A large survey of health care providers and payers during the last six months of 2013 finds considerable skepticism of the future of health information exchanges.

Black Book polled 1,550 providers and 794 payers using HIE, and the results are sobering. Ninety-five percent of payers, 83 percent of hospitals and 70 percent of physicians responded that publicly-funded HIEs are struggling with flawed business models and are not providing meaningful connectivity. Polled organizations were users of public or private operational exchanges.

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