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At 9:02pm on October 5, 2009, Paul Thambi said…: Kevin,

Good seeing you in SF. Sounds like all is going well for you. Hope to see you at the next CCE meeting in Philly. If you are coming, we will have to get together for a drink. I know I will be there, Manish may be there also.

Paul

At 9:12am on April 13, 2009, Stacey Bannister said…: Yes.

At 2:27pm on April 9, 2009, Tony Dotson said…: Kevin,
The Recovery Act has made it legal for hospitals to purchase the EMR system for physicians without it being a Stark violation. This, of course, was inserted to promote the use of EMR's since hospitals may have more funds available than the physicians' practices. The incentives from Medicare that will give physicians $44k each will also give hospitals $2 million (I think-haven't studied that section as thoroughly-could be less).

For the physicians, it depends on what kind you get and what specialties are in the group etc. I read the other day where it is believed that the average cost for a good EMR is around $26,000 for the first physician and about $10,000 more for each additional physician and approximately $4,000 per year for support, upgrades, etc. I have seen some systems that are much more expensive. However, Sam's, Dell, and eClinicalWorks have teamed up to produce an EMR system for doctors that can be purchased directly from Sam's. Dell will provide the hardware and eClinicalWorks provides the system in a Software as a Service (SaaS) package. Its not out in all states yet but will be soon and it has been tested because it is the system that WalMart has used in its MinuteClinics in about 8 states I believe.

The good news is that you can get $44K from Medicare or $65K from Medicaid (you pick only one or the other) spread over five years for each of your physicians to help pay for the system and the depreciation rules have been extended that allow full depreciation the year of purchase to help offset costs.

See my web site for a slide show and more information on the news and legislation page at: www.3ddataservices.com

I hope that helps
Tony