An estimated 25% of America’s health care dollars are spent on administration. The Emdeon Index estimates the efficiency of US health care at 43%. There is strong support within the Coalition for implementing the utilization of electronic medical records and streamlining of administrative forms and processes. For many members it is ironic that American health care information technology is used more effectively by other nations than within the United States.
Specifically, consideration should be given to adopting language to better ensure that investments in Health IT provided by the American Recovery and Reinvestment Act and health reform legislation achieve maximum possible impact:
o “Meaningful use” health IT bonuses linked to achieving better results
o Making health IT startup funds available to health care practitioners beginning to implement Health IT --without regard to case mix thresholds
o Developing and adopting of interoperability and provider communication standards to help establish a common platform
o Providing technical support programs for providers and institutions struggling to adapt to Health IT
o Supporting infrastructure like Minnesota Institute for Clinical Systems Support which allow health care practitioners everywhere to practice independently yet provide coordinated care
o Accelerating administrative simplification by setting a requirement that all insurance forms and processes for billing, enrollment, and credentialing be standardized across all payers within four years or less.