrote in a blog post announcing the change. “With electronic prescribing, providers can better manage patient prescriptions, reducing drug interactions or other preventable prescription errors.” Under the Medicare Electronic Prescribing Incentive Program, heligible prescribers who meet the e-prescribing criteria will get a 1% bonus payment for 2011 and 2012 and a 0.5% bonus in 2013. Those who do not meet the criteria in 2012 will be penalized 1% of Medicare payments; the penalty will escalate in 2013 and 2014.
Under the final rule, prescribers who use certified electronic health records can claim this as a “qualified” e-prescribing system. This move was designed to more closely align the e-prescribing program with the program that offers incentives for meaningful use of electronic health records, CMS officials said.
The final rule, which goes into effect 30 days after its official publication in the Federal Register, contains hardship exemptions for those who live in a rural area without high-speed Internet access and those who work where there are not enough pharmacies that can take electronic prescriptions. The deadline to apply for a hardship exemption has been extended until Nov. 1, 2011.
Even with the changes, however, some physicians still have concerns. The American Medical Association said it is worried about the amount of time physicians will have to apply for the exemptions.