"A small practice is thinking, what's going to happen next month. Intermountain is thinking 6, 12, 18 months in the future. So I think we heard ahead of time and we're hearing now that they're concerned that this too high a hill to climb."
Reider says that if providers fall short of the 2014 deadlines, it should not mean that the meaningful use program is a failure.
"Some may characterize this as a failure. I don't see it as a failure," Reider says. "I see it as a challenge, because we want them to get their incentive dollars. We want them to avoid a penalty. We want those things to happen, and so we want them to attest to meaningful use. Don't get me wrong. If they, for various reasons, make choices not to, we still don't see that as a failure of the program. We don't see that as a failure of health information technology. We're still on the path."