For what it's worth, PM is bloatware for us. Our business model doesn't use complicated billing algorithms that require elaborate and expensive software to calculate and re calculate and calculate different ways of calculating the same encounter to get more money out of it. That's the way it's usually done and that's fine for those that use to that method. At the same time I resent the prospect of having to pay for that level of software engineering when I don't use it or want it.
If AC wants to run with the big fish then let them develop a bang up PM package and offer it separate from the EHR. An EHR should be just that, a health record, with functionality built around patient care.