Ah, I just looked on it as a challenge.
My way would totally work for somebody who didn't want to shell out fifty dollars a month.
On the other hand, IMH might be perfect for someone who was really into P4P and had the logistics of patient input worked out, especially if they were willing to get on the phone with IMH and get the kinks worked out.
I tried incorporating IMH into my practice for about a month. I had a few issues with it, including increased crashes, and formatting problems, too-invasive questions, and I could not figure out how to easily create custom templates (and I am not ignorant about computers).
I would love to hear about other users' positive (and negative) experiences with IMH.