This 3 year demonstration was mandated under Section 649 of the MMA to promote the use of health information technology and improve the quality of care for beneficiaries. Doctors in small to medium sized practices who meet clinical performance measure standards received a bonus payment for managing the care of eligible Medicare beneficiaries and reporting quality measure data to CMS from a CCHIT-certified electronic health record. The demonstration was implemented in California, Arkansas, Massachusetts and Utah and ended June 30, 2010.