Evaluation of the Electronic Health Records Demonstration: Final Report

Publisher: Princeton, NJ: Mathematica Policy Research
Jun 15, 2012
Suzanne Felt-Lisk, Lorenzo Moreno, Martha Kovac, Randall Blair, Stacy Dale, Amy Overcash, and Rachel Shapiro
This report summarizes the evaluation findings for the Electronic Health Records Demonstration (EHRD), funded and implemented by the Centers for Medicare & Medicaid Services (CMS). A large proportion of practices (43 percent) were unable or unwilling to meet program requirements to continue participating beyond year 2, leading CMS to terminate this randomized design demonstration early. The evaluation findings about impacts are necessarily incomplete, because of the shorter-than expected time frame. However, they indicate that the demonstration incentives had a strong positive impact on EHR use. There is also some support for the linkage between EHR use and reduced hospitalizations for chronically ill Medicare beneficiaries, but during this time frame no relationship was found between EHR use or demonstration incentives and cost or other quality-of-care measures.