The Medical Group Management Association is calling for extensive reworking of the Stage 1 criteria for meaningful use of electronic health records, and to extend the Stage 1 period through 2013. Under the proposed meaningful use rule, Stage 2 criteria would start in 2013.

"It is critical that CMS and ONC carefully reconsider the proposed meaningful use definition and program requirements before crafting a final rule," the Englewood, Colo.-based association stated in its comment letter to federal officials. "We believe it is imperative to remember that the intent of ARRA was to provide a practical and achievable glide path to enable large numbers of physicians and other providers to adopt EHRs. We do not believe that the legislation anticipated the onerous nature of the proposed meaningful use criteria nor the expected high cost and decreased physician productivity associated with participation in this incentive program."

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