Stakeholders losing confidence in HIEs, survey finds

Although the technology for HIEs is improving, stakeholders are backing out of active pursuit, according to a survey of 700 hospital executives, 1,200 insurers and 500 health IT vendor staffers from Black Book Research.

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Although simple health information is being exchanged on HIEs, 94 percent of providers, healthcare agencies, patients and payers remain unconnected or only connected very simply as of Feburary 2015, according to a news release. Many are waiting to see if payers swallow the bill for data sharing technology, and many expect the HIEs to be payer-owned or run by private network vendors, leaving the public HIE vendor market to recede.

Nearly three-quarters of multi-provider networks and hospital systems are considering private HIEs, and 98 percent of respondents said that private or community/regional HIEs were the best option to achieve ACO results. The vast majority, 91 percent of payers and 94 percent of providers, said a meaningful national HIE will be possible by 2025.

“A short list of enterprise HIE vendors have effectively established operative exchanges across organizational siloes to benefit patients, providers, agencies and payers,” said Doug Brown, Black Book Research’s managing partner of the nationwide study. “Those vendors are justifiably earning the lion’s share of 2015 initiatives and stymied HIE developers are reconsidering their positions.”

The survey also asked respondents for a ranking of which are the best private HIE providers. Cerner topped the list with its EHR-based HIE, followed by Orion Health, Aetna Medicity and Intersystems.

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