Don't you think that private insurers will sooner or later adopt some of the same "meaningful use" rules as Medicare? If only to separate sheep from goats, and provide another control point (and potential profit center).

There is an interesting post on another thread http://amazingcharts.com/ub/ubbthreads.php/topics/63234/Interoperabiltiy_-_Old_Stray_D#Post63234

The byword is "quality" -- which might at some level be true, because there isn't any way of determining "quality" unless we are all more or less on the same page.

But that begs the question of who determines "quality" -- and to whose benefit.
Ever read Zen and the Art of Motorcycle Maintenance?

Tom Duncan
Family Practice
Astoria OR