This article examines factors influencing the adoption and meaningful use of health information technology, as well as outstanding challenges to the long-term success of the Health Information Technology for Economic and Clinical Health (HITECH) provisions in the American Recovery and...

Public provision of health care, as under Medicare and Medicaid, traditionally “privatized” major production decisions. Providers of care, largely private physicians and hospitals (but also public hospitals), made significant decisions about public beneficiaries' access to care, the quality...