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The law provided the ONC with $2 billion to support development of a nationwide electronic health information system. Th

On the positive side, providers are clearly aware of and responding to the availability of incentives. Internal CMS surveys show that as of April 2011, 78% of physicians and 96% of hospital executives were aware of the meaningful-use program (Trudel K: personal communication). As Figure 1Figure 1Provider Registrations for Meaningful-Use Payments. shows, more than 114,000 eligible providers, or 21%, had registered for meaningful-use payments by the end of September 2011.11

Congress might consider a future subsidy approach that recognizes that the affordability of insurance is a function of expected out-of-pocket costs and characteristics such as chronic disease, not simply premiums.