The number of live private health information exchanges increased from 52 a year ago to 161 today, while live public HIEs grew much slower--from 37 in 2010 to 67 now, according to a new report from vendor research firm KLAS Enterprises.

Based on interviews with 230 HIE customers and covering 35 vendors, KLAS found Medicity, RelayHealth and Cerner had high performance scores among private HIE users. Epic Systems actually scored higher but not ranked "because nearly all of the Epic Exchanges KLAS was able to validate were between Epic hospitals," the firm notes. Axolotl and Orion scored well among public HIE customers.

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