• Report

Barriers to meaningful use in Medicaid: Analysis and recommendations. Final report


Kissam, S., Banger, A., Dimitropoulos, L., & Thompson, C. (2012). Barriers to meaningful use in Medicaid: Analysis and recommendations. Final report. (Prepared by RTI International, under Contract No. HHSA290200710079T. AHRQ Publication No. 12-0062-EF). Rockville, MD: Agency of Healthcare Research and Quality (AHRQ).


Health information technologies (health IT), including electronic health records (EHRs), have the potential to improve the quality, safety, and efficiency of care. However, some research suggests that having a predominantly Medicaid-insured population may negatively influence the adoption and use of EHRs. Given that Medicaid serves approximately 58 million medically and financially vulnerable citizens, it is important to understand whether programs designed to promote the adoption and Meaningful Use (MU) of EHRs will be effective in promoting adoption and MU among providers of who serve largely Medicaid beneficiaries. This study focused on identifying barriers to achieving MU of EHRs unique to health care professionals that serve high proportions of Medicaid-insured individuals and specifically examined whether work environment-related factors or characteristics of the population they serve created barriers to adopting and using EHRs. The study also examined whether the financial incentives offered through the Medicaid EHR Incentive Program and available technical assistance offerings were sufficient to mitigate the barriers that Medicaid providers face in achieving MU.