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Med-Pro Management, Inc.

Medical Practice Management and Consulting


January 2011 

In This Issue
Medicare/Medi-Cal EHR Incentive Programs
Governor Brown's Proposed Budget Would Cut Health and Human Services
Medicare/Medi-Cal EHR Incentive Programs
EMR TabletThe federal government has set up a web portal for physicians to sign up for the electronic health record (EHR) incentive programs.

In order to receive the incentive payments for implementing and using an EHR system, physicians must enroll in the programs offered through Medicare or Medicaid. The Centers for Medicare & Medicaid Services (CMS) launched the provider enrollment portal on January 3, 2011.

All physicians can register using CMS's portal, regardless of whether they are planning to access the Medicare EHR Incentive Program, or the Medi-Cal Incentive Program.

Physicians planning to access Medi-Cal, however, will also have to register with the State of California. The website for state registration is not scheduled to be activated until February 1, 2011.

Registration for Medicare and Medi-Cal programs are listed below:
  • Registration for Medicare incentive began on January 3, 2011.  To register for Medicare incentives, click here.
  • Registration for Medi-Cal incentives will start February 1, 2011. Information is available here.


"I not only use all the brains that I have, but all that I can borrow."

             Woodrow Wilson


Are you eligible for the EHR incentive? Find out here...


Percentage of physicians adopting EHR passes the 50% mark. 

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Governor Brown's Proposed Budget Would Cut Health and Human Services

Stethoscope on MoneyJust days after taking office, Governor Jerry Brown issued his 2011-2012 budget proposal, including major cuts to health care, in an attempt to close the projected $25.4 billion shortfall. The Governor's proposal would close the deficit through a mix of spending cuts, revenue increases, and other solutions (such as taking money from special funds). The spending cuts total $12.5 billion, with $1.7 billion slashed from the Medi-Cal program alone.

Of particular interest to physicians are proposals to:

Cut Medi-cal provider rates by 10% ($720 million)
The budget proposes to reduce provider payments by 10% for physicians, pharmacy, clinics, medical transportation, home health, adult day health care, certain hospitals and nursing facilities, as well as long-term care facilities.

Control Medi-Cal utilization ($217 million)
The budget proposal would also limit utilization of important health care services for adults. It would, for example, limit Medi-Cal patients to 10 physician office visits per year, limit enrollees to 6 non-lifesaving prescriptions per month, and set cost caps on hearing aids and other medical devices.

Impose Medi-Cal copayments ($557 million)
Copayments would be set at $5 for physician office visits, including preventive and primary care services, $50 for emergency room visits, and $100 per day (up to $200 maximum) for hospital stays. Provider reimbursement for the visit would then be reduced by a corresponding amount.

Contain costs in the Healthy Families program ($39 million)
Although last year's federal health reform legislation prevents states from reducing Healthy Families eligibility, the governor's budget proposal would contain costs in other ways. The proposal would eliminate the vision benefit, increasing premiums by 75% or more for various income sectors

Medi-Cal currently covers 7.7 million Californians and enrollment is expected to grow by 1.5 - 2 million after the implementation of federal health reform.

If you are interested to find out more about any of the topics mentioned, please do not hesitate to send us an email at or call us at (888) 549-1713.



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