Institute: ONC | Component: 1 | Unit: 10 | Lecture: a | Slide: 19

Institute:Office of National Coordinator (ONC) Workforce Training Curriculum

Component:Introduction to Health Care and Public Health in the U.S.

Unit:Meaningful Use

Lecture:What is Meaningful Use?

Slide content:Payment for EHs - 2 General formula is that payment is multiplication of: Initial amount: $2M + $200 per discharge for 1,150th to 23,000th discharge (maximum for 21,850 discharges is $2M + $4.37M = $6.37M) Medicare or Medicaid share Transition factor: 1.0, 0.75, 0.5, and 0.25 over four years, depending on eligibility date 19

Slide notes:An overview of the general formula for payments is listed here. There is a base amount of $2 million for an eligible hospital, and then an incremental amount of money per discharge, starting at the 1,150th patient for a given year, up to 23,000 patients. This means that the maximum for 21,850 discharges would be $2 million dollars for the base and $4.37 million dollars , resulting in a maximum payment of $ 6.37 million dollars. The money is then multiplied by the Medicaid or Medicare share that the hospital has. There is also a transition factor, with the full amount being paid in the first year, three quarters in the second year, half in the third year, and a quarter in the fourth year. Payment starts when the hospital becomes eligible, with no penalty for starting later. 19