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Health IT incentives in stimulus could benefit web-based vendors

Right now, no one's sure what will happen with the giant economic stimulus bill working its way through Capitol Hill. But if the version approved by the House survives, the promised health IT investment could create some winners and losers in the health IT vendor world. Specifically, observers say, new federal health IT spending could benefit vendors offering the application service provider model over traditional enterprise software vendors.

As things stand, federal authorities would dole out the $20 billion for health IT over time rather than offering lump-sum up-front payments. This gives providers an incentive to implement ASP-model products, which typically involve monthly fees rather than a large up-front cash outlay.

Though the Senate is still marking up the bill, ASP-based health IT vendors MedAssets and Athenahealth have already seen their stock prices rise, as investors believe they'll get a significant boost if the health IT stimulus provision passes as is.

To learn more about this possibility:
- read this iHealthBeat piece

Related Articles:
Economic stimulus may send $100B-plus to healthcare
Governors call for healthcare stimulus plan
HIMSS report: $25 billion stimulus needed to help speed EMR
CBO says health IT only cost-effective solution to healthcare

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The one problem with being too reliant on the ASP or SaaS model is what a friend of mine used to refer to as the "idiot on the backhoe". Can you effectively operate if your telecom capability suddenly is lost? In healthcare this is particularly critical when you start talking remote hosting EMR's and such. I worked briefly with VHA and although they have been trying for years to create an internal ASP type model they realized that certain IT capabilities had to remain at the local hospitals if only as backup. While the ASP/SasS model will be very tempting for smaller practices that have no existing internal IT support, they will have to look very carefully at the possible liabilities.

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