It is absurd and it seems like they keep making the meaningful use requirements so difficult so that you don't pass therefore they don't have to pay you the incentive money and can also take the percentage away from you for not qualifying.
I have no idea how to get 5% of patients to send us messages on the portal, most of them don't have emails and those that do don't even want a portal set up. I just read a comment on a blog that said if someone can hack into Blue Cross and Target and all these big companies that you know have big time IT security why would patients willingly want their medical records online.
Also we only have one local lab housed in a clinic that we have an interface with and most patients won't go there, there is no way we can pass the structured lab data measure.