That speaker was followed by another who noted that EHR companies are charging transcription companies between $5,000 and $10,000 to get their transcribed information into those EHRs.
"The intent is that information follows the patient, and that there are not market abuses in terms of companies taking their business position in one area and using it to create unfair policies," Mostashari responded.
In defense of the current regulations, Mostashari noted that vendors are at least required to reveal these charges. He also said that HHS' Regional Extension Centers are able to argue "on behalf of a thousand small practices instead of having the small practices go up against the vendor one by one."
But ultimately, Mostashari had little comfort to give small practices looking for best-of-breed, and to the small companies providing that best-of-breed software or service.