The federal government's proposal that 50 percent of primary care physicians participating in Medicare Shared Savings accountable care organizations demonstrate meaningful use of electronic health records by their second year could reduce interest in the program, according to the HIMSS Electronic Health Record Association, comprising more than 40 vendors.

In a comment letter to the Centers for Medicare and Medicaid Services, the association recommends lowering the meaningful use threshold to 25 percent among all participating eligible professionals. "CMS must encourage the use of health I.T. by all providers that are members of an ACO--not just primary care providers--in order to advance HIE, remove information silos that potentially compromise quality care, and encourage true reform in care delivery to better meet the needs of patients and other consumers," according to the comment letter. Other recommendations include:

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