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CMS-1403-FC MMA, also permitted third parties to offset the implementation costs for electronic prescribing by authorizing the creation of an exception to the physician self-referral (“Stark”) prohibition for certain donations of electronic prescribing technology. This enabled health plans, hospitals, and medical groups to provide in-kind support to physicians for electronic prescribing. Furthermore the MMA authorized the creation of a “safe harbor” to protect these entities from prosecution under the anti-kickback statute. There are many potential advantages to e-prescribing. These advantages include, but are not limited, to: ● Improving patient safety and quality of care by (reducing medication errors by up to 86 percent): faxing; history; ○ Reducing illegibility. ○ Reducing oral miscommunications. ○ Providing warnings and alert systems ○ Providing access to patient’s medication ● Reducing time spent on pharmacy phone calls and ● Automation of renewals and authorization; ● Improving formulary adherence (from 14 percent to 88 percent after e-prescribing implementation) (Bell, 674

CMS-1403-FC Douglas S. and Friedman, Maria A. “E-Prescribing and the Medicare Modernization Act of 2008.” Health Affairs. 2005; Volume 24, no.5: 1159-1169.); and ● Improving drug surveillance/recall; A more detailed description of the benefits of e-prescribing can be found by clicking on the Clinician’s Guide to Electronic Prescribing link at http://www.ehealthinitiative.org/. Many of these advantages were also discussed at a recent e-prescribing conference co-sponsored by CMS. Downloadable information from this conference is available at http://www.e- prescribingconference.com. Although there are many benefits to electronic prescribing, there has been limited adoption and use of electronic prescribing by physicians and other professionals who prescribe medications. It is estimated that only 5 to 18 percent of providers currently use e-prescribing (Bell, Douglas S. and Friedman, Maria A. “E- Prescribing and the Medicare Modernization Act of 2008.” Health Affairs. 2005; Volume 24, no.5: 1159-1169.). The enactment of the MIPPA in July, 2008, should encourage significant expansion of the use of electronic prescribing by authorizing a combination of financial incentives and payment differentials. Financial incentives are available 675

<strong>CMS</strong>-1403-FC<br />

MMA, also permitted third parties to offset the<br />

implementation costs for electronic prescribing by<br />

authorizing the creation of an exception to the physician<br />

self-referral (“Stark”) prohibition for certain donations<br />

of electronic prescribing technology. <strong>This</strong> enabled health<br />

plans, hospitals, and medical groups to provide in-kind<br />

support to physicians for electronic prescribing.<br />

Furthermore the MMA authorized the creation of a “safe<br />

harbor” to protect these entities from prosecution under<br />

the anti-kickback statute.<br />

There are many potential advantages to e-prescribing.<br />

These advantages include, but are not limited, to:<br />

● Improving patient safety and quality of care by<br />

(reducing medication errors by up to 86 percent):<br />

faxing;<br />

history;<br />

○ Reducing illegibility.<br />

○ Reducing oral miscommunications.<br />

○ Providing warnings and alert systems<br />

○ Providing access to patient’s medication<br />

● Reducing time spent on pharmacy phone calls and<br />

● Automation of renewals and authorization;<br />

● Improving formulary adherence (from 14 percent to<br />

88 percent after e-prescribing implementation) (Bell,<br />

674

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