You are ever so correct. I have said it here a hundred times. Meaningful use ruined the EMR. And every little thing that comes along which reimburses providers based on patient outcome will hinder medicine.
When you shingle a roof or paint a car, you are paid by the customer based on a preset agreement. If they don't like the service, they can choose to not use your service again. You aren't paid by some government's standard. Furthermore, you don't wait three weeks to be paid by shingle insurance.
I am starting to say this more now as we complain more and more about AC. We didn't have to do meaningful use. It would have been interesting if AC had refused to even acknowledge MU in the beginning. But, of course, that would have likely led to huge problems. But with no MU and no ACPM, AC would easily be sitting at the top of the EMH world. Notice I refuse to say EHR.
I hope when things become smooth again for all EMRs that the government comes out with ICD-20.