An interesting data point in the electronic medical records discussion.

Those (admittedly few) primary care practices which choose not to interact with the insurance companies, and operate on a cash basis, also happen to be the ones who are pushing through higher efficiencies through technology. Hello Health (https://www.hellohealth.com/), in Brooklyn, uses and develops a medical web platform through its software arm, Myca. Qliance (http://qliance.com/), in Seattle, has been using an electronic records system from the start, which was described to me as "just a glorified CMS".

It does seem strange that paper is the word of the insurance world, and I don't know the industry well enough to explain the problem, but it seems the problem may have something to do with the doctor-insurer dynamic.