HIE Sustainability

Solutions to HIE Sustainability

The benefits of Health Information Exchanges (HIE) are numerous and far reaching, but they remain endangered due to significant sustainability issues.

In fact, according to a 2013 study, “Less than 25% of operational HIEs are financially sustainable. Grants account for 52% of HIE efforts. Authors conclude that while more HIEs are operational, business models don’t yet support a viable future.”1

Government grants, while great for the initial start up, is limited and insufficient for the long term.  To succeed, HIEs need a sustainable business model –one that includes both revenues for the HIE and cost savings for participants.

RHIOnet: Administrative Companion

APP Design’s primary product, RHIOnet provides a sustainability model for your HIE. As an administrative companion to HIE clinical solutions, RHIOnet offers a suite of services for the HIE, that delivers savings to their members, including providers and payers. 

RHIOnet provides a standards-compliant infrastructure for building value-added services for your HIE. All of its services are available “out of the box” or through interfaces to allow you to use existing services.  Services such as RHIOnet’s x12 administrative transactions, personal financial statements, appointment reminders, electronic consent and more, are among the solutions which are designed to easily integrate with existing technology.These transactions along with 3rd party services such as transcriptions and credentialing services and clinical solution vendors  are accessible through RHIOnet’s community portal.

 Reducing Administrative Costs

 Offering these services through RHIOnet’s community portal delivers revenue to the HIE and cost savings to the member organizations, ensuring their participation. The community portal, combined with administrative services and transactions, delivers revenue to the HIE and cost savings to the member organizations, ensuring their participation. Sharing in the implementation and maintenance of solutions will reduce administrative healthcare costs and will assist the HIE in enrolling payer and provider stakeholders. Value-added services provided through the community portal bring additional revenues to the HIE. In addition, increased traffic and visibility for the HIE through the portal improves the “network effects” substantially as utilization of the portal and administrative services increases.

Collecting a small margin on these services can result in considerable amounts of revenue for the HIE. To view these services, view RHIOnet Features and Transaction Sets. 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1HIT Trends © 2013 Circle Square Inc.
Michael Lake | Publisher | www.circlesquareinc.com