The healthcare industry hoped that the Centers for Medicare and Medicaid Services, which accounts for one-third of the nation’s health insurance and mostly controls the rest of the healthcare industry, would have some idea of how healthcare organizations live and die outside of the Washington Beltway.

Well, they die when CMS publishes 752 pages of rules addressing three meaningful use programs in a single document. Does the agency, which has regulated healthcare for decades, still not understand that small physician practices and hospitals simply can’t handle 752 pages of bureaucratic jargon? How can CMS be so deaf?

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