The cost of EMR is greater than 1% for a small practice when you consider staff costs, and reduced efficiency.
EMR also increases privacy risks including liability from patient data breaches (HIPPA violations), and overexposure to minor errors considered as fraud by rapacious Medicare auditors.
Small practices will avoid new Medicare patients, drop Medicare and go to cash, or accept Medicare patients only for those needing realtively higher margin procedures.
I don’t blame them one bit. I would too (good business sense). You can’t stay in business or get ahead by being a perpetual charity.