The capper to AMA's proposal: providers should only have to achieve 75 percent of stage 2's requirements to obtain an incentive payment, and only 50 percent in order to avoid a penalty.
While ONC and CMS are unlikely to agree to AMA's demands—indeed have shown a history of fairly ignoring many such demands in the past—it seems like meaningful use at this rate may end with a whimper and a bang. Whittled down by some combination of government mismanagement, vendor burnout and/or malfeasance, and provider exhaustion, meaningful use may be about to enter a kind of life support status, at least for a year.
The bang will come when Congress comes asking where the $24 billion went.
After public comment ends, the other missing continuency, the patients, will probably also weigh in. It's a sad state of affairs that the continuing dialogue about how to fix this increasingly troubled program hardly ever seems to get around to what's best for them. Clearly, what the industry is trying to do for them right now isn't working very well at all.