Wayne,
You miss Al's and my point. That's like having a discussion on Netgear firewalls or routers vs a Cisco. So someone suggests that one pay $100 for the first Netgear router and then $50 for the next four and then someone saying can you think of any other company that would charge that little for routers (fogetting other routers in this area). No, I couldn't if I had to think Cisco which would fairly charge $900 or more for each router, because their router/firewall (whether you liked them or not) is a far better overall router/firewall made by a company with much more overhead.
My numbers were just examples and certainly the per machine licenses could be higher. AC, while great, does not cost the same amount of money as eMDs, Praxis, Logician or eCW whether they are good EMRs or not. Some do have PM software linked to them. Now I use AC, because it's faster and I like what it does better, but to be honest, I use it because it is affordable.
This entire thread was started by Jon for ideas on pricing. I agree with Aldo. Is it fair to pay the full amount for someone who works 10 hours per week? Maybe it should be based on FTE.
You stated above that some EMRs you have priced are $4,000 for the first doctor and $2,000 for each additional. So, should I pay $60,000 for a Ford Escort, because Lexus charges $70,000?
I have always thought that AC has been too inexpensive. And, therein lies the rub. It ironically makes it difficult to increase pricing. The price needs to go up. But, how do you do it so it is fair to everyone.
Either activation or Al's idea on dynamic user licenses makes the most sense.
