Several of my doctor clients have dropped out of all managed care companies and are seeing all their patients at private pay rate, although most are willing to negotiate.
In those offices, their staff has been reduced to one or two support people, the amount of paper generated has dropped to almost nothing, they no longer have to spend money on software upgrades or new computers. Very few patients have been lost and several have new private pay patients who chose those docs because their records no longer are on the internet.
Doesn’t work for everyone but for them it seems like a viable option, at least for now.
I think the date that requires all records be on EMR has passed. Any doctor seeing patients on paper charts only at this point is breaking the law, I do believe. Not that I care outside of just another example of turning us all into criminals.