My office manager and I had a long talk today about this. Why are they offering us this money in exchange for changing the way we practice? We already practice good medicine! We already use a great EMR. Why can't they just fund their present obligations under Medicare without adding this great burden? Why would doctors take this money and in turn have to make their lives hell? In the future, surely it won't be a carrot, but a stick, and you will have to practice their way or get no money! I think we decided I won't be selling my soul to the devil over this. I'm doing fine without their money, and if they push too hard, no more!