I wonder how burdensome it is to even get the tool fully integrated into the ehr. Like are the doctors not using it because it requires manual input of drugs and insurance? Even then, the doctors aren’t necessarily getting paid more for doing this extra work; it’s the payer (insurance) company that is primarily benefiting.

To be clear, I am acutely aware of just how hard it is to get this sort of thing working (MS in health Econ, phd in biomedical and clinical informatics). Just keeping track of all the formularies seems like a pain just to to begin with!