…they don’t, at least so says an HHS funded study by Avalere Health
While some states have progressed, the Avalere report highlights challenges in achieving national goals. None of the highlighted HIE projects — even those with deep political and physician support — have established a sustainable business or financial model. Some states are also struggling to gather providers and other commercial organizations’ agreement on technology standards and win over their long-term support.
At IFTF we (Jane Sarasohn Kahn and I) wrote a report on CHINs in 1994 which basically said we didn’t think they’d be much more than a sideshow—and it turned out we were over-optimistic! Not that much has changed. Some things have, but there are few incentives to promote inter-operability. Don’t believe me, Brailer said as much when I saw him talk two years ago.
The incentives that prevent interoperability can be (and ought to be) changed—if we want to use that Medicare carrot/stick. But that would mean Congress taking on a litany of providers, payers and vendors…