Business Benefits or Incentive Maximization? Impacts of the Medicare EHR Incentive Program at Acute Care Hospitals

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dc.contributor.authorMirani, Rajesh
dc.contributor.authorHarpalani, Anju
dc.date.accessioned2017-06-20T13:58:49Z
dc.date.available2017-06-20T13:58:49Z
dc.date.issued2013
dc.description.abstractThis study investigates the influence of the Medicare EHR Incentive Program on EHR adoption at acute care hospitals and the impact of EHR adoption on operational and financial efficiency/effectiveness. It finds that even before joining the incentive program, adopter hospitals had more efficient and effective Medicare operations than those of non-adopters. Adopters were also financially more efficient. After joining the program, adopter hospitals treated significantly more Medicare patients by shortening their stay durations, relative to their own non-Medicare patients and also to patients at non-adopter hospitals, even as their overall capacity utilization remained relatively unchanged. The study concludes that many of these hospitals had implemented EHR even before the initiation of the incentive program. It further infers that they joined this program with opportunistic intentions of tapping into incentive payouts which they maximized by taking on more Medicare patients. These findings give credence to critics of the program who have questioned its utility and alleged that it serves only to reward existing users of EHR technologies.en_US
dc.description.urihttps://www.researchgate.net/profile/Rajesh_Mirani/publication/260831003_Business_Benefits_or_Incentive_Maximization_Impacts_of_the_Medicare_EHR_Incentive_Program_at_Acute_Care_Hospitals/links/554b7aab0cf29f836c96bfe7/Business-Benefits-or-Incentive-Maximization-Impacts-of-the-Medicare-EHR-Incentive-Program-at-Acute-Care-Hospitals.pdfen_US
dc.format.extent19 pagesen_US
dc.genrejournal articlesen_US
dc.identifierdoi:10.13016/M2BP0N
dc.identifier.citationMirani, R. and Harpalani, A. 2013. Business benefits or incentive maximization? Impacts of the Medicare EHR Incentive Program at acute care hospitals. ACM Trans. Manage. Inf. Syst. 4, 4, Article 20.en_US
dc.identifier.issn2158-656X
dc.identifier.uri10.1145/2543900
dc.identifier.urihttp://hdl.handle.net/11603/4127
dc.language.isoen_USen_US
dc.publisherACMen_US
dc.relation.isAvailableAtUniversity of Baltimore
dc.subjectManagementen_US
dc.subjectMeasurementen_US
dc.subjectPerformanceen_US
dc.subjectElectronic health recordsen_US
dc.subjectelectronic medical recordsen_US
dc.subjectinformation technology adoptionen_US
dc.subjectinformation technology implementationen_US
dc.subjectMedicare EHR Incentive Programen_US
dc.subjectopportunismen_US
dc.subjectorganizational changeen_US
dc.subjectperverse incentivesen_US
dc.titleBusiness Benefits or Incentive Maximization? Impacts of the Medicare EHR Incentive Program at Acute Care Hospitalsen_US
dc.typeTexten_US

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