The debate is getting more interesting all the time...this looks to be a recommendation for collective bargaining...as a new twist thrown in from what has been kicked around for a few years...The State Alliance for e-Health is a program of the National Governors Association’s Center for Best Practices....and it looks like CME for health IT was also suggested as well....BD 

The State Alliance for e-Health recommends that states consider using incentives and punishments in state-operated health programs to encourage doctors to adopt electronic health records.
At a May 12 meeting in Washington, the alliance adopted a report from its Public Programs Implementation Taskforce that outlines nearly two-dozen strategies that states can use to increase EHR use in Medicaid, the State Children’s Health Insurance Program and other state health programs.
For example, the report suggests that states could form groups of health care providers in counties or regions to jointly buy EHR systems and consultant services, or the state could negotiate discounted prices on behalf of providers.

States advised to use carrots, sticks to promote EHR use

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