Physicians and other eligible professionals under the electronic health records meaningful use program were tasked to make significant investments in EHRs; in large part, they did under Stage 1. Stage 2 imposed tougher steps in EHR capabilities that much of the industry was not ready for, and many providers dropped out of the program.

Now, changes to Stage 2 muddy water waters; in part, they would ease reporting requirements for eligible professionals but also impose several confusing new requirements in a proposed rule issued in April and authorized by the Medicare Access and CHIP Reauthorization Act of 2015, known as MACRA.

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