Juan Salazar, M.D., a solo internal medicine practitioner in McAllen, Texas, recently received one of the first Medicare electronic health records meaningful incentive checks (for $18,000). He's been practicing for three decades and only adopted an EHR about 18 months ago.

Salazar understands the fears of peers to switch to electronic records, believing them to be cumbersome and adding little value to their practice. "When I started with EHRs I had the same fears," he notes. "I was changing cultures."

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