At the center of efforts to delay finalization of the Stage 3 electronic health records rule are concerns about the way physicians will be paid or penalized under Medicare based on participation in the Meaningful Use program.

Section 101 of the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA), passed by Congress earlier this year, repealed the Medicare sustainable growth rate methodology for updates to the physician fee schedule and replaced it with a new Merit-based Incentive Payment System (MIPS).  

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